Приложение 2. Форма сертификата о происхождении товара формы СТ-3 и дополнительного листа к нему

Приложение 2 к Положению о порядке выдачи
сертификатов о происхождении
товара формы СТ-3

Форма сертификата о происхождении товара формы СТ-3

1. Exporter (business name, address and country)						4. No.__________ EAEU-IRAN FTA Certificate of Origin Form СТ-3 Issued in ______________________________ (country) For submission to ______________________________ (country)
2. Importer/Consignee (business name, address and country)
3. Means of transport and route (as far as known)						5. For official use
6. Items 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 It is hereby certified, on the basis of control carried out, that the declaration by the applicant is correct						13. Declaration by the applicant The undersigned hereby declares that the above details are correct: that all goods were produced in _________________________ (country) and that they comply with the rules of origin as provided in Chapter 6 (Rules of Origin) of the EAEU-IRAN FTA
Place		Date	Signature		Stamp	Place	Date		Signature		Stamp

Форма дополнительного листа сертификата о происхождении товара формы СТ-3

Additional sheet of Certificate of Origin Form CT-3 No.______
6. Items 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 It is hereby certified, on the basis of control carried out, that the declaration by the applicant is correct						13. Declaration by the applicant The undersigned hereby declares that the above details are correct: that all goods were produced in ____________________________ (country) and that they comply with the rules of origin as provided in Chapter 6 (Rules of Origin) of the EAEU-IRAN FTA
Place		Date	Signature		Stamp	Place	Date		Signature		Stamp