Appendix III Form AANZ Certificate of Origin
Attached to Circular No. 44/2025/TT-BCT
Unofficial English translation for reference only — the Vietnamese original is the legally authoritative text.
Download original (.docx)APPENDIX III
FORM AANZ CERTIFICATE OF ORIGIN
(Issued together with Circular No. 44/2025/TT-BCT dated 07 July 2025
of the Minister of Industry and Trade providing rules of origin under
the Agreement Establishing the ASEAN - Australia - New Zealand Free Trade Area)
ORIGINAL
| 1. Goods Consigned from (Exporter’s name, address and country) | 1. Goods Consigned from (Exporter’s name, address and country) | 1. Goods Consigned from (Exporter’s name, address and country) | 1. Goods Consigned from (Exporter’s name, address and country) | Certificate No. Form AANZ | ||
|---|---|---|---|---|---|---|
| AGREEMENT ESTABLISHING THE ASEAN – – FREE TRADE AREA (AANZFTA) CERTIFICATE OF ORIGIN (Combined Declaration and Certificate) Issued in …………………………… (Country) (see Overleaf Notes) | ||||||
| 2. Goods Consigned to (Importer’s/ Consignee’s name, address, country) | 2. Goods Consigned to (Importer’s/ Consignee’s name, address, country) | 2. Goods Consigned to (Importer’s/ Consignee’s name, address, country) | 2. Goods Consigned to (Importer’s/ Consignee’s name, address, country) | AGREEMENT ESTABLISHING THE ASEAN – – FREE TRADE AREA (AANZFTA) CERTIFICATE OF ORIGIN (Combined Declaration and Certificate) Issued in …………………………… (Country) (see Overleaf Notes) | AGREEMENT ESTABLISHING THE ASEAN – – FREE TRADE AREA (AANZFTA) CERTIFICATE OF ORIGIN (Combined Declaration and Certificate) Issued in …………………………… (Country) (see Overleaf Notes) | AGREEMENT ESTABLISHING THE ASEAN – – FREE TRADE AREA (AANZFTA) CERTIFICATE OF ORIGIN (Combined Declaration and Certificate) Issued in …………………………… (Country) (see Overleaf Notes) |
| 3. Means of transport and route (if known) Shipment Date: Vessel’s name/Aircraft etc.:: | 3. Means of transport and route (if known) Shipment Date: Vessel’s name/Aircraft etc.:: | 3. Means of transport and route (if known) Shipment Date: Vessel’s name/Aircraft etc.:: | 3. Means of transport and route (if known) Shipment Date: Vessel’s name/Aircraft etc.:: | 4. For Official Use Preferential Treatment Given Under AANZFTA Preferential Treatment Not Given (Please state reason/s) ……………………………………………………………………………… Signature of Authorised Signatory of the Importing Country | 4. For Official Use Preferential Treatment Given Under AANZFTA Preferential Treatment Not Given (Please state reason/s) ……………………………………………………………………………… Signature of Authorised Signatory of the Importing Country | 4. For Official Use Preferential Treatment Given Under AANZFTA Preferential Treatment Not Given (Please state reason/s) ……………………………………………………………………………… Signature of Authorised Signatory of the Importing Country |
| 5. Item number | 6. Marks and numbers on packages | 7. Number and kind of packages; description of goods including HS Code (6 digits) and brand name (if applicable). Name of company issuing third party invoice (if applicable) | 7. Number and kind of packages; description of goods including HS Code (6 digits) and brand name (if applicable). Name of company issuing third party invoice (if applicable) | 8. Origin Conferring Criterion (see Overleaf Notes) | 9. Quantity (Gross weight or other measurement), and value (FOB) where RVC is applied (see Overleaf Notes) | 10. Invoice number(s) and date of invoice(s) |
| 11. Declaration by the exporter The undersigned hereby declares that the above details and statements are correct; that all the goods were produced in ……………………………………………………………………….. (country) and that they comply with the rules of origin, as provided in Chapter 3 of the Agreement Establishing the ASEAN-Australia-New Zealand Free Trade Area for the goods exported to ……………………………………………………………………….. (importing country) …………………………………………………………...................... Place and date, name, signature and company of authorised signatory | 11. Declaration by the exporter The undersigned hereby declares that the above details and statements are correct; that all the goods were produced in ……………………………………………………………………….. (country) and that they comply with the rules of origin, as provided in Chapter 3 of the Agreement Establishing the ASEAN-Australia-New Zealand Free Trade Area for the goods exported to ……………………………………………………………………….. (importing country) …………………………………………………………...................... Place and date, name, signature and company of authorised signatory | 11. Declaration by the exporter The undersigned hereby declares that the above details and statements are correct; that all the goods were produced in ……………………………………………………………………….. (country) and that they comply with the rules of origin, as provided in Chapter 3 of the Agreement Establishing the ASEAN-Australia-New Zealand Free Trade Area for the goods exported to ……………………………………………………………………….. (importing country) …………………………………………………………...................... Place and date, name, signature and company of authorised signatory | 12. Certification On the basis of control carried out, it is hereby certified that the information herein is correct and that the goods described comply with the origin requirements specified in the Agreement Establishing the ASEAN-Australia-New Free Trade Area. ……………………………………………………………................................... Place and date, signature and stamp of Authorised Issuing Authority/ Body | 12. Certification On the basis of control carried out, it is hereby certified that the information herein is correct and that the goods described comply with the origin requirements specified in the Agreement Establishing the ASEAN-Australia-New Free Trade Area. ……………………………………………………………................................... Place and date, signature and stamp of Authorised Issuing Authority/ Body | 12. Certification On the basis of control carried out, it is hereby certified that the information herein is correct and that the goods described comply with the origin requirements specified in the Agreement Establishing the ASEAN-Australia-New Free Trade Area. ……………………………………………………………................................... Place and date, signature and stamp of Authorised Issuing Authority/ Body | 12. Certification On the basis of control carried out, it is hereby certified that the information herein is correct and that the goods described comply with the origin requirements specified in the Agreement Establishing the ASEAN-Australia-New Free Trade Area. ……………………………………………………………................................... Place and date, signature and stamp of Authorised Issuing Authority/ Body |
| 13. Back-to-back Certificate of Origin Subject of third country invoice Issued retroactively De Minimis Accumulation | 13. Back-to-back Certificate of Origin Subject of third country invoice Issued retroactively De Minimis Accumulation | 13. Back-to-back Certificate of Origin Subject of third country invoice Issued retroactively De Minimis Accumulation | 13. Back-to-back Certificate of Origin Subject of third country invoice Issued retroactively De Minimis Accumulation | 13. Back-to-back Certificate of Origin Subject of third country invoice Issued retroactively De Minimis Accumulation | 13. Back-to-back Certificate of Origin Subject of third country invoice Issued retroactively De Minimis Accumulation | 13. Back-to-back Certificate of Origin Subject of third country invoice Issued retroactively De Minimis Accumulation |
OVERLEAF NOTES
Countries which accept this form for the purpose of preferential treatment under the Agreement Establishing the ASEAN-Australia-New Zealand Free Trade Area (the Agreement):
Darussalam Lao PDR
(herein after individually referred to as a Party)
CONDITIONS: To be eligible for the preferential treatment under the AANZFTA, goods must:
Fall within a description of products eligible for concessions in the importing Party;
Comply with all relevant provisions of Chapter 3 (Rules of Origin) of the Agreement.
EXPORTER AND CONSIGNEE: Details of the exporter of the goods (including name, address and country) and consignee (name and address) must be provided in Box 1 and Box 2, respectively.
DESCRIPTION OF GOODS: The description of each good in Box 7 must include the Harmonized Commodity Description and Coding System (HS) subheading at the 6-digit level of the exported product, and if applicable, product name and brand name. This information should be sufficiently detailed to enable the products to be identified by the customs officer examining them.
ORIGIN CRITERIA: For the goods that meet the origin criteria, the exporter should indicate in Box8of this Form, the origin criteria met, in the manner shown in the following table:
| Circumstances of production or manufacture in the country named in of this form: | Insert in Box8 |
| Goods wholly produced or obtained satisfying Article 2.1(a) of Chapter 3 of the Agreement | WO |
| Goods produced entirely satisfying Article 2.1(c) of Chapter 3 of the Agreement | PE |
| Not wholly produced or obtained in a Party, provided that the goods satisfy Article 4 of Chapter 3 of the Agreement as amended by the Second Protocol i.e., if the good is specified in Annex 3B, all the product specific requirements listed have been met: | |
| Change in Tariff Classification Regional Value Content Regional Value Content + Change in Tariff Classification Other, including a Specific Manufacturing or Processing Operation | CTC RVC “e.g. CTSH + RVC 35%” Other |
EACH GOOD CLAIMING PREFERENTIAL TARIFF TREATMENT MUST QUALIFY IN ITS OWN RIGHT: It should be noted that all the goods in a consignment must qualify separately in their own right. This is of particular relevance when similar articles of different sizes or spare parts are exported.
FOB VALUE: For Consignments to all Parties where the origin criteria includes a Regional Value Content requirement:
An exporter from an ASEAN Member State must provide in Box 9 the FOB value of the goods
An exporter from Australia or New Zealand can complete either Box 9 or provide a separate “Exporter Declaration” stating the FOB value of the goods.
The FOB value is not required for consignments where the origin criteria does not include a Regional Value Content requirement.
INVOICES: Indicate the invoice number and date for each item. The invoice should be the one issued for the importation of the good into the importing Party.
SUBJECT OF THIRD COUNTRY INVOICE: In cases where invoices used for the importation are issued in a third country, in accordance with Rule 13 of the Operational Certification Procedures, the “SUBJECT OF THIRD COUNTRY INVOICE” box in Box 13 should be ticked (✓). The name of the first company issuing the third country invoice should be provided in Box 7 or, if there is insufficient space, on a continuation sheet. Box 10 should indicate either the sales invoice issued by the trader in a third country, or exporter’s invoice, or the manufacturer’s invoice.
BACK-TO-BACK CERTIFICATE OF ORIGIN: In the case of a back-to-back certificate of origin issued in accordance with paragraph 2 of Rule 11 of the Operational Certification Procedures, the “Back-to-back certificate of origin” in Box 13 should be ticked (√), and the original Proof(s) of Origin reference number, date of issuance, Country of Origin shall be indicated in box 7. If applicable, the approved exporter authorisation code of the first exporting Party shall also be indicated in box 7.
CERTIFIED TRUE COPY: In case of a certified true copy, the words “CERTIFIED TRUE COPY” should be written or stamped on Box 12 of the Certificate with the date of issuance of the copy in accordance with Rule 12 of the Operational Certification Procedures.
FOR OFFICIAL USE: The Customs Authority of the Importing Party must indicate () in the relevant boxes in Box4 whether or not preferential tariff treatment is accorded.
BOX 13:The items in Box 13 should be ticked (), as appropriate,in those cases where such items are relevant to the goods covered by the Certificate.
ISSUED RETROACTIVELY: Where a Certificate of Origin is issued retroactively in accordance with paragraph 1 of Rule 11 of the Operational Certification Procedure (OCP), the “ISSUED RETROACTIVELY” box in Box 13 should be ticked.
Digitised for reference; formatting may differ slightly from the original — verify against the attached original file or the official gazette. Vietnamese legal text.