Transcription

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2 B (SOFOFA) ASEAN (a) 1

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

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

6 Attachment B ANNEX II B MINIMUM DATA REQUIREMENT FOR CERTIFICATE OF ORIGIN 1. Exporter The name and address of the exporter 2. Consignee The name and address of the importer 3. Means of Transport (a) Departure Date The departure date when the vessel/aircraft left port/airport (if known) (b) Vessel s Name/Flight No. The vessel s name or the aircraft s flight number (if known) (c) Port/Airport of Discharge The final port/airport where the goods will be discharged (if known) (d) Route in case of not being directly transported from exporting country to importing country 4. Country of Final Destination 5. Country of Origin of Goods 6. Marks and Numbers The marks and numbers of the goods, to be attached in separate sheet, where necessary 7. Number and kind of packages; description of goods including its HS code (a) With respect to goods of subheading of the Harmonized System other than carp and gold fish, the following explanation in the description of the goods:

7 The goods were imported at the stage of fry from a non-party which is an ASEAN member country where the fry had been born or hatched, and the goods were raised in [the name of either Party] for at least one month. (b) With respect to goods of Chapters 16 and 18 through 20 of the Harmonized System, the following explanation in the description of the goods: The goods were produced from [description of material(s)] of a non-party which is an ASEAN member country. (if such materials were used in the production of the goods); (c) With respect to goods of Chapters 19 and 20 of the Harmonized System, the following explanation in the description of the goods in addition to the explanation referred to in subparagraph (b): [Description of material(s) mentioned in subparagraph(b)] were produced from [description of material(s)] harvested, picked or gathered in [name of either Party/name of a non-party which is an ASEAN member country]. (if such materials were used in the production of the materials mentioned in subparagraph (b) and classified in Chapter 7, 8, 11, 12 or 17 of the Harmonized System); Note: For the purposes of subparagraphs (c) and (e), the term ASEAN may be used instead of specifying the name of non-party which is an ASEAN member country. (d) With respect to goods, indicated with P in column 4 of subheading in Annex I B, the following explanation in the description of the goods: (i) (ii) Food preparations cooked with a basis of sugar (50% by weight or more), coconut milk and egg, and put up in containers for retail sale, by weight of 500g or less each including container, indicated with P in column 4 of Annex I B ; and Each of the non-originating materials of chapter 17 which was used in the production of the good had been refined entirely in the importing Party. (if such materials were used in the production of the goods ); and

8 Note: By inserting the above, the exporter shall be deemed to have declared that the goods fulfill the conditions prescribed in the Annex II A. (e) With respect to goods of Chapters 50 through 63 of the Harmonized System, the following explanation in the description of the goods: 8. Quantity The goods were produced from [description of material(s)] with respect to which [description of processes/operations] had been conducted in [name of the other Party/name of a non-party which is an ASEAN member country]. (if such materials were used in the production of the goods) The quantity and its unit of measurement (such as pieces, kg) of the goods 9. Number and Date of Invoices The relevant invoice number and date for the consignment 10. Declaration by the Exporter 11. Certification by Certification Body Signature and seal or stamp of the certification body of the exporting Party 12. Certificate Reference Number A unique number will be assigned to each certificate issued by the certification body designated by the exporting Party

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10 AGREEMENT BETWEEN THE UNITED MEXICAN STATES AND JAPAN FOR THE STRENGTHENING OF THE ECONOMIC PARTNERSHIP Annex 2 CERTIFICATE OF ORIGIN 1.Exporter s Name and Address: Certification No. 3.Importer s Name and Address: 2.Producer s Name and Address: 4.Transport details (optional) 5. HS Tariff Classification Number 6. Description of goods 7. Quantity 8.Preference Criterion 9.Other instances 10. Invoice 11. Remarks: 12. Declaration by the Exporter or Producer: I, the undersigned, declare that: -the good(s) described above meet the condition(s) required for the issue of this certificate; 13. Certification: The undersigned, hereby certifies, on the basis of the documentation necessary to support this Certificate, that the above-mentioned good(s) are considered as originating. -the informationthat supports this Certificate is true and accurate, and I assume the responsibility for proving such representations in accordance with the Agreement. Place and Date: Signature: This Certificate consists of pages, including all attachments. Competent governmental authority or Designee office: Stamp Name: Company: Issuing Country: Place and Date: Title: Telephone / Fax: Signature:

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13 Appendix1-A (Malaysia) 1. Exporter s Name, Address and Country: Reference No. Number of page / 2. Importer s or Consignee s Name, Address and Country: AGREEMENT BETWEEN THE GOVERNMENT OF MALAYSIA AND THE GOVERNMENT OF JAPAN FOR AN ECONOMIC PARTNERSHIP 3. Means of transport and route (as far as known): Departure Date: Port of Discharge: 4. Item Number (as necessary); Marks and Numbers; Number and kind of Packages; Description of Good(s); HS Code; Other Instances FORM MJEPA Issued in (Country) See Notes Overleaf 5. Preference Criterion 6. Quantity or Gross Weight, and FOB Value (Optional) 7. Invoice Number and Date 8. Remarks: 9. Declaration by the Exporter: I, the undersigned, declare that: - 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; - the country of origin of the good(s) described above is _ Place and date: Signature: Name (printed): Company: 10. Certification The undersigned hereby certifies that the above-mentioned good(s) are considered originating. Competent governmental authority or Designee office: Stamp Place and date: Signature:

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15 Appendix1-B (Malaysia) Countries which accept this form for the purpose of preferential treatment under the Agreement between the Government of Japan and the Government of Malaysia for an Economic Partnership (hereinafter referred to as the Agreement ) are Japan and Malaysia. General Condition: The main condition for admission to the preferential tariff treatment under the Agreement is that the goods exported to Japan or Malaysia will: i. fall within description of products eligible for concession in Japan or Malaysia. ii. comply with one of the requirements set out in Preference Criteria ; and iii. comply with the consignment criteria of Article 32 of the Agreement. Preference Criteria: A The goods is wholly obtained or produced entirely in the territory of the Country, as defined in paragraph 2 of Article 28. B The good is produced entirely in the territory of the Country exclusively from originating materials of the Country. C The good satisfies the product specific rules set out in Annex 2, as well as all other applicable requirements of Chapter 3, when the good is produced entirely in the territory of the Country using non-originating materials. Instructions for Certificate of Origin: For the purposes of obtaining preferential tariff treatment, this document must be completed legibly and in full by the exporter or its authorised agent. Any item of the form must be completed in the English language. The certificate of origin will be no longer valid, if it is completed in any languages other than English or modified after the issuance. If the space of this certificate is insufficient to specify the necessary particulars for identifying the goods and other related information, the exporter or its authorised agent may specify the information using additional Appendix 1-A. Field 1: State the full name, address and country of the exporter. Field 2: State the full name, address and country of the importer or consignee. Field 3: Provide the name of loading port, transit port and discharging port and the name of vessel / flight number, as far as known. Field 4: Provide item number (as necessary), marks and numbers, number and kind of packages and Harmonized System (HS) Code as amended on 1 January 2002 and description of each good consigned. The description should be sufficient to relate to the description of invoice and to HS description of the good. For each good, indicate at the six-digit or a more detailed level of the HS tariff classification. If the goods is subject to a product specific rule in Annex 2 that requires a special description (e.g. igusa goods), indicate such description. With respect to each good of Chapter 16 or 18 through 20 of the HS, the materials of third States which are member countries of the ASEAN and the names of such third States must be indicated (if such materials were used in the production of the good(s)). With respect to each good of Chapter 19 or 20 of the HS, the materials harvested, picked or gathered in the territory of either Country or third States which are member countries of the ASEAN and the names of such Country or third States shall be indicated (if such materials were used in the production of the above mentioned materials used in the production of the good and classified in Chapter 7, 8, 11 or 17 of the HS). With respect to each good of Chapter 50 through 63 of the HS, the materials of the other Country or third States which are member countries of the ASEAN, the processes or operations conducted in the territory of such Country or third States and the names of such Country or third States shall be indicated (if such materials were used in the production of the good). Field 5: For each good, state which origin criterion (A through C under Preference Criteria above) is applicable. The rules of origin are contained in Chapter 3 and Annex 2. Note: In order to be entitled to preferential tariff treatment, each good of a Country must meet at least one of the criteria given. Indicate appropriately ACU for accumulation, DMI for De Minimis and FGM for fungible goods or materials. Field 6: For each good, indicate the quantity or gross weight, and the FOB value (optional) Field 7: Provide the invoice number and the date for each good. If the invoice is issued by a person different from the

16 exporter or its authorised agent to whom the certificate of origin is issued and the person who issues the invoice is located in a third State, the number of invoice issued for the importation of goods into the territory of a Country shall be indicated, and in field 8 it should be indicated that the goods will be invoiced in a third State, identifying the full legal name and address of the person that issued the invoice. If the number of invoice issued in the third States at the time of issuance of the certificate of origin is not known, the field should be left blank and the importer should provide the relevant authority of the importing Country with a sworn declaration that justifies the fact. In this declaration the importer should indicate, at least, the number of the invoice and the certificate used for the importation. Field 8: If the certificate was issued retroactively, the issuing authority will indicate ISSUED RETROACTIVELY. If the certificate is reissued, the issuing authority will indicate the date of issuing and the reference number of the original certificate of origin. Other remarks as necessary. Field 9: This field must be completed, signed and dated by the exporter or its authorised agents. The Date must be the date when the certificate is applied. Note: The exporter s or its authorised agent s signature may be autographed or electronically printed. Field 10:This field must be completed, dated, signed and stamped by the competent governmental authority or its designee of the exporting Country. Note: The competent governmental authority s or its designee s signature may be autographed or electronically printed. Notice 1. Any items entered in this form must be true and correct. False declaration or documents relating to the certificate of origin will be subject to penalty in accordance with the laws and regulations of the exporting Country. Notice 2. The certificate of origin would be a basis of determination of origin at the relevant authority of the importing Country.

17 1. Exporter s Name, Address and Country: Certification No. Appendix 2-A Number of page / 2. Importer s Name, Address and Country: AGREEMENT BETWEEN JAPAN AND THE REPUBLIC OF CHILE FOR A STRATEGIC ECONOMIC PARTNERSHIP CERTIFICATE OF ORIGIN 3. Transport details (means and route)(as far as known) Issued in 4. Item number (as necessary); Marks and numbers; Number and kind of packages; Description of 5. Preference 6.Quantity 7. Invoice good(s); HS tariff classification number criterion or gross number(s) weight and date(s) 8. Remarks: 9.Declaration by the exporter: I, the undersigned, declare that: - 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; - the country of origin of the good(s) described above is Place and Date: 10.Certification It is hereby certified, on the basis of control carried out, that the declaration by the exporter is correct. Competent authority or Designee office: Signature: Name (printed): Stamp Place and Date: Company: Signature:

18 1. Exporter s Name, Address and Country: 2. Importer s Name, Address and Country: 3. Transport details (means and route)(as far as known) 4. Item number (as necessary); Marks and numbers; Number and kind of packages; Description of good(s); HS tariff classification number Certification No. Number of page / AGREEMENT BETWEEN JAPAN AND THE REPUBLIC OF CHILE FOR A STRATEGIC ECONOMIC PARTNERSHIP CERTIFICATE OF ORIGIN Issued in 5. Preference criterion 6.Quantit y or gross weight 7. Invoice number(s) and date(s) 8. Remarks: ISSUED RETROACTIVELY 9.Declaration by the exporter: I, the undersigned, declare that: - 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; - the country of origin of the good(s) described above is Place and Date: Signature: Name (printed): Company: 10.Certification It is hereby certified, on the basis of control carried out, that the declaration by the exporter is correct. Competent authority or Designee office: Stamp Place and Date: Signature:

19 Appendix 2- B Parties which accept this form for the purpose of preferential treatment under the Agreement between Japan and the Republic of Chile for a Strategic Economic Partnership (hereinafter referred to as the Agreement ) are Japan and Chile. De Minimis

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21 1. Goods consigned from (Exporter s business name, address, country) Reference No. Appendix1-A(Thailand) AGREEMENT BETWEEN THE KINGDOM OF THAILAND AND JAPAN FOR AN ECONOMIC PARTNERSHIP CERTIFICATE OF ORIGIN (Combined declaration and certificate) 2. Goods consigned to (Consignee s name, address, country) FORM JTEPA THAILAND Issued in (country) 3. Means of transport and route (as far as known) 4. For official use 5. Item number 6. Marks and numbers of packages 7. Number and type of packages; description of goods (including quantity where appropriate and HS code of the importing country) 8. Origin criterion (see Notes Overleaf) 9. Gross weight or other quantity 10. Number and date of invoice 11. Declaration by the exporter The undersigned hereby declares that the above details and statements are correct; that all the goods were produced in THAILAND... and that they comply with the origin requirements specified for those goods in the Agreement between the Kingdom of Thailand and Japan for an Economic Partnership for goods exported to JAPAN No (exporting country) (importing country) Place and date, signature of authorised signatory 12. Certification It is hereby certified, on the basis of control carried out, that the declaration by the exporter is correct.... Place and date, signature and stamp of certifying authority

22 1. Reference No. 2. AGREEMENT BETWEEN THE KINGDOM OF THAILAND AND JAPAN FOR AN ECONOMIC PARTNERSHIP CERTIFICATE OF ORIGIN (Combined declaration and certificate) FORM JTEPA THAILAND Issued in (country) No fermented beverages prepared from XX Thai local spirits obtained by fermented mixtures of rice and molasses and/or refined sugar, and coloured with caramel 11. Declaration by the exporter ISSUED RETROACTIVELY, date of shipment is (date) DUPLICATE, date of issuance and reference number of original C/O are (date),(reference number) Certification

23 OVERLEAF NOTES Appendix 1- B(Thailand) 1. This form is used by Thailand for the purpose of preferential treatment under the Agreement between the Kingdom of Thailand and Japan for an Economic Partnership (hereinafter referred to as the Agreement ). 2. Conditions: The conditions for the preferential tariff treatment under the Agreement are that the goods exported to the other Party should: (i) fall within description of goods eligible for preferential tariff treatment under the Agreement; (ii) comply with the consignment criteria of Article 32 of the Agreement; and (iii) comply with the origin criteria given in the next paragraph. 3. Origin Criteria: (i) the good is wholly obtained or produced entirely in Thailand, as defined in Article 28(1)(a) of the Agreement; (ii) the good is produced entirely in Thailand exclusively from originating materials of Thailand, as defined in Article 28 (1) (b) of the Agreement; or (iii) the good satisfies the product specific rules set out in Annex 2, as well as all other applicable requirements of Chapter 3, when the good is produced entirely in Thailand using non-originating materials in whole or in part, as defined in Article 28(1)(c) of the Agreement. If the goods qualify under the above criteria, the exporter should indicate in Box 8 the origin criteria on the basis of which he claims that his goods qualify for preferential tariff treatment, in the manner shown in the following table: Circumstances of production in Thailand named in Box 11 of this form Insert in Box 8 (a) the good is wholly obtained or produced entirely in Thailand (see paragraph 3(i) above) (b) the good is produced entirely in Thailand exclusively from originating materials of Thailand (see paragraph 3(ii) above) (c) the good satisfies the product specific rules (see paragraph 3(iii) above) WO PE PS Remark: If the below mentioned good satisfies the above mentioned origin criteria in paragraph 3 (iii), the exporter should insert in Box 8 the above mentioned origin criteria. In addition, the exporter should indicate number and type of packages; description of goods (including quantity where appropriate and HS code ) as well as following data in Box 7: Good For each good, the exporter must indicate following data in Box 7 With respect to each good of Chapter 16 of the Harmonized System (HS ). With respect to each good of Chapter 7, 16, 18, 19 or 20 of the Harmonized System (HS , , , , , , 18.05, , , , , , , ). With respect to each good of Chapter 61 through 62 of the Harmonized System. 1) Materials taken by the authorized fishing vessels on the IOTC Record are..(e.g. tuna). 2) Names of such vessels are 3) Registered numbers of such vessels are..4) Nationalities of such vessels are.(if such materials were used in the production of the good(s)). 1) Materials of non-parties which are member countries of the ASEAN are (e.g. cocoa beans). 2) Names of such non-parties are (if such materials were used in the production of the good(s)). 1) Materials of the other Party or non-parties which are member countries of the ASEAN are (e.g. cotton fabric). 2) Processes conducted in such Party or non-parties are (e.g. woven). 3) Names of such Party or non- Parties are (if such materials were used in the production of the good(s)). 4. For each good, the exporter should indicate the Harmonized System (HS) Code at the six-digit level in Box For each good, the exporter should indicate ACU for good complies with accumulation given in Article 29 of the Agreement and DMI for De Minimis on Box 7, if applicable. 6. If the certificate of origin was issued retroactively in accordance with Rules 3(b) of the operational procedures referred to Chapter 2 (Trade in Goods) and Chapter 3 (Rules of Origin) of the Agreement, the issuing authority of Thailand should stamp and indicate ISSUED RETROACTIVELY, date of shipment is on Box If a new certificate of origin was issued in accordance with Rules 3(e) of the operational procedures referred to Chapter 2 (Trade in Goods) and Chapter 3 (Rules of Origin) of the Agreement, the issuing authority of the Thailand should stamp and indicate DUPLICATE, date of issuance and reference number of original certificate of origin are (date), (reference number) on Box Indicate the invoice number and date for each good in the Box 10. The invoice should be the one issued for the importation of the good into Japan.

24 If the invoice is issued by a person different from the exporter or its authorised agent to whom the certificate of origin is issued and the person who issues the invoice is located in a non-party, it should be indicated in Box 1 that the goods are invoiced in a non-party, identifying the full legal name and address of the person that issues the invoice. In an exceptional case where the invoice number of an invoice issued in the non-party is not known at the time of issuance of the certificate of origin, the invoice number and the date of invoice issued in the exporting Party should be indicated in box 10. It should also be indicated in Box 1 that the goods will be invoiced in a non-party, identifying the full legal name and address of the person that will issue the invoice Certificate for tropical fruit wine/ Certificate for distilled alcoholic beverages (1)When a certificate of origin also serves as a certificate for tropical fruit wine in accordance with Rule 1 (2) of Chapter I of Part 1 of Section 1 of the operational procedures referred to in Chapter 2 (Trade in Goods) and Chapter 3 (Rules of Origin) of the Agreement, the exporter should explicitly indicate fermented beverages prepared from XX (one or more of tropical fruits listed in Note in column 2 of tariff item number in Section 2 of Part 2 of Annex 1 of the Agreement) as a description of the good and Product Certificate number in Box 7. (2) When a certificate of origin also serves as a certificate for distilled alcoholic beverages in accordance with Rule 1 (2) of Chapter II of Part 1 of Section 1 of the operational procedures referred to in Chapter 2 (Trade in Goods) and Chapter 3 (Rules of Origin) of the Agreement, the exporter should explicitly indicate Thai local spirits obtained by fermented mixtures of rice and molasses and/or refined sugar, and coloured with caramel as a description of the good and Product Certificate number in Box 7.

25 1. Exporter s name, address and country: Certification no. Appendix 1-A (Indonesia) Number of page / AGREEMENT BETWEEN THE REPUBLIC OF INDONESIA AND 2. Importer s name, address and country: JAPAN FOR AN ECONOMIC PARTNERSHIP CERTIFICATE OF ORIGIN FORM IJEPA 3. Means of transport and route (as far as known) Issued in Indonesia 4. Item number (as necessary); marks and numbers of packages; number and kind of packages; 5. Preference 6.Quantity 7. Invoice description of good(s); HS tariff classification number criterion or weight number(s) and date(s) 8. Remarks: 9.Declaration by the exporter: I, the undersigned, declare that: - 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; - the country of origin of the good(s) described above is 10.Certification It is hereby certified, on the basis of control carried out, that the declaration by the exporter is correct. Competent governmental authority or designee office: Stamp Place and date: Signature: Name (printed): Place and date: Company: Signature:

26 1. Exporter s name, address and country: 2. Importer s name, address and country: 3. Means of transport and route (as far as known) Certification no. Number of page / AGREEMENT BETWEEN THE REPUBLIC OF INDONESIA AND JAPAN FOR AN ECONOMIC PARTNERSHIP CERTIFICATE OF ORIGIN FORM IJEPA Issued in Indonesia 4. Item number (as necessary); marks and numbers of packages; number and kind of packages; description of good(s); HS tariff classification number 5. Preference criterion 6.Quantity or weight 8. Remarks: 7. Invoice number(s) and date(s) 9.Declaration by the exporter: I, the undersigned, declare that: - 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; - the country of origin of the good(s) described above is Place and date: 10.Certification It is hereby certified, on the basis of control carried out, that the declaration by the exporter is correct. Competent governmental authority or designee office: Stamp Signature: Name (printed): Company: Place and date: Signature:

27 Appendix 1- B Parties which accept this form for the purpose of preferential treatment under the Agreement between the Republic of Indonesia and Japan for an Economic Partnership (hereinafter referred to as the Agreement ) are Indonesia and Japan. General conditions: The conditions for the preferential tariff treatment under the Agreement are that the goods exported to Indonesia or Japan should: i. fall within description of goods eligible for concession in Indonesia or Japan; ii. comply with one of the requirements set out in Preference criteria ; and iii. comply with the consignment criteria of Article 33. Preference criteria: A The good is wholly obtained or produced entirely in the Party, as defined in paragraph 2 of Article 29. B The good is produced entirely in the Party exclusively from originating materials of the Party. C The good satisfies the product specific rules set out in Annex 2, as well as all other applicable requirements of Chapter 3, when the good is produced entirely in the Party using non-originating materials. Instructions for certificate of origin: For the purposes of claiming preferential tariff treatment, the document should be completed legibly and in full by the exporter or its authorized agent and certified by the competent governmental authority or its designee. Any item of the form should be completed in the English language. The document should be no longer valid, if it is completed in any languages other than English or modified after the issuance. If the space of this document is insufficient to specify the necessary particulars for identifying the goods and other related information, the exporter or its authorized agent may provide the information using additional Appendix 1-A. In that case, every additional Appendix 1-A should be completed legibly and in full by the exporter or its authorized agent and certificated by the competent governmental authority or its designee. Field 1: State the full name, address and country of the exporter. Field 2: State the full name, address and country of the importer. As defined in subparagraph (f) of Article 28, importer means a person who imports a good into the importing Party (e.g. the consignee who declares the importation). Field 3: Provide the name of loading port, transit port and discharging port and, the name of vessel / flight number, as far as known. Field 4: Provide item number (as necessary), marks and numbers of packages, number and kind of packages, HS tariff classification number as amended on January 1, 2002 and description of each good consigned. For each good, the HS tariff classification number should be indicated at the six-digit level. The description of the good on the certificate of origin should be substantially identical to the description on the invoice and, if possible, to the description under the HS for the good. With respect to subheading , , and , in an exceptional case where the good is a specific product requiring a special description (e.g. instant curry and Igusa goods), such description of specific products should be indicated. With respect to each good of Chapter 50 through 63 of the HS, the materials of the other Party or non-parties which are member countries of the ASEAN, the processes or operations conducted in such Party or non-parties, and the names of such Party or non-parties should be indicated (if such materials were used in the production of the good). Field 5: For each good, state which preference criterion (A through C under Preference Criteria above) is applicable. The rules of origin are contained in Chapter 3 and Annex 2. Note: In order to be entitled to preferential tariff treatment, each good of a Party should meet at least one of the criteria given. Indicate ACU for accumulation, DMI for de minimis and FGM for fungible goods or materials, if applicable. Field 6: For each good, indicate the quantity or weight. Field 7: Indicate the invoice number and date for each good. The invoice should be the one issued for the importation of the good into the importing Party. If the invoice is issued by a person different from the exporter to whom the certificate of origin is issued and the person who issues the invoice is located in a non-party, it should be indicated in field 8 that the goods will be invoiced in a non-party, identifying the full legal name and address of the person that issues the invoice. In an exceptional case where the number of the invoice issued in a non-party is not known at the time of issuance of the certificate of origin, the invoice number and the date of invoice issued by the exporter to whom the certificate of origin is issued should be indicated in field 7, and it should be indicated in field 8 that the goods will be subject to another invoice to be issued in a non-party for the importation into the importing Party, identifying the full legal name and address of the person that will issue such other invoice. In such case, the relevant authority of the importing Party may require the importer to provide the invoices and any other relevant documents which confirm the transaction, from the exporting Party to the importing Party, with regard to the goods declared for import.

28 Field 8: If the certificate of origin is issued retroactively in accordance with Rule 3(b), the competent governmental authority or its designee should indicate ISSUED RETROACTIVELY. If the certificate of origin is newly issued in accordance with Rule 3(e), the competent governmental authority or its designee should indicate the date of issuance and the certification number of the original certificate of origin. Other remarks as necessary. Field 9: This field should be completed, signed and dated by the exporter or its authorized agent. The date should be the date when the certificate of origin is applied for. Note: The exporter s or its authorized agent s signature may be autographed or printed. Field 10: This field should be completed, dated, signed and stamped by the competent governmental authority of the exporting Party or its designee. Note: The competent governmental authority s or its designee s signature may be autographed or printed. Notice 1. Any items entered in this form should be true and correct. False declaration or documents relating to the certificate of origin should be subject to penalty in accordance with the laws and regulations of the exporting Party. Notice 2. The certificate of origin should be a basis of determination of origin at the customs authority of the importing Party.

29 1. Exporter s Name, Address and Country: Certification No. Appendix 1-A(Brunei Darussalam) Number of page / 2. Importer s Name, Address and Country: AGREEMENT BETWEEN BRUNEI DARUSSALAM AND JAPAN FOR AN ECONOMIC PARTNERSHIP CERTIFICATE OF ORIGIN 3. Transport details (means and route)(as far as known) Issued in Brunei Darussalam 4. Item number (as necessary); Marks and numbers; Number and kind of packages; Description of 5. Preference 6.Quantity 7. Invoice good(s); HS tariff classification number criterion number(s) and date(s) 8. Remarks: 9.Declaration by the exporter: I, the undersigned, declare that: - 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; - the country of origin of the good(s) described above is Place and Date: 10.Certification It is hereby certified, on the basis of control carried out, that the declaration by the exporter is correct. Competent governmental authority or Designee office: Signature: Name (printed): Stamp Place and Date: Company: Signature:

30 1. Exporter s Name, Address and Country: 2. Importer s Name, Address and Country: 3. Transport details (means and route)(as far as known) 4. Item number (as necessary); Marks and numbers; Number and kind of packages; Description of good(s); HS tariff classification number Certification No. Number of page / AGREEMENT BETWEEN BRUNEI DARUSSALAM AND JAPAN FOR AN ECONOMIC PARTNERSHIP 5. Preference criterion CERTIFICATE OF ORIGIN Issued in Brunei Darussalam 6.Quantity 7. Invoice number(s) and date(s) 8. Remarks: 9.Declaration by the exporter: I, the undersigned, declare that: - 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; - the country of origin of the good(s) described above is Place and Date: 10.Certification It is hereby certified, on the basis of control carried out, that the declaration by the exporter is correct. Competent governmental authority or Designee office: Signature: Name (printed): Company: Stamp Place and Date: Signature:

31 Appendix 1- B Parties which accept this form for the purpose of preferential treatment under the Agreement between Japan and Brunei Darussalam for an Economic Partnership (hereinafter referred to as the Agreement ) are Japan and Brunei Darussalam. General Conditions: The conditions for the preferential tariff treatment under the Agreement are that the goods exported to Japan or Brunei Darussalam should: i. fall within description of goods eligible for concession in Japan or Brunei Darussalam; ii. comply with one of the requirements set out in Preference Criteria; and iii. comply with the provision of consignment criteria of Article 28 or exhibitions of Article 29 of the Agreement. Preference Criteria: A The good is wholly obtained or produced entirely in the Party, as defined in paragraph 2 of Article 24. B C The good is produced entirely in the Party exclusively from originating materials of the Party. The good satisfies the product specific rules set out in Annex 2, as well as all other applicable requirements of Chapter 3, when the good is produced entirely in the Party using non-originating materials. Instructions for Certificate of Origin: For the purposes of claiming preferential tariff treatment, the document should be completed legibly and in full by the exporter or its authorised agent and certificated by the competent governmental authority or its designee. Any item of the form should be completed in the English language. The document should be no longer valid, if it is modified after the issuance. If the space of this document is insufficient to specify the necessary particulars for identifying the goods and other related information, the exporter or its authorised agent may provide the information using additional Appendix 1-A. In that case, every additional Appendix 1-A should be completed legibly and in full by the exporter or its authorised agent and certificated by the competent governmental authority or its designee. Field 1: State the full name, address and country of the exporter. Field 2: State the full name, address and country of the importer. As defined in subparagraph (f) of Article 23, importer means a person who imports a good into the importing Party (e.g. the consignee who declares the importation). Field 3: Provide the name of loading port, transit port and discharging port and, the name of vessel / flight number, as far as known. In case of retroactive issuance, the date of shipment (i.e. bill of lading or airway bill date) Field 4: Provide item number (as necessary), marks and numbers, number and kind of packages, HS tariff classification number as amended on January 1, 2002 and description of each good consigned. For each good, the HS tariff classification number should be indicated at the six-digit level. The description of the good on a certificate of origin should be substantially identical to the description on the invoice and, if possible, to the description under the HS for the good. With respect to subheading and , in an exceptional case where the good is a specific product requiring a special description (e.g. Ebi preparations of subheading , sake compound and cooking sake (Mirin) of subheading and beverages with a basis of fruit juices, of an alcohol strength by volume of less than 1 percent of subheading ), such description of specific products should be indicated. With respect to each good of Chapter 4,11,16,17,18,19,20 or 29 of the HS, the materials of non-parties which are member countries of the ASEAN and the names of such non-parties should be indicated (if such materials were used in the production of the good). With respect to each good of Chapter 50 through 63 of the HS, the materials of the other Party or non-parties which are member countries of the ASEAN, the process or operation conducted in such Party or non-parties, and the names of such Party or non-party should be indicated (if such materials were used in the production of the good). Field 5: For each good, state which preference criterion (A through C under Preference Criteria above) is applicable. The rules of origin are contained in Chapter 3 and Annex 2. Note: In order to be entitled to preferential tariff treatment, each good of a Party must meet at least one of the criteria given. Indicate ACU for accumulation, DMI for De Minimis and FGM for fungible goods or materials, if applicable. Field 6: For each good, indicate the quantity. Field 7: Indicate the invoice number and date for each good. The invoice should be the one issued for the importation of the good into the importing Party. If the invoice is issued by a person different from the exporter to whom the certificate of origin is issued and the person who issues the invoice is located in a non-party, it should be indicated in field 8 that the goods will be invoiced in a non-party, identifying the full legal name and address of the person that issues the invoice.

32 In an exceptional case where the number of the invoice issued in a non-party is not known at the time of issuance of the certificate of origin, the invoice number and the date of the invoice issued by the exporter to whom the certificate of origin is issued should be indicated in field 7, and it should be indicated in field 8 that the goods will be subject to another invoice to be issued in a non-party for the importation into the importing Party, identifying the full legal name and address of the person that will issue such other invoice. In such case, the relevant authority of the importing Party may require the importer to provide the invoices and any other relevant documents which confirm the transaction, from the exporting Party to the importing Party, with regard to the goods declared for import. Field 8: If the certificate of origin is issued retroactively, the issuing authority should indicate ISSUED RETROACTIVELY. If the certificate of origin is newly issued in accordance with Rule 3(f)(ii), the issuing authority should indicate the date of issuance and the certification number of the original certificate of origin. Other remarks as necessary. Field 9: This field should be completed, signed and dated by the exporter or its authorised agent. Date should be the date when the certificate of origin is applied for. Note: The exporter s or its authorised agent s signature may be autographed or electronically printed. Field 10: This field should be completed, dated, signed and stamped by the competent governmental authority of the exporting Party or its designee. Note: The competent governmental authority s or its designee s signature may be autographed or electronically printed. Notice 1. Any items entered in this form should be true and correct. False declaration or documents relating to the certificate of origin should be subject to penalty in accordance with the laws and regulations of the exporting Party. Notice 2. The certificate of origin should be a basis of determination of origin at the relevant authority of the importing Party.

33 ATTACHMENT 1: CO FORMAT FOR ASEAN MEMBER STATES Original (Duplicate/Triplicate) 1. Goods consigned from (Exporter's name, address, country) Reference No. THE AGREEMENT ON COMPREHENSIVE ECONOMIC PARTNERSHIP AMONG MEMBER STATES OF THE ASSOCIATION OF SOUTHEAST ASIAN NATIONS AND JAPAN (AJCEP AGREEMENT) CERTIFICATE OF ORIGIN 2. Goods consigned to (Importer s/consignee's name, address, country) FORM AJ Issued in (Country) See Notes Overleaf 3. Means of transport and route (as far as known) 4. For Official Use Shipment date Preferential Treatment Given Under AJCEP Agreement Vessel's name/aircraft etc. Preferential Treatment Not Given (Please state reason/s) Port of discharge... Signature of Authorised Signatory of the Importing Country 5. Item 6. Marks and 7. Number and type of 8. Origin criteria 9. Quantity (gross 10. Number and number numbers of packages, description of (see Notes or net weight date of packages goods (including quantity overleaf) or other quantity) Invoices where appropriate and HS and value, e.g. number of the importing Party) FOB if required by exporting Party 11. Declaration by the exporter 12. Certification The undersigned hereby declares that the above details and statements are correct; that all the goods were produced in It is hereby certified, on the basis of control carried out, that the declaration by the exporter is correct.... (Country) and that they comply with the requirements specified for these goods in the AJCEP Agreement for the goods exported to... (Importing Country) Place and date, name, signature and company of Place and date, signature and stamp of authorised signatory certifying authority 13. Third Country Invoicing Back-to-Back CO Issued Retroactively

34 Original Reference No. 1. Goods consigned from (Exporter's name, THE AGREEMENT ON COMPREHENSIVE ECONOMIC address, country) PARTNERSHIP AMONG MEMBER STATES OF THE ASSOCIATION OF SOUTHEAST ASIAN NATIONS AND JAPAN (AJCEP AGREEMENT) CERTIFICATE OF ORIGIN 2. Goods consigned to (Importer s / Consignee's name, address, country) FORM AJ Issued in (Country) See Notes Overleaf 3. Means of transport and route (as far as known) Shipment date Vessel's name/aircraft etc. Port of discharge 4. For Official Use Preferential Treatment Given Under AJCEP Agreement Preferential Treatment Not Given (Please state reason/s)... Signature of Authorised Signatory of the Importing Country 5. Item 6. Marks and 7. Number and type of 8. Origin criteria 9. Quantity(gross 10. Number and number numbers of packages, description of (see Notes or net weight or date of packages goods (including quantity overleaf) other quantity) Invoices where appropriate and HS and value, e.g. number of the importing ing FOB if required Party) by exporting Party 11. Declaration by the exporter 12. Certification 13. The undersigned hereby declares that the above details and statements are correct; that all the goods were produced in... (Country) and that they comply with the requirements specified for these goods in the AJCEP Agreement for the goods exported to... (Importing Country) It is hereby certified, on the basis of control carried out, that the declaration by the exporter is correct Place and date, name, signature and company of authorised signatory Third Country Invoicing Back-to-Back CO Issued Retroactively Place and date, signature and stamp of certifying authority

35 NOTES: 1. The following countries shall use this form for the purpose of preferential tariff treatment under the Agreement on Comprehensive Economic Partnership among Member States of the Association of Southeast Asian Nations and Japan (AJCEP Agreement) : BRUNEI DARUSSALAM CAMBODIA INDONESIA LAOS MALAYSIA MYANMAR PHILIPPINES SINGAPORE THAILAND VIETNAM 2. CONDITIONS: To enjoy preferential tariff treatment under the AJCEP Agreement, goods exported to any of the Parties to the AJCEP Agreement should: (i) fall within a description of goods eligible for concessions in the importing Party; (ii) comply with the consignment conditions in accordance with Article 31 of the AJCEP Agreement; and (iii) comply with the origin criteria in Chapter 3 of the AJCEP Agreement. 3. ORIGIN CRITERIA: For goods that meet the origin criteria, the exporter should indicate in box 8 of this Form, the origin criteria met, in the manner shown in the following table: Circumstances of production or manufacture in the country named in box 11 of this form: (a) Goods satisfying subparagraph (c) of Article 24 of the AJCEP Agreement (b) Wholly obtained goods satisfying Article 25 of the AJCEP Agreement Insert in box 8 PE WO (c) Goods satisfying paragraph 1 of Article 26 of the AJCEP Agreement CTH or RVC (d) Goods satisfying paragraph 2 of Article 26 of the AJCEP Agreement - Change in Tariff Classification - Regional Value Content - Specific Processes CTC RVC SP Also, exporters should indicate the following where applicable: (e) Goods which comply with Article 28 of the AJCEP Agreement DMI (f) Goods which comply with Article 29 of the AJCEP Agreement ACU 4. EACH ITEM SHOULD QUALIFY: All items in a consignment should qualify separately in their own right. This is of particular relevance when similar items of different sizes are exported. 5. DESCRIPTION OF GOODS: For each good, the HS tariff classification number of the importing Party should be indicated at the six-digit level. The description of the good on a certificate of origin should be substantially identical to the description on the invoice and, if possible, to the description under the HS for the good. With respect to subheading and , in an exceptional case where the good is a specific product requiring a special description (e.g. sake compound and cooking sake (Mirin) of subheading , beverages with a basis of fruit, of an alcoholic strength by volume of less than 1% of subheading quilts and eiderdowns of ), such description of specific products should be indicated. 6. INVOICES: Indicate the invoice number and date for each item. The invoice should be the one issued for the importation of the good into the importing Party. 7. THIRD COUNTRY INVOICING: In cases where invoices are issued by a third country, in accordance with Rule 3 (d) of Implementing Regulations, the Third Country Invoicing box in box 13 should be ticked (). The number of invoices issued for the importation of goods into the importing Party should be indicated in box 10, and the full legal name and address of the company or person that issued the invoices shall be indicated in box 7. In an exceptional case where the invoice issued in a third country is not available at the time of issuance of the certificate of origin, the invoice number and the date of the invoice issued by the exporter to whom the certificate of origin is issued should be indicated in box 10. The Third Country Invoicing in box 13 should be ticked, and it should be indicated in box 7 that the goods will be subject to another invoice to be issued in a third country for the importation into the importing Party, identifying in box 7 the full legal name and address of the company or person that will issue another invoice in the third country. In such a case, the customs authority of the importing Party may require the importer to provide the invoices and any other relevant documents which confirm the transaction from the exporting Party to the importing Party, with regard to the goods declared for import. 8. BACK-TO-BACK CERTIFICATE OF ORIGIN: In the case of a back-to-back CO issued in accordance with paragraph 4 of Rule 3 of the Operational Certification Procedures, the Back-to-Back CO box in box 13 should be ticked (). 9. ISSUED RETROACTIVELY: In cases of a CO issued retroactively in accordance with Rule 7 of the Implementing Regulations, the Issued Retroactively box in box 13 should be ticked (). 10. CERTIFIED TRUE COPY: In cases of certified true copies, the words CERTIFIED TRUE COPY should be indicated in box 12 in accordance with Rule 5 of the Implementing Regulations.