Приложение 3. Форма сертификата о происхождении товара формы EAV и дополнительного листа к нему

Приложение 3
к Положению о порядке выдачи
сертификатов о происхождении товара
формы EAV

Форма сертификата о происхождении товара формы EAV

1. Exporter (business name, address and country)					4. No.________ EAEU-VN FTA Certificate of Origin Form EAV 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 4 (Rules of Origin) of the EAEU-VN FTA
Place	Date	Signature		Stamp	Place	Date		Signature		Stamp

Форма дополнительного листа сертификата о происхождении товара формы EAV

Additional sheet of Certificate of Origin Form EAV 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 4 (Rules of Origin) of the EAEU-VN FTA
Place	Date		Signature		Stamp	Place	Date		Signature		Stamp