Mẫu chứng thư xuất khẩu

Certificate number:

(For certificate issuing authority)

Pages: /

1. Name, Address of Exporter:

2. Name, Address of Importer or Consignee:

3. Exporting Country/Region:

4. Means of Transport:

5. Place of Loading:

6. Place of Destination:

7. Item No.

8. Marks, numbers and kind of packages; decription of goods (including HS number of Importing Country)

9. Quantity of goods

10. Description of the material on the Short Supply List of Products used in the manufacture of the good exported

11. Declaration by the exporter

The undersigned hereby declares that the above details and statements are correct;

(Place and date, signature of authorised signatory)

12. Place and date, signature of Authorized officer and certificate isuing authority

13. Remarks: