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Ⅳ. 한∙아세안FTA 원산지증명서서식및작성요령

-24-FTA 100% IV. FTA Original (Duplicate/Triplicate/quadruplicate)1. Good consigned from(Exporter s business name, address, country) ( , )2. Goods consigned to (Consignee s name, address, country) ( , )3. Means of transport and route (as far as known) Departure dateVessel s name/Aircraft of Discharge11. Declaration by the exporter The undersigned hereby declares that the above details andstatements are correct: that all the goods were produced in , ( ) , ..(country)and that they comply with the origin requirements specified forthose goods in the asean -KOREA Free Trade Area PreferentialTariff for goods exported to ..(importing country)..Place and date, signature of authorized signatory , , 5. Itemnumber 13. Third Country Invocing Exhibition Back-to-Back C/O6.

-26-fta 100% 활용가이드 작성요령 1.asean회원국과의협정에따른원산지증명서의서식은다음국가에적용됩니다. 대한민국, 캄보디아왕국, 인도네시아공화국, 브루나이다루살람, 라오인민민주주의공화국, 말레이시아,

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