Certificate of materials imported from Japan
Annex to Certificate of Origin Ref. No.
CERTIFICATE OF MATERIALS IMPORTED FROM JAPAN WHICH WERE USED FOR MANUFACTURE OF THE GOODS DESCRIBED IN CERTIFICATE OF ORIGIN (Ref. No. ) Issued in (country) Export Goods Description Quantity Materials imported from Japan Description Quantity
Certification It is hereby certified, on the basis of control carried out, that the declaration by the exporter is correct.
Declaration by the exporter The undersigned hereby declares that the above details are correct.
Place and date, signature and stamp of certifying authority
Place and date, signature of authorized signatory
Annex to Certificate of Origin
Ref. No.
CUMULATIVE WORKING/PROCESSING CERTIFICATE (Ref. No. of Certificate of Origin ) Issued in (country)
Products (Materials) Producing country Description Quantity Value Producing country
Products Description Quantity Value
Certification It is hereby certified, on the basis of control carried out, that the declaration by the exporter is correct.
Declaration by the exporter The undersigned hereby declares that the above details are correct.
Place and date, signature and stamp of issuing authority Place and date, signature of authorized signatory
Note: 1. 2.
The paper used for the Certificate should be of good quality weighing not less than 25 grammes per square metre and measures 210 297 mm. The Certificate may be made out in English or French.