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GSP (FORM A)
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1. Goods consigned from(exporter's business name,
address, country)
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Reference No.
GENERALIZED SYSTEM OF PREFERENCES
CERTIFICATE OF ORIGIN
(Combined declaration and certificate)
FORM A
issued in ....................................................................
(country)
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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
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6. Marks and numbers of packages
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7. Number and Kind of Packages; description of goods
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8. Origin criterion
(see notes overleaf)
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9. Gross weight or other quantity
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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.
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Place and date, signature and stamp of certifying authority
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12. Declaration by the exporter
The undersigned hereby declares that the above details and statements are correct; that all the goods were produced in ........................................................ (country) and that they comply with the origin requirements specified or those goods in the generalized system of preferences for goods exported to ........................................ (importing country)
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Place and date, signature of authorized signatory
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