PHỤ LỤC IV
MẪU TỜ KHAI BỔ SUNG C/O
(Ban hành kèm theo Thông tư số 44/2025/TT-BCT ngày 07 tháng 7 năm 2025
của Bộ trưởng Bộ Công Thương quy định Quy tắc xuất xứ hàng hoá
trong Hiệp định thành lập Khu vực thương mại tự do ASEAN - Úc - Niu Di-lân)
| Continuation Sheet Certificate No. | ORIGINAL Form AANZ |
| 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 Zealand 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 Zealand 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 Zealand 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 Zealand Free Trade Area. ……………………………………………………………................................... Place and date, signature and stamp of Authorised Issuing Authority/ Body |
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