Njĥ Customs form C No. 5290-9
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 (Importers/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
Preferential Treatment Given Under AJCEP
Agreement
Shipment date
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
number
6. Marks and
numbers of
Packages
7. Number and type of
packages, description of
goods (including quantity
where appropriate and HS
number of the importing
Party)
11. Declaration by the exporter
8. Origin criteria
(see Notes
overleaf)
9. Gross
weight
or other quantity
and value (FOB
only when RVC
criterion is used)
10. Number and
date of
Invoices
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
authorised signatory
Place and date, signature and stamp of
certifying authority
13.
Third Country Invoicing
Back-to-Back CO
Issued Retroactively
OVERLEAF 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
MYANMAR
CAMBODIA
PHILIPPINES
INDONESIA
SINGAPORE
LAOS
THAILAND
MALAYSIA
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:
Insert in box 8
(a) Goods satisfying subparagraph (c) of Article 24 of the AJCEP Agreement
PE
(b) Wholly obtained goods satisfying Article 25 of the AJCEP Agreement
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
CTC
-
Regional Value Content
RVC
-
Specific Processes
SP
Also, exporters should indicate the following where applicable:
(e) Goods which comply with Article 28 of the AJCEP Agreement
DMI
(f)
ACU
Goods which comply with Article 29 of the AJCEP Agreement
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 2208.90 and 9404.90, 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 2208.90, beverages with a basis of fruit, of an alcoholic strength by volume of less than 1% of subheading
2208.90 quilts and eiderdowns of 9404.90), such description of specific products should be indicated.
6. FREE-ON-BOARD (FOB) VALUE: The FOB value in Box 9 shall be reflected only when the Regional Value Content criterion is
applied in determining the origin of goods. In the case of goods exported from and imported by Cambodia and Myanmar, the FOB
value shall be included on the Certificate of Origin, irrespective of the origin criteria used, for 2 years upon the implementation of
this new arrangement.
7. 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.
8. 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.
9. 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 ( ).
10. 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 ( ).
11. 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.
2
5-2
Customs form C No. 5290-15(1)
ORIGINAL
1. Goods Consigned from (Exporter or Producers name, address
and country)
Certificate of Origin No.
Form JAEPA
JAPAN AUSTRALIA ECONOMIC PARTNERSHIP
AGREEMENT (JAEPA)
2. Goods Consigned to (Importers/ Consignees name, address,
country)
CERTIFICATE OF ORIGIN
(Combined Declaration and Certificate)
Issued in AUSTRALIA
4. For Official Use
Preferential Treatment Given Under JAEPA
3. Means of transport and route (if known)
Preferential Treatment Not Given (Please state
reason/s)
Shipment Date:
Vessels name/Aircraft etc:
Port of Loading:
Signature of Customs Official of the Importing Country
Port of Destination:
5.Item
number
6. Marks and
numbers
on
packages
7. Description of good(s) and HS tariff
classification number (6 digits) for
each good
11. Declaration by the exporter
The undersigned hereby declares that the above details and
statements are correct; that all the goods were produced in
8. Preference
Criterion (WO,
PE, PSR or Other
- for each good)
9. Weight (gross or
net), quantity
(quantity unit) or
other measurements
10. Invoice
number(s) and
date(s) of
invoice(s)
12. Certification
On the basis of control carried out, it is hereby certified that the
information herein is correct and that the goods described comply
with the origin requirements specified in the Japan-Australia
Economic Partnership Agreement.
(country)
and that they comply with the rules of origin, as provided in
Chapter 3 of the Japan Australia Economic Partnership
Agreement for the goods exported to
JAPAN
(importing country)
This form © Australian Chamber of Commerce and Industry 2015 (v.1)
Document not certified unless authorised seal and signature appear
in the space below.
Place and date, name, signature and company of authorised
representative of exporter
Place and date, name and signature of issuing officer, and stamp of
Issuing Authority/ Body
13. Other Specifications:
Subject of non-party invoice
Issued Retroactively
De Minimis
Accumulation
ORIGINAL
Continuation Sheet JAEPA
Certificate No.:
Form JAEPA
Page No. ______ of ________
5.Item
6. Marks and
number
numbers
on
packages
7. Description of good(s) and HS tariff
classification number (6 digits) for
each good
11. Declaration by the exporter
The undersigned hereby declares that the above details and
statements are correct; that all the goods were produced in
8. Preference
Criterion (WO,
PE, PSR or Other
- for each good)
9. Weight (gross or
net), quantity
(quantity unit) or
other measurements
10. Invoice
number(s) and
date(s) of
invoice(s)
12. Certification
On the basis of control carried out, it is hereby certified that the
information herein is correct and that the goods described comply
with the origin requirements specified in the Japan-Australia
Economic Partnership Agreement.
(country)
and that they comply with the rules of origin, as provided in
Chapter 3 of the Japan Australia Economic Partnership
Agreement for the goods exported to
JAPAN
(importing country)
This form © Australian Chamber of Commerce and Industry 2015 (v.1)
Document not certified unless authorised seal and signature appear
in the space below.
Place and date, name, signature and company of authorised
representative of exporter
Place and date, name and signature of issuing officer, and stamp of
Issuing Authority/ Body
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