CERTIFICATE OF ORIGIN
| Exporter | The Chambers of Commerce and Industry | |||||
| Consignee | ||||||
| Pre-carriage by | Place of Receipt by Pre carrier | |||||
| Vessel/Flight No. | Port of Loading | |||||
| Part of Discharge | Final Destination | |||||
| Marks & No/Container No. | No. of Kind of Packages | Description of Goods | Quantity | |||
| CERTIFICATION It is hereby certified that to the best of our knowledge and belief the above mentioned goods are of ________ (Indian or Country Name)origin | ||||||
STAMP OF CHAMBER OF COMMERCE
Signature & Date