Not valid
Certificate of OriginIssued under authority of the Chamber of Commerce (Sample)
1ConsignorSample Exporter LLC, Country A
2ConsigneeNorthstar Materials Ltd. (Synthetic), Port Meridian
3Country of originCountry A
6Marks · packages · description of goods18 packages — Processed Material A
7Quantity / gross weight240 units · 46,238 kg
The undersigned authority, in reliance on the representation of the exporter and not on the basis of independent verification, certifies that the goods described above originate in the country shown in Box 3.
Certifying official
Authorised signature · Date
Exporter declaration
Authorised signature · Date