Co Format Form For Asean Member States
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1
2ATTACHMENT 1: CO FORMAT FOR ASEAN MEMBER STATES
Original (Duplicate/Triplicate)
Reference No.
THE AGREEMENT ON COMPREHENSIVE ECONOMIC
PARTNERSHIP AMONG MEMBER STATES OF THE
ASSOCIATION OF SOUTHEAST ASIAN NATIONS AND JAPAN
1. Goods consigned from (Exporter's name, address, country)
(AJCEP AGREEMENT)
CERTIFICATE OF ORIGIN
2. Goods consigned to (Importer’s/Consignee's name,
address, country)
FORM AJ
Issued in ______________
(Country)
See Notes Overleaf
3. Means of transport and route (as far as known)
4. For Official Use
Preferential Treatment Given Under AJCEP
Shipment date
Agreement
Vessel's name/Aircraft etc.
Preferential 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 criteria
9. Quantity (gross
10. Number and
number
numbers of
packages, description of
(see Notes
or net weight
date of
or other
packages
goods (including quantity
overleaf)
quantity)
Invoices
where appropriate and HS
and value, e.g.
number of the importing
FOB if required
Party)
by exporting Party
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 statements 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 requirements
specified for these goods in the AJCEP Agreement
for the goods exported to
.............................................................
(Importing Country)
.............................................................
................................................................................
Place and date, name, signature and company of
Place and date, signature and stamp of
authorised signatory
certifying authority
13.
Third Country Invoicing
Back-to-Back CO
Issued Retroactively
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