1.

Goods Consignment from (Exporter's business,

name, address, country)

2. Goods consignment to (Consignee's name, Address,

country)

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

5. Item 6. Marks 7. Number and kind of packages, 8. Origin criteria 9. Gross weight or 10, Number and date of invoices
Number and description of goods other quantity
number of
packages
1. INDIAN Gross Wt. COMMERCIAL INVOICE NO.
Pkgs. Kgs. DATED

ITEM, QTY., RATE AND VALUE

MENTIONED IN THE
COMMERCIAL INVOICE NO.
DATED

CONTRACT NO.
DOCUMENTARY CREDIT
NUMBER
DATED

11. Certification 12. Declaration by the exporter-

It is hereby certified, on the basis of control carried out, The undersigned hereby declares that the above details and statements are
that the declaration by the exporter is correct. correct; that all goods are produced in India and that they comply with the origin
requirements of exports to xxxxxxxxx (Importing country)
New Delhi - Place and date signature New Delhi – xx.xx.xxxx - Place and date signature of authorised
and stamp of authorized signatory. signatory

PROCEDURE FOR ISSUE OF CERTIFICATE OF ORIGIN

1. CERTIFICATE OF ORIGIN ON 2. CERTIFICATE OF ORIGIN ON

REGULAR BASIS INDIVIDUAL SHIPMENT BASIS

For obtaining Certificate of Origin on Exporters wishing to obtain Certificate of Origin

regular basis, exporters are required to on specific/individual shipment basis will be
furnish a Permanent Indemnity Bond on a required to submit an Indemnity Bond on a
stamp paper of Rs.50/- duly attested as per stamp paper of Rs.10/- duly attested as per
format given below : format given below :

“The Director General “The Director General

Federation of Indian Export Federation of Indian Export Organisations
Organisations New Delhi.
New Delhi.
Dear Sir,
Dear Sir,
In consideration of your signing the Certificate of
In consideration of the Federation of Indian Origin, and prices, at our request for the under-
Export Organisations, New Delhi and its mentioned shipment to (place), to the effect that
Regional Offices from time to time, giving the goods are the produce or manufacture of the
or Authenticating Certificate of Origin, Republic of India and that the prices shown
legalizing Invoices and other documents in against them are correct, we hereby agree to
respect of goods for exportation by indemnify the Federation against any claim or
demand that may at any time be made against
(Name and Address of Shippers) the Federation by reason of the Certificate of
Origin and prices having been so issued.
We hereby certify that all particulars Mar Descripti Name Date of V
contained in Invoices or other documents ks on of Shipme
presented to the Federation by us in our No. Of Steam nt A
name for their certification or authentication Goods er / Bill of
or legalisation shall be true and accurately Lading L
set forth, and further that we shall at all
times, INDEMNIFY and keep indemnified U
the Federation and its officials against all
claims and demands that may at any time E
be made against them or any of them by
reason of issuing or authentication or
legalisation of such certificates, invoices Yours faithfully,
and other documents as aforesaid.
(Signature & Rubber Stamp of the Shippers)
Yours faithfully, Place:
Dated:
(Signature & Rubber Stamp of the
Shippers) Witness: 1. ______________
2. ______________
Place:
Dated:

Witness: 1. ______________
2. ______________
3. DETAILS OF CHARGES

The schedule of charges (subject to revision without notice) are as under :

For Non-
Particulars For Members
Members

a. Certificate of Origin (8 copies) Rs.100/- Rs.200/-

b. Certification of Invoice (8 copies) Rs.50/- Rs.100/-
c. Additional copies (up to 8 copies) Rs.50/- Rs.100/-
d. Correction charges (per copy) Rs.10/- Rs.20/-
e. Certification of any other documents, like packing list Rs.10/- Rs.50/-
etc. (on per document basis)
f. Proforma for Certificate of Origin (for 50 sheets) Rs.50/ Rs.50/-

4. DOCUMENTS TO BE SUBMITTED ALONGWITH APPLICATION

i. A covering letter to FIEO for issue of Certificate of Origin/Certification of copies of In-
voices/Packing List, etc. The letter should also indicate that the information furnished in
the relevant documents is true and correct.
ii. Indemnity Bond.
iii. 9 copies of the Certificate of Origin duly completed along with one copy of the invoice for
FIEO records having following declaration:
“We hereby declare that the goods mentioned in this invoice are of Indian Origin and
manufacture.”
In case copies of invoices are also required to be attested, 9 copies of the same may also be
submitted with the above declaration.