CERTIFICATE OF ORIGIN PREFERENTIAL TRADE AGREEMENT CHILE – INDIACertificate of Origin • August 17th, 2007
Contract Type FiledAugust 17th, 2007Serial Number: 1. Exporter (name, full address, Country) ID No. 2. Producer ( name, full address, Country) ID No 3. Importer (name, full address, country) 4. Observations 6. Port of Shipment 5. Country of origin 7. Description of Goods (1); Marks and numbers; Number and kind of packages (2). 8. HS Number (Six DigitCode) 9. Gross mass (kg) or other measure (litres, m³, etc.) 10. Origin Criterion(3) 11. Invoices (N° and date and Value 12. COMPETENT GOVERNMENTAL AUTHORITY ENDORSEMENT Declaration certified Competent governmental office: ______________________ Issuing country: ___________________________________ Stamp. Place and date ____________________________________ (Signature) 13. DECDLARATION BY THE EXPORTER I certify that:• The information on this document is true and accurate and I assume the responsibility for providing such representations. I understand that I am liable for any false statements or material omission made on or in connection with this document.• I agree
CERTIFICATE OF ORIGIN PREFERENTIAL TRADE AGREEMENT CHILE – INDIACertificate of Origin • August 17th, 2007
Contract Type FiledAugust 17th, 2007Serial Number: 1. Exporter (name, full address, Country) ID No. 2. Producer ( name, full address, Country) ID No 3. Importer (name, full address, country) 4. Observations 6. Port of Shipment 5. Country of origin 7. Description of Goods (1); Marks and numbers; Number and kind of packages (2). 8. HS Number (Six DigitCode) 9. Gross mass (kg) or other measure (litres, m³, etc.) 10. Origin Criterion(3) 11. Invoices (N° and date and Value 12. COMPETENT GOVERNMENTAL AUTHORITY ENDORSEMENT Declaration certified Competent governmental office: ______________________ Issuing country: ___________________________________ Stamp. Place and date ____________________________________ (Signature) 13. DECDLARATION BY THE EXPORTER I certify that:• The information on this document is true and accurate and I assume the responsibility for providing such representations. I understand that I am liable for any false statements or material omission made on or in connection with this document.• I agree