Seller / Exporter

Date

Invoice no

Buyer /  Importer

Vessel & voyage

Port of Discharge

Port of Loading

Country of Origin

Container No

Agents Seal no

Letter of Credit no

Letter of Credit Expiry

Marks & numbers
Number of Units
Description
Weight kgs/mt
Measurement cbm

Comments: We hereby certify that goods are of ................................... origin

Yours faithfully

Signature ................................................................

Name:*

Company

Email:*