CDCS electronic specimen paper B – SIM2 DOC4 – GSP

1 Goods consigned from (Exporter’s business name, address, country) Reference No.

Rizhan Spinning Mills GENERALISED SYSTEM OF

1540 Hassan IV Avenue PREFERENCES
Faisalabad
CERTIFICATE OF ORIGIN
Pakistan
(Combined declaration and certificate)
2 Goods consigned to (Consignee’s name, address, country) FORM A

The Olde English Linen Co. Ltd Issued in Pakistan

Frith Park (country)
Walton-on-the-Hill
Surrey CR20 7NQ U.K. ORIGINAL

3 Means of transport and route (as far as known) 4 For official use

Faisalabad to Karachi then by sea to Felixstowe.

B/L No. 37756013
Vessel : Tiger Bay v.611
Final Destination : Surrey U.K.

5 Item 6 Marks and 7 Number and kind of packages: description of goods 8 Origin 9 Gross weight 10 Number and
number numbers of criterion or other quantity date of invoices
packages

Olde Household Textiles "w"

English
Linen Sheets 63.02 7,000 pieces 287
Textiles Pillow Cases th April
27XX0427
1-152 XXXX

11 Certification 12 Declaration by the exporter

It is hereby certified on the basis of control carried out that the The undersigned hereby declares that the above details and statements are
declaration by the exporter is correct. correct: that all the goods were produced in

Pakistan
.......................................................................................................................................................

(country)
Dr Mazhural Hoqui
and that they comply with the origin requirements specified for
Faisalabad Export Bureau those goods in the Generalised System of Preferences for goods
exported to

United Kingdom
.....................................................................................................................................................
(importing country)

27th April XXXX Pakistan 27/4/XX

.........................................................................................................................................................
Place and date. Signature of authorized signatory
Place and date, Signature and stamp of certifying authority
Page 1 of 1