(주)세경멀티뱅크

GSP 원산지증명서(FORM A) □□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□ (APPLICATION FOR CERTIFICATE OF ORIGIN) Form B
The undersigned, being the exporter of the goods described overleaf, DECLARES that goods were produced in REPUBLIC OF KOREA(country) SPECIFIES as follows the grounds on which the goods are claimed to comply with GSP origin requirements 1/ □□□□□□□□□□□□□□□□□□□□□□□□□□□□ □□□□□□□□□□□□□□□□□□□□□□□□□□□□ FOB : □□□□□□□□□□□□□□□□□□□□□□□□□□□□ SUBMITS the following supporting documents 2/ □□□□□□□□□□□□□□□□□□□□□□□□□□□□ □□□□□□□□□□□□□□□□□□□□□□□□□□□□ □□□□□□□□□□□□□□□□□□□□□□□□□□□□ UNDERTAKES to submit, at the request of the appropriate authorities of the exporting country, any additional supporting evidence which these authorities may require for the purpose of issuing a certificate of origin, and undertakes, if required, to agree to any inspection of his accounts and any check on the processes of manufacture of the above goods, carried out by the said authorities. REQUESTS the issue of a certificate of origin for these goods. Place and date .......................................................................................... ................................... (signature of authorized signatory)
1/	To be completed if materials or components originating in another country have been used in the manufacture of the goods in question. Indicate the materials or components used, appropriate, the manufacturing processes qualifying the goods as originating in the country of manufacture(application of the list of working or processing operations), the goods produced and their CCC Nomenclature (Harmonized System) heading. Where the origin criteria involve a percentage value, give information enabling this percentage to be verified-for example the value of imported materials and components and those of undetermined origin and the ex-factory price of the exported goods, where applicable.
2/	For example, import documents, invoices, etc., relating to the materials or components used.

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