Korea-Singapore Free Trade Agreement (KSFTA)
[Database Search] [Name Search] [Help]
ANNEX 5C : FORMAT OF THE CERTIFICATE OF ORIGIN ISSUED BY
1 Exporter (Name & Address) CR No.
2 Consignee (Name, Full Address & Country)
REPUBLIC OF SINGAPORE
KOREA - SINGAPORE FREE TRADE AGREEMENT
PREFERENTIAL CERTIFICATE OF ORIGIN
NO UNAUTHORISED ADDITION/ALTERATION MAY BE MADE TO THIS CERTIFICATE
3 Departure Date
4 Vessel’s Name/Flight No.
5 Port of Discharge
6 Country of Final Destination
7 Country of Origin of Goods
8 DECLARATION BY THE EXPORTER
We hereby declare that the details and statements provided in this Certificate are true and correct.
9 Marks & Numbers
10 No. & Kind of Packages
Description of Goods
(include brand names if necessary) HS Subheading:
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.
EXPLANATORY NOTES TO THE FORMAT OF PREFERENTIAL CERTIFICATE OF ORIGIN ISSUED BY SINGAPORE
Description Type of Information Required
of the exporter. The Central Registration Number is
a unique number issued by Singapore Customs to companies which intend to import or export.
of the route may be declared in box 10 or in a
separate attachment to this Certificate.
in separate sheet, where necessary.
The following information will be declared in this box:
Signature and seal or stamp of the certification body of the exporting
A unique number will be assigned to each Certificate issued by the certification body of the exporting Party.