Сертификат «Сертификат о происхождении товара»

1. Exporter/Consignor
(business name, address and country)

4. No._________

EAEU-INDONESIA FTA
Certificate of Origin

Form EAI

Issued in ______________________________

2. Importer/Consignee
(business name, address and country)

(country)

For submission to _______________________

(country)

3. Means of transport and route
(as far as known)

5. For official use

6. Item No.

7. Number and kind of packages

8. Description of goods

9. Origin criterion

10. Quantity of goods

11. Number and date of invoice

12. Certification