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..... RTIFICATE OF ORIGIN Printing instructions 1. Each form shall measure 210 x 297 mm; a tolerance of up to minus 5 mm or plus 8 mm in the length may be allowed. The paper used must be white, sized for writing, not containing mechanical pulp and weighing not less than 25 g/m 2 . 2. The competent governmental authorities of Chile and India may reserve the right to print the forms themselves or may have them printed by approved printers. In the latter case, each form must include a reference to such approval. Each form must bear the name and address of the printer or a mark by which the printer can be identified. It shall also bear a serial number, either printed or not, by which it can be identified. Procedure for completion T .....

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..... Goods (1); Marks and numbers; Number and kind of packages (2). [8. HS Number (Six Digit Code)] 9. Gross mass (kg) or other measure (liters, m , etc.) 10.Origin Criterion (3) 11 .Invoices (N and date and Value) 12. COMPETENT GOVERNMENTAL AUTHORITY ENDORSEMENT Declaration certified Competent governmental office: .. Issuing country: Stamp. Place and date ... ............................................................... (Signature) 13. DECLARATION BY THE EXPORTER I certify that: The information on this document is true and accur .....

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..... olly produced or obtained in the territory of the Contracting party as defined in Rule 5 of these Rules; (b) The goods not wholly produced in the territory of the Contracting Party, provided that the said products are eligible under Rule 6 read with Rule 7 of these Rules. SWORN DECLARATION 1. Producer Individual's name or company name (name, full address, country) ID No. 2. Observations 3. Country of Origin 4. Description of Goods, Marks and numbers; Number and kind of packages. (ref (1) and(2) of notes below 5. HS Number (Six Digit Code)] 6. Gross mass (kg) or other measure (liters, m , etc.) 7. Preference Criterion (s.no.3 of notes below) 8. Invoice (No. and Date) .....

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..... ‑ tariff classification(at least 6 level digit); ‑ CIF value, in United States of America dollars; ‑ Percentage on the total value of the final product. iv) description of the manufacturing process (2) If goods are not packed, indicate number of articles or state "In bulk" as appropriate. (3) Preference Criteria (Section II Rule 3 No. 1) The following goods shall be considered as originating from a Contracting Party: (a) The goods wholly produced or obtained in the territory of the Contracting party as defined in Article 5 of these Rules; (b) The goods not wholly produced in the territory of the Contracting Party, provided that the said products are eligible under Rule 6 read with Rule 7 these Rules. .....

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