Co Format For Japan

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様式第二十七(第六条関係)
ATTACHMENT 1: CO FORMAT FOR JAPAN
CO Format for Japan
1.
Exporter’s Name, Address and Country:
Certification No.
Number of page
/
AGREEMENT BETWEEN JAPAN AND THE SOCIALIST REPUBLIC
2.
Importer’s Name or Consignee’s Name (if applicable), Address and
OF VIET NAM FOR AN ECONOMIC PARTNERSHIP
Country:
CERTIFICATE OF ORIGIN
Form JV
Issued in Japan
3.
Transport details (means and route)(if known):
4.
Item number (as necessary); Marks and numbers; Number and kind of packages; HS code;
5. Preference
6.Weight
7. Invoice
Description of good(s):
criteria
or other
number(s)
quantity
and date(s)
8. Remarks:
9.Declaration by the exporter:
10.Certification
I, the undersigned, declare that:
It is hereby certified, on the basis of control carried out, that the declaration
- the above details and statement are true and accurate.
by the exporter is correct.
- the good(s) described above meet the condition(s) required for the
issuance of this certificate;
- the country of origin of the good(s) described above is
Competent governmental authority or Designee office:
Place and Date:
Stamp
Signature:
Place and Date:
Name (printed):
Name (printed)
Company:
Signature:

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