Attachment To The Ocp - Asean

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ATTACHMENT TO THE OCP
Original (Duplicate/Triplicate/Quadruplicate)
Reference No.
1. Goods consigned from (Exporter's business name,
ASEAN-INDIA FREE TRADE AREA
address, country)
PREFERENTIAL TARIFF
CERTIFICATE OF ORIGIN
(Combined Declaration and Certificate)
2. Goods consigned to (Consignee's name, address,
FORM AI
country)
Issued in __________________
(Country)
See Notes Overleaf
3. Means of transport and route (as far as known)
4. For Official Use
Departure date
Preferential Tariff Treatment Given Under ASEAN-India
Free Trade Area Preferential Tariff
Vessel's name/Aircraft etc.
Preferential Tariff Treatment Not Given (Please
state reason/s)
Port of Discharge
..................................................................................
Signature of Authorised Signatory of the Importing
Country
5. Item
6. Marks and
7. Number and type of
8. Origin criterion
9. Gross
10. Number and
number
numbers on
packages, description of
(see Notes
weight or
date of
Packages
goods (including quantity
overleaf)
other quantity
Invoices
where appropriate and HS
and value
number of the importing
(FOB)
country)
11. Declaration by the exporter
12. Certification
The undersigned hereby declares that the above
It is hereby certified, on the basis of control
details and statement are correct; that all the goods
carried out, that the declaration by the
were produced in
exporter is correct.
.............................................................
(Country)
and that they comply with the origin requirements
specified for these goods in the ASEAN-INDIA
Free Trade Area Preferential Tariff for the goods
exported to
.............................................................
(Importing Country)
.............................................................
................................................................................
Place and date, signature of
Place and date, signature and stamp of
authorised signatory
certifying authority
13. Where appropriate please tick:
□ Third Country Invoicing
□ Exhibition
□ Back-to-Back CO
□ Cumulation

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