.RARR LOGISTICS — CERTIFICATE OF ORIGIN (TEMPLATE)
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Certificate no: ______________   Date: ______________

Exporter (name & address):
________________________________________________

Consignee (name & address):
________________________________________________

Means of transport & route (as far as known):
________________________________________________

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 Item no | Marks & nos. | Packages | Description | Origin criterion
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         |              |          |             |
         |              |          |             |
         |              |          |             |
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DECLARATION BY THE EXPORTER
The undersigned hereby declares that the above details and
statements are correct, that all the goods were produced in
________________ (country) and that they comply with the origin
requirements specified for those goods under applicable trade
agreements.

Place & date: ______________   Signature: ______________

CERTIFICATION (issuing authority)
It is hereby certified that the declaration by the exporter is
correct.

Place & date: ______________   Signature & stamp: ______________