Annex Iv - Letter Of Declaration By A Manufacturer Form printable pdf download

Annex Iv - Letter Of Declaration By A Manufacturer Form

ANNEX IV

(To be Typed on Company’s Original Letterhead)

LETTER OF DECLARATION BY A MANUFACTURER

Date of Issuance :

DD/MM/YYYY

The Secretary-General

Singapore Chinese Chamber of Commerce & Industry

47 Hill Street #09-00

Singapore 179365

Dear Sir

CONFIRMATION OF MANUFACTURE

We declare that the product(s) listed below :

Description of Goods

Quantity/Weight Supplied to Exporter

is/are manufactured by us and comply with the origin criteria for the issue of a Certificate of Origin, indicated with

a tick as follows:

□ wholly obtained (i.e. wholly grown or produced)

□ manufactured in Singapore with minimum 25% of local content based on the ex-factory price of the

finished product

□ attained a change of tariff classification at 6 digit level ie. change in tariff sub-heading (CTSH) when

compared against imported or foreign/undetermined raw materials used in production

□ undergone a chemical reaction (applicable only for products under HS Chapters 27 to 40)

Our Invoice No. ______________________________dated ___________________is attached.

Our factory is located at _________________________________________________________

We forward a copy of the Certificate of Registration of a Factory issued by the Ministry of Manpower.

We are aware that this Letter of Declaration is issued for the purpose of obtaining a Certificate of Origin

for our products. We declare that the information given above is true and correct.

We are aware that under the Regulation of Imports and Exports Regulations, the penalty for making a

false declaration is:

a) on the first conviction, a fine of up to S$100,000 or 3 times the value of the goods in respect of

which the offence was committed, whichever is greater,

or imprisonment for a term not

exceeding 2 years or both ; and

b) on the second or subsequent conviction, a fine not exceeding S$200,000 or 4 times the value of

the goods in respect of which the offence was committed, whichever is greater, or imprisonment for

a term not exceeding 3 years or both.

Yours faithfully

Signature of

Company’s Official

Authorised Signatory

Rubber Stamp

Name of Authorised Signatory

Designation of Authorised Signatory

Annex Iv - Letter Of Declaration By A Manufacturer Form