Certificate of Origin for Marine Goods

Exporter Details

Exporter Name
Exporter Address

Consignee Details

Consignee Name
Consignee Address

Shipment Information

Vessel Name
Port of Loading
Port of Discharge
Country of Origin
Country of Destination
Date of Shipment

Goods Description

Description of Goods HS Code Quantity Unit Gross Weight Net Weight
Declaration
Authorized Signature
Name
Date
Official Stamp