1[Annexure-E

[see sub-rule (1) of rule 15]

 

Format of the Certificate of Origin under the India-UAE Trade Agreement

 

1.

 

 

Exporter’s Name, Address, and Country:

Certification No.

Number of page

2.

Manufacturer’s Name,

 

 

 

Address, and Country:

AGREEMENT BETWEEN INDIA AND UAE  

CERTIFICATE OF ORIGIN

3.

 

 

Importer’s or Consignee’s

Name, Address, and Country:

 

4.

 

Transport details

5.

 

Item number (as necessary); Marks and numbers; Number and kind of packages; Description of good(s); HS tariff classification number

6. ORIGIN

criterion (see overleaf note)

 

Cumulation

 

7. Gross Weight or other Quantity

 

8. Invoice number(s) and date(s)

 

9.

IS

Remarks:

SUED RETROSPECTIVELY

10. Third-Party Invoicing Name, Address, and Country

 

11. Declaration by the exporter:

 

I, the undersigned, declare that:

12. Certification

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

  • the above details and statement are true and accurate;  
  • the good(s) described above meet the condition(s) required for the issuance of this certificate; and
  • the country of origin of the good(s) described above is:______ Place and Date:  

Signature:  

Name (printed):  

Company:

 

Export Document Number:

Issuing Authority:

[Stamp]

Place and Date:

Signature:

 

 

Overleaf Notes:

The following origin criteria code should be inserted in Box 5:

  1. WO for Wholly Obtained; or  
  2. PSR for Product Specific Rules.

 

[F.No. 15020/4/2021-ICD(CBEC)]

 

(Komila Punia)

Deputy Secretary to the Government of India]

 

Notes:

1. Inserted by the Notification No. 39/2022-Customs (N.T.) dated 30.04.2022.