GSP (FORM A)
________________________

 1. Goods consigned from(exporter’s business  name,
 address, country)

 

 Reference No.

GENERALIZED SYSTEM OF PREFERENCES

CERTIFICATE OF ORIGIN

(Combined declaration and certificate)

FORM A

issued in …………………………………………………………..

(country)

                      

                                

 2. Goods consigned to(Consignee’s name , address , country)

 

 3. Means of transport and route(as far as known)

 

 

 4. For official use

 5. Item   number 

6. Marks and  numbers of packages

  7. Number and Kind of Packages;  description of goods

 8. Origin criterion
(see notes overleaf)

 9. Gross weight or other quantity 

10. Number and date of invoices 

 

 

 

 

 

 

 

 11. Certification

 It is hereby certified, on the basis of control carried out, that the declaration by the exporter is correct.    

 

…………………………………………………………….

 Place and date, signature and stamp of certifying authority

 

  

 

 

 

 

12.  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 origin requirements specified or those goods in the generalized system of preferences for goods exported to …………………………………. (importing country)

………………………………………………………………………………………………….

Place and date, signature of authorized signatory