Name and address of UK exporter
Name and address, including country of the overseas
receiver of the goods shipped
Name of the country the goods were manufactured in.
If UK insert “European Community – United Kingdom”
Optional “Earliest Available Transport” is acceptable
Please leave this box blank
An adequate commercial description of the goods must be given, however a general
description may be given if followed by “according to the attached invoice”.
Abbreviations, the description approximately or said to contain are not acceptable. Trade
names are not acceptable.
Shipping marks and numbers must be shown, or if the package is only addressed then the
word addressed is sufficient. If no marks, Certificate should show “Unmarked”/”No Marks”
Any unused space should be ruled off
For Chamber of Commerce use ONLY
Gross or net weight in
metric units, or other units
of measurement if more
appropriate eg: volume
Name and address of UK exporter
Name and address, including country of the overseas
receiver of the goods shipped
Name of the country the goods were manufactured in.
If UK insert “European Community – United Kingdom”
Optional “Earliest Available Transport” is acceptable
Optional - Customer order number, Letter of Credit number
if required
An adequate commercial description of the goods must be given, however a general
description may be given if followed by “according to the attached invoice”.
Abbreviations, the description approximately or said to contain are not acceptable. Trade
names are not acceptable.
Shipping marks and numbers should be shown, or if the package is only addressed then the
word addressed is sufficient.
Any unused space should be ruled off
For Chamber of Commerce use ONLY
Gross or net weight in
metric units, or other units
of measurement if more
appropriate eg: volume
Name and address of UK exporter
Name and address, including country of the overseas
receiver of the goods shipped
Name of the country the goods were manufactured in.
If UK insert “European Community – United Kingdom”
Optional “Earliest Available Transport” is acceptable
Optional - Customer order number, Letter of Credit number
if required
An adequate commercial description of the goods must be given, however a general
description may be given if followed by “according to the attached invoice”.
Abbreviations, the description approximately or said to contain are not acceptable. Trade
names are not acceptable.
Shipping marks and numbers should be shown, or if the package is only addressed then the
word addressed is sufficient.
Any unused space should be ruled off
Signature of authorised signatory
Place and date
If applicant is not the consignor complete
with name and address of person applying
on their behalf eg: freight forwarders
Gross or net weight in
metric units, or other units
of measurement if more
appropriate eg: volume
Tick
relevant
box(es)
see notes
below
Insert name & address of manufacturer – if manufacturer is overseas
proof of origin must be supplied
Note:
Many applicants tick box 1 which indicates that the goods are wholly of UK origin
This box should only be used for goods such as mineral, vegetable, animal and fishery products
Most manufactured goods contain some component parts manufactured overseas, therefore, box
2 is often the most appropriate