1. Goods consigned from (exporter's business name, address, country)
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Reference No
GENERALIZED SYSTEM OF PREFERENCES
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2. Goods consigned to (consignee's name, address, country)
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3. Means of transport and route (as far as known)
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4. For official use
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5. Item number |
6. Marks and
numbers of packadeges |
7. Number and kind of packages; description of goods | 8. Origin
criterion (see notes overleaf) |
9. Gross weight
or other quantity |
10. Number and date of invoices |
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11. Certification
It is hereby certified, on the basis of control carried out, that the declaration by the exporter is correct. |
12. Declaration by the exporter
The undersigned hereby declares that the above details and statements are correct; that all the goods were produced in and that they comply with the origin requirements specified for those goods in the generalized system of preferences for goods exported to |