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 Vietnam
Export Goods Materials imported from Japan
Description Quantity Description Quantity
Certification
It is hereby certificated, on the basis of control carried
out, that the declaration by the exporter is correct.
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Place and date, signature and stamp of certifying authority
Declaration by the exporter
The undersigned hereby declares that the above details are
correct.
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Place and date, signature of authorized signatory
