Combined Certificate of Value and of Origin and Invoice of Goods (Exportation to Nigeria)

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Combined Certificate of Value and of Origin and Invoice
Goods
OF
Exportation to
NIGERIA
Place and D
supplied
* state here
* Invoice of
General nature
by
Of class of
goods
to:
to be shipped per: VESSEL
Invoice Number:
Country of
Marks and
Quantity and description of goods
Selling price to purchaser
Origin
numbers
@(US$) Amount ( US$)
on packages
FOB VALUE:
SEA FREIGHT:
FORM M NUMBER:
PORT OF LOADING:
PORT OF DESTINATION:
T
SHIPMENT IDENTIFICATION:
DATE OF SHIPMENT:
B/L NO.:
VESSEL& VOYAGE:
COUNTRY OF ORIGIN:
COUNTRY OF SUPPLY:
I declare that Importer and the Exporter of these goods
*are/are not associated firms as defined in Federal Government
notice no 1467 of 1958
Signature________________________
Delete and initial as applicable
Combined Certificate of Value and of Origin and Invoice
Goods
OF
Exportation to
NIGERIA
Place and D
supplied
* state here
* Invoice of
General nature
by
Of class of
goods
to:
to be shipped per: VESSEL
Invoice Number:
Country of
Marks and
Quantity and description of goods
Selling price to purchaser
Origin
numbers
@(US$) Amount ( US$)
on packages
FOB VALUE:
SEA FREIGHT:
FORM M NUMBER:
PORT OF LOADING:
PORT OF DESTINATION:
T
SHIPMENT IDENTIFICATION:
DATE OF SHIPMENT:
B/L NO.:
VESSEL& VOYAGE:
COUNTRY OF ORIGIN:
COUNTRY OF SUPPLY:
I declare that Importer and the Exporter of these goods
*are/are not associated firms as defined in Federal Government
notice no 1467 of 1958
Signature________________________
Delete and initial as applicable
IN ACCORDANCE WITH NIGERIAN GOVERNMENT NOTICE 1989 OF 1970
FORM C16
NIGERIA
Combined Certificate of Value and of Origin and Invoice of Goods for
Exportation to Nigeria
CERTIFICATE OF VALUE
I,
Of .
*Manufacture/Suppliers/Exporters of the goods enumerated in this invoice amounting to
hereby declare that I have the authority to make and sign this certificate on behalf of the aforesaid
*Manufacture/Suppliers/Exporters and that I have the means of knowing and I do hereby certify as follows:
(1) That this invoice is in all respect correct and contains a true and full statement of the price actually paid or to
be paid for the said goods, and the actual quantity thereof.
(2) That no different invoice of the goods mentioned in the said invoice has been or will be furnished to anyone.
(3) That no arrangement or understanding affecting the Purchase price of the said goods has been or will be made
or entered into between the said exporter and purchaser or by anyone on behalf of them either by way of
discount, rebate, compensation or in any manner whatever other than as fully shown on this invoice.
Date at
this _
________day of ___
(Signature) _____________________________________(Signature of
witness)_____________________________
Note: The person making the declaration should be a principal or a Manager, Chief Clerk, Secretary or responsible
employee.
*Delete the inapplicable
CERTIFICATE OF ORIGIN
I,
of .
*Manufacture/Suppliers/Exporters of the goods enumerated
in this invoice hereby declare that I have the
authority to make and sign this certificate on behalf of the aforesaid *Manufacture/Suppliers/Exporters and that I
have the means of knowing and I do hereby certify as follows:
(1) That all the goods mentioned in this invoice have been either wholly produced or manufactured in
(2) That all the goods mentioned in this invoice have been either wholly or partial produced or
manufactured in
(3) That as regards those goods only partially produced or manufactured.
(a) the final process or processes of manufacture have been performed in
___________
______
____
(b) the expenditure in material produced and/or labour performed in_____________ calculated
subject to qualification hereunder, in the case of all such goods is not less than 25 per cent of
the factory or works costs of all such goods in their finished state.*see note below.
(4) That in the calculation of such proportion of material produced and /or labour performed none of
the following items has been included or considered.
Manufacture’s profit, or remuneration of an trader, agent, broker or other person dealing in the
goods in their finished condition, royalties, cost of outside package, or any cost of packing the
goods there-into, any cost of conveying, insuring, or shipping the goods subsequent to their
manufacture.
Dated at__
this
day of
(Signature)______________________
(Signature of witness)
___________________________________
Note:
(1) The person making the declaration should be a principal or a manager,
Chief Clerk, Secretary or
responsible employee.
(2) The place or country of origin of imports is that in which the goods were produced or manufactured
and, in the case of partly manufacture goods, the place or country in which any final operation, has
altered to any appreciable extent the character, composition and value of goods imported to the country
(3) in the case of goods which have at some stage entered into commerce of, or undergone a process
of manufacture in a foreign country, only that labour and material which are expected on or added
to the goods after their return to the exporting territory shall be regarded as the produce or
manufacture of the territory in ca
(4) Calculating the proportion of labour and material in the factory or works cost of the finished
article.
(5) *Delete the inapplicable
Enumerate the following charges and state whether each amount has
Amount in
State if included in
been Include in or excluded from the above selling price to purchaser
currency of
above selling price to
Exporting
purchaser
country
(1) Cartage to rail and/or docks………………………………………..
(2)
t(rail or canal)and other charges to the dock area, including
Inland freigh
inland insurance
(3) Labour in packing the goods into outside packages………………….
(4) Value of outside packages…………………………………………..
(5) If the goods are subject to any charge by way of royalties……………
(6) OCEAN FREIGHT……………………………………………………
(7) OCEANINSURANCE……………………………………………………
(8) Commission, establishment and other charges of a like nature…………..
(9) Other costs, cost, dues, charges and expenses incidental to the delivery
of articles

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