Generic Certificate Of Origin Template - Free Download
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Generic Certificate Of Origin Template
Generic Certificate Of Origin Template
CERTIFICATE OF ORIGIN
Shipper/exporter (name and address including zip code):
Booking/shipment number:
B/L or AWB number:
Export references:
Consignee (name and address):
Forwarding agent (name and address - references):
Intermediate consignee/notify party (name and address):
Point (state and country) of origin:
Domestic routing / export instructions:
Pre-carriage by:
Place of receipt:
Exporting carrier:
Port of loading/export:
Transportation method:
Foreign port of unloading (vessel and air only):
Containerized (vessel only):
YES NO
Container No. / Seal
No. / Marks and
Numbers:
Number of
Packages:
Description of commodities,
Model/Serial number, harmonized number
Gross weight (kg):
Measurement
The undersigned _____________ (Owner or Agent), does hereby declare for the above named shipper, the goods as
described on the above date and consigned as indicated and are products of the United States of America. Dated at
_________ on the ____ day of _______, _______.
Sworn to before me this _____ day of _______, _______. ________________________________
Signature of Owner or Agent
The _______________________, a recognized Chamber of Commerce under the laws of the State of
______________, has examined the manufacturer’s invoice or shipper’s affidavit concerning the origin of the
merchandise, and, according to the best of its knowledge, finds that the products named originated in the United States
of America.
Secretary __________________________
Generic Certificate Of Origin Template Previous Page
source: arkansasexport.com
Generic Certificate Of Origin Template
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