Brochure

CERTIFICATE OF ORIGIN NON-PREFERENTIAL

Combined Declaration and Certificate issued in India
1. Goods consigned from( Exporter’s business Name, Address, Country

Ref. No. ____________

Recognized by Ministry of Commerce & Industry
Govt. Of India

MILLENNIAL INDIA INTERNATIONAL CHAMBER
OF COMMERCE INDUSTRY & AGRICULTURE

Corporate Office

2. Goods consigned to ( Consignee’s Name, Address, Country )
3. Means of transport and route( as far as known )
4. For official use

Item No Marks and number of packages Number and kind of packages, description of goods Origin Criteria Gross weights or other quantity Number and date of invoices Add More

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

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