LE DUONGCASHEW
SAMPLE — NOT ISSUED
Related certificate service: Certificate of Origin Form A / B
Origin Information Statement (Form A / B Reference) — Le Duong Internal Form
Order and product information
- Form reference
- Completed after order review
- Issue date
- Completed after order review
- Buyer / consignee
- Completed after order review
- Contract / PI reference
- Completed after order review
- Product / grade
- Completed after order review
- Lot / batch
- Completed after order review
- Quantity
- Completed after order review
- Country of origin
- Completed after order review
Service-specific information
- Exporter
- Completed after order review
- Consignee
- Completed after order review
- Means of transport and route
- Completed after order review
- Marks and package numbers
- Completed after order review
- Package count and type
- Completed after order review
- Goods description
- Completed after order review
- Origin criterion
- Completed after order review
- Gross weight / quantity
- Completed after order review
- Invoice number and date
- Completed after order review
- Le Duong origin declaration
- Completed after order review
Review and release
- Prepared by
- Completed after order review
- Reviewed by
- Completed after order review
- Approved by
- Completed after order review
- Release status
- Completed after order review