CERTIFICATE OF ORIGIN NON-PREFERENTIAL
Combined Declaration and Certificate issued in India |
| 1. Goods consigned from( Exporter’s business Name, Address, Country
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Ref. No. ____________
Recognized by Ministry of Commerce & Industry
Govt. Of India
MILLENNIAL INDIA INTERNATIONAL CHAMBER
OF COMMERCE INDUSTRY & AGRICULTURE
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| 2. Goods consigned to ( Consignee’s Name, Address, Country )
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3. Means of transport and route( as far as known )
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4. For official use
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11. Certification
It is hereby certified, on the basis of control carried out, that the declaration by
the exporter is correct.
Secy. General / Director / Secy./ jt.Secy./ Dy. Secy.
Asstt. Secy. / Asstt. / Exec Asstt.
MIICCIA Chamber of Commerce
New Delhi, India
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12. Declaration by the exporter
The undersigned hereby declares that the above details and
statements are correct; that all the goods were produced in
India and that they comply with the origin requirements for exports to
(Importing Country)
Place, Date & Signature and stamp of authorised signatory
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