Singapore’s Certificate of Origin
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┃1 Exporter（Name＆Address） ┃ ┃
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┃ ┃ REPUBLIC OF SINGAPORE ┃
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┃ 2 Consignee（Name，Full Address＆Country）┃ PREFERENTIAL CERTIFICATE OF ORIGIN ┃
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┃ ┃ No． ┃
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┃ ┃ No UNAUTHORISED ADDITION／ALTERATION MAY BE MADE ┃
┃ ┃ TO THIS CERTIFICATE ┃
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┃3 Departure Date ┃ 8 DECLARATION BY THE EXPDRTER ┃
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┃ ┃ We hereby declare that the details and statements Provided in ┃
┃4 Vessel’s Name／Flight No． ┃ this Certificate are true and correct． ┃
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┃5 Port of Discharge ┃ ┃
┃ ┃Signature： ┃
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┃ 6 Country of Final Destination ┃Name： ┃
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┃ ┃Designation： Stamp ┃
┃ 7 Country of Origin of Goods ┃ ┃
┃ ┃ Date： ┃
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┃ 9 Marks＆ 10 No．＆Kind of Packages 11 Quantity ┃
┃ Numbers Description of Goods ＆Unit ┃
┃ （include brand names if necessary） ┃
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┃ 12 CERTIFICATION BY THE COMPETENT AUTHORlTY ┃
┃ We hereby certify that evidence has been produced to satisfy us that the goods specified above originate in the country shown ┃
┃ in box 7． ┃
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