Certificate of Origin Template

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................................................... Telephone Number. ................................................................................. 2. Exporter details (if known);^1 Name: ...................................................... Address: ...................................................... Telephone Number (if known): ....................................... E-mail Address (if known): ................................................ 3. Producer details (if different from exporter):^2 Name: ...................................................... Address: ...................................................... Telephone Number (if known): ............................................. E-mail Addres....

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....rting Party: rule 15 (Non- Alteration) For HS 2208 (if applicable): bottling has taken place in a non-Party 10. Roll Up/Absorption Principle (if applicable): The good(s) meet the Product Specific Rule by application of rule 7 (Materials Used in Production). 11. Single or Multiple Shipment: Does this Origin Declaration relate to a: Single shipment or Multiple shipments of identical goods (For Indian exporters and producers only, as per sub-rule (3) of rule 16 (Proof of Origin)) For multiple shipments of identical goods imported into the UK, provide the time period covered by the declaration ...................... (This time period must be within 12 months from declaration being completed) 12. Declaration (signed....

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.................. Name........................................................................................................................ Address: ........................................................................................................................ Telephone Number: ........................................................................................................................ E-mail Address: ........................................................................................................................ Certificate of Origin Notes 1. These details are not required if the producer is the signatory and the exporter's details are not known. The address of the exporter must be in India.....