1. Goods consigned from (exporter's bus,'hess name, address, Reference No. fl F?

country)
(, (?001
GENERALIZED SYSTEM OF PREFERENCES
CERTIFICATE OF ORIGIN
(Combined declaration and certificate)
2. Goods consigned to (Consignee's name, address, country) FORM A

lssued in NEPAL
(@uw)

See nofes orrelreaf' '

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

5. ltem 6. Marks and 7. Number and kind of packages; description of goods 8. Origin 9. Gross welghf 10. Number and
num- numbers of criterion . or othdr date of'
ber packages (see nofes quanw invoices
overleaf)

11. Certification 12. Declaration.by the exporter

It is hereby certified, on the basis of control carried out, that The undersigned hercby declares that the ahove details and
the declaration by the expofter is conect. stafemenfs are conect; that all the goods were

oroduced in -.. -............

(Country)

and that they amply with the oigin reqqirements specified

for thos gods in he gerrentized system of prcfercnces for
g@ds exported to

(inpofting courlw)

Place and date, signaturc and stamp of cedwing authorv Place and date, signature of authodzed signatoty
 , " .;...
-
' NOTES (2007\
l
(GSP):
L Countries which accept Form A for the purposes of the generalized system of preferences

Australia*' European Union:

Austria Finland Netherlands
Belarus
Belgium France Poland
Canada
Bulgaria Hungary Portugal
Japan
Cyprus Ireland Romania
New Zealand**
Czech Republic Italy Slovakia
Norway
Latvia Slovenia
Russian Federation Denmark
Lithuania Spain
SwitzerlandinctudingLiechtenstein*** Estonia
Luxembourg Sweden
Turkey GermanY
United Kingdom
United States of Americai'*'!'' Greece Malta

the designated
Full detqils of the conditions covering admission to the GSP in these countries are obtainable from
authorities in tlrc exporting preferenie-receiving countries or from the customs authorities
of the preference-giving
countries listed above. An information note is also obtainable from the UNCTAD secretariat'

il. General conditions

To qualify for preference, products must:

The description
(a) ia1 witfrin a description of products eligible for preference in the country of destination. customs officer
be sufficiently Jetailed to enable the products to be identified by the
entere6 on the form must
examir.ring them;
(b) comply *ittt tt"rules of drigin of the country of destination. Each article in a consignmenJ must qualiff
sepaiately in its own right; and,
general, products must be
(c) compll, with the consilrment conditions specified by the country of destination. In
consigled direct from the country of exportation to the of destination but most preference-giving
"gynttyto certain conditions. (For Aushalia, direct
countries accept passage through int"t-"iiut" countries subject
consignment is not necessary).

ilI. Entries to be made in Box 8

preference proclucts must either be wholly obtained in accordance with the rules of the country of destination or
sufficiently worked or processed to fulfil the requirements of that country's origin rules'
(a) pioducts wtroity obtained: for export io all countries listed in Section I, enter the letter "P" in Box 8 (for
Australia and New Zealand Box 8 may be left blank)'
(b) products sufficiently worked or processed: for export to the countries specifred below, the entry in Box 8
should be as follows:
(l) United States of America: for single country shipments, enter the letter "Y" in Box 8,
for shipments from
the or value of the
recognized associations of counties, enter ihe letter "2", followed by the sum of
cost
percentage of the ex-factory price of
domestic materials and the direct cost of processing, expressed as a
uY" 35yo ot "Z" 35o/o)'
the exported products; (example
(Z) Canada: for iroducts which meet origin criteria from working or processing in
more than one eligible
least developid country, enter letter "G" in Box 8; otherwise "F".
enter the letter
(3) The European Union,'Japan, Norway, Switzerland including Liechtenstein, and Turkey;
,,W,, in Box 8 followed by the Harmonized Commodity Description and coding system (Harmonized
System) heading at the 4-digit level of the exported product (example 'W" 96'18).
Russian Federaltion: for pioducts which include value added in the exporting
preference-receiving
(4)
co'ntry, enter the letter 'Y" in Box 8 followed by the value of imported materials and components
, expressed as a percentage of the fob price of the exported products
(example "Y" 45%o); for products
in one or more other such countries,
obtained in a preference--receiving country and worked or processed
enter "Pk",
aurO"fiu and New Zealand: completion of Box 8 is not required. It is sufficient that a declaration
be
(5)
properlY made in Box 12-

* , For Australia, the main requirement is the exporter's declaration on the normal commercial
invoice. Form A, accompanied
certification is not required'
bythe normai commerciallnvoice, is an acceptable alternative, but official
{"* Offrcial certification is not required.
*,3,r The principality of Liechtenstiin forms, pursuant to the Treaty of 29 March 1923,acustoms
union with Switzerland.
**** The United States does not require GSp Form A. A declaration setting forth all pertinent detailed information concerning
or manufacturi of the merchandise is considered sufficient only if requested by the district collector of
the production
Customs.