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Приложение 4 к приказу и.о. Министра по инвестициям и развитию Республики Казахстан от 9 января 2015 года № 6 Форма
1. Consignor/exporter (name and address)
4. №
CERTIFICATE OF ORIGIN OF GOODS ST-2 FORM
2. Consignee/importer (name and address)
Issued in _____________________________ (Name of the country)
For submitting in _____________________ (Name of the country)
3. Means of transport and itinerary (as far as is known)
5. For official use/notes only
6. №
7. Number of pieces of goods and type of packing
8. Description of goods
9. Criteria of origin
10. Quantity of goods
11. Invoice number and date
12. Certification This is to certify, on the basis of implemented control, that the information contained in the Declaration of the applicant is true
__________________________ Signature Date Seal
13. Declaration of the applicant The undersigned states that the above- mentioned information is true and that all goods have been completely produced or reprocessed well enough in ___________________________________ (Name of the country)
and that the goods meet the requirements of оrigin prescribed for such goods ______________________________________ Signature Date Seal
Примечание: бланк сертификата о происхождении товара должен
иметь:
размер 210 х 297 миллиметров, при этом по длине может
допускаться отклонение в большую сторону на 5 миллиметров или в