Korea-Singapore Free Trade Agreement (KSFTA)
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ANNEX 5B : FORMAT OF THE CERTIFICATE OF ORIGIN ISSUED BY
1. Exporter(Name, Address, Country, Tax ID No)
2. Importer(Name, Address, Country)
KOREA-SINGAPORE FREE TRADE AGREEMENT PREFERENTIAL TARIFF CERTIFICATE OF ORIGIN
3. Departure Date 4 Vessel’ s Name/Flight No.
5. Port of Discharge and Route(as far as known)
6. Country of Final Destination 7. Country of Origin
9. Description of Goods 10. HS No.
11. Marks &
14. Declaration by the exporter
The undersigned hereby declares that the above details and statements are correct; that all the goods were produced in
and that they comply with the origin requirements specified for these goods in the KOREA-SINGAPORE FREE TRADE AGREEMENT for the goods exported to
It is hereby certified that the goods originated in the territory of Korea, and comply with the origin requirements specified for those goods in KOREA- SINGAPORE FREE TRADE AGREEMENT.
(Place and Date, Signature and Stamp of Certifying
(Place and Date, Signature of Authorized Signatory Authority)
EXPLANATORY NOTES TO THE FORMAT OF PREFERENTIAL CERTIFICATE OF ORIGIN ISSUED BY KOREA
No. Description Type of Information Required
The final port from which the goods will be discharged. Where goods are
transshipped, the additional details of the route may be declared in
this box or in a separate attachment to this Certificate.
The country of final destination must be Singapore.
Chapter 4 of this Agreement.
Reference No A unique number will be assigned to each Certificate issued by the certification body of the exporting Party.