Perintah Duti Kastam (Barang-Barang Berasal Dari Negeri-Negeri ASEAN) (Tatanama Tarif Berharmonis ASEAN dan Perjanjian Perdagangan Barangan ASEAN) (Pindaan) 2013

Berasal dari Negeri-Negeri ASEAN) (Tatanama Tarif Berharmonis ASEAN dan

Perjanjian Perdagangan Barangan ASEAN) (Pindaan) 2013.

(Tatanama Tarif Berharmonis ASEAN dan Perjanjian Perdagangan Barangan ASEAN)

2012 [P.U. (A) 277/2012] dipinda dalam Jadual Pertama—

Reference No.

ASEAN TRADE IN GOODS AGREEMENT/

ASEAN INDUSTRIAL COOPERATION SCHEME

CERTIFICATE OF ORIGIN

(Combined Declaration and Certificate)

FORM D

Issued in _____________

(Country)

See Overleaf Notes

Departure date

Vessel's name/Aircraft etc.

Port of Discharge

Preferential Treatment Given Under ASEAN

Trade in Goods Agreement

________________________________________________

Preferential Treatment Given Under ASEAN

Industrial Cooperation Scheme

________________________________________________

Preferential Treatment Not Given (Please state reason/s)

______________________________________

…………………………………...………………………………………

Signature of Authorised Signatory of the Importing

Country

Number and type of packages, description of goods (including quantity where appropriate and

Origin criterion

(see Overleaf

Notes)

where RVC is applied

The undersigned hereby declares that the above details and statement are correct; that all the goods were produced in

.............................................................

(Country)

and that they comply with the origin requirements specified for these goods in the ASEAN Trade in

Goods Agreement for the goods exported to

.............................................................

(Importing Country)

.............................................................

Place and date, signature of authorised signatory

It is hereby certified, on the basis of control carried out, that the declaration by the exporter is correct.

..............................................................................

Place and date, signature and stamp of certifying authority

□ Exhibition

□ Accumulation

□ De Minimis

□ Back-to-Back CO

□ Issued Retroactively

□ Partial Cumulation

P.U. (A) 380 4

OVERLEAF NOTES

Member States which accept this form for the purpose of preferential treatment under the ASEAN Trade in Goods Agreement (ATIGA) or the ASEAN Industrial Cooperation

(AICO) Scheme:

BRUNEI DARUSSALAM

CAMBODIA

INDONESIA

LAO PDR

MALAYSIA

MYANMAR

PHILIPPINES

SINGAPORE

THAILAND

CONDITIONS: The main conditions for admission to the preferential treatment under the ATIGA or the AICO Scheme are that goods sent to any Member States listed above must:

ORIGIN CRITERIA: For goods that meet the origin criteria, the exporter and/or producer must indicate in Box 8 of this Form, the origin criteria met, in the manner shown in the following table:

Circumstances of production or manufacture in the first country named in Box 11 of this form

Insert in Box 8

EACH ARTICLE MUST QUALIFY: It should be noted that all the goods in a consignment must qualify separately in their own right. This is of particular relevance when similar articles of different sizes or spare parts are sent.

DESCRIPTION OF PRODUCTS: The description of products must be sufficiently detailed to enable the products to be identified by the Customs Officers examining them. Name of manufacturer and any trade mark shall also be specified.

ASEAN Harmonised Tariff Nomenclature (AHTN) Code of the importing Member State.

EXPORTER: The term “Exporter” in Box 11 may include the manufacturer or the producer.

FOR OFFICIAL USE: The Customs Authority of the importing Member State must indicate (√) in the relevant boxes in column 4 whether or not preferential treatment is accorded.

MULTIPLE ITEMS: For multiple items declared in the same Form D, if preferential treatment is not granted to any of the items, this is also to be indicated accordingly in

Box 4 and the item number circled or marked appropriately in Box 5.

“the Third Country Invoicing” box should be ticked (√) and such information as name and country of the company issuing the invoice shall be indicated in Box 7.

BACK-TO-BACK CERTIFICATE OF ORIGIN: In cases of Back-to-Back CO, in accordance with Rule 11 (Back-to-back CO) of Annex 8 of the ATIGA, the “Back-to-Back CO” box should be ticked (√).

EXHIBITIONS: In cases where goods are sent from the exporting Member State for exhibition in another country and sold during or after the exhibition for importation into a Member State, in accordance with Rule 22 of Annex 8 of the ATIGA, the

“Exhibitions” box should be ticked (√) and the name and address of the exhibition indicated in Box 2.

ISSUED RETROACTIVELY: In exceptional cases, due to involuntary errors or omissions or other valid causes, the Certificate of Origin (Form D) may be issued retroactively, in accordance with paragraph 2 of Rule 10 of Annex 8 of the ATIGA, the “Issued

Retroactively” box should be ticked (√).

ACCUMULATION: In cases where goods originating in a Member State are used in another Member State as materials for finished goods, in accordance with paragraph 1

of Article 30 of the ATIGA, the “Accumulation” box should be ticked (√).

PARTIAL CUMULATION (PC): If the Regional Value Content of the material is less than forty percent (40%), the Certificate of Origin (Form D) may be issued for cumulation purposes, in accordance with paragraph 2 of Article 30 of the ATIGA, the “Partial

Cumulation” box should be ticked (√).

DE MINIMIS: If a good that does not undergo the required change in tariff classification does not exceed ten percent (10%) of the FOB value, in accordance with Article 33 of the

ATIGA, the “De Minimis” box should be ticked (√).”; dan

P.U. (A) 380 6

Reference No.

ASEAN TRADE IN GOODS AGREEMENT/

ASEAN INDUSTRIAL COOPERATION SCHEME

CERTIFICATE OF ORIGIN

(Combined Declaration and Certificate)

FORM D

Issued in _____________

(Country)

See Overleaf Notes 3.

Means of transport and route (as far as known)

Departure date

Vessel's name/Aircraft etc.

Port of Discharge

Preferential Treatment Given Under ASEAN

Trade in Goods Agreement

________________________________________________

Preferential Treatment Given Under ASEAN

Industrial Cooperation Scheme

________________________________________________

Preferential Treatment Not Given (Please state reason/s)

______________________________________

…………………………………...………………………………………

Signature of Authorised Signatory of the Importing

Country

Number and type of packages, description of goods (including quantity where appropriate and

Origin criterion

(see Overleaf

Notes)

where RVC is applied

The undersigned hereby declares that the above details and statement are correct; that all the goods were produced in

.............................................................

(Country)

and that they comply with the origin requirements specified for these goods in the ASEAN Trade in

Goods Agreement for the goods exported to

.............................................................

(Importing Country)

.............................................................

Place and date, signature of authorised signatory

It is hereby certified, on the basis of control carried out, that the declaration by the exporter is correct.

..............................................................................

Place and date, signature and stamp of certifying authority

□ Exhibition

□ Accumulation

□ De Minimis

□ Back-to-Back CO

□ Issued Retroactively

□ Partial Cumulation

P.U. (A) 380 9

OVERLEAF NOTES

Member States which accept this form for the purpose of preferential treatment under the ASEAN Trade in Goods Agreement (ATIGA) or the ASEAN Industrial Cooperation

(AICO) Scheme:

BRUNEI DARUSSALAM

CAMBODIA

INDONESIA

LAO PDR

MALAYSIA

MYANMAR

PHILIPPINES

SINGAPORE

THAILAND

CONDITIONS: The main conditions for admission to the preferential treatment under the ATIGA or the AICO Scheme are that goods sent to any Member States listed above must:

ORIGIN CRITERIA: For goods that meet the origin criteria, the exporter and/or producer must indicate in Box 8 of this Form, the origin criteria met, in the manner shown in the following table:

Circumstances of production or manufacture in the first country named in Box 11 of this form

Insert in Box 8

EACH ARTICLE MUST QUALIFY: It should be noted that all the goods in a consignment must qualify separately in their own right. This is of particular relevance when similar articles of different sizes or spare parts are sent.

DESCRIPTION OF PRODUCTS: The description of products must be sufficiently detailed to enable the products to be identified by the Customs Officers examining them. Name of manufacturer and any trade mark shall also be specified.

ASEAN Harmonised Tariff Nomenclature (AHTN) Code of the importing Member State.

EXPORTER: The term “Exporter” in Box 11 may include the manufacturer or the producer.

FOR OFFICIAL USE: The Customs Authority of the importing Member State must indicate (√) in the relevant boxes in column 4 whether or not preferential treatment is accorded.

MULTIPLE ITEMS: For multiple items declared in the same Form D, if preferential treatment is not granted to any of the items, this is also to be indicated accordingly in

Box 4 and the item number circled or marked appropriately in Box 5.

“the Third Country Invoicing” box should be ticked (√) and such information as name and country of the company issuing the invoice shall be indicated in Box 7.

BACK-TO-BACK CERTIFICATE OF ORIGIN: In cases of Back-to-Back CO, in accordance with Rule 11 (Back-to-back CO) of Annex 8 of the ATIGA, the “Back-to-Back CO” box should be ticked (√).

EXHIBITIONS: In cases where goods are sent from the exporting Member State for exhibition in another country and sold during or after the exhibition for importation into a Member State, in accordance with Rule 22 of Annex 8 of the ATIGA, the

“Exhibitions” box should be ticked (√) and the name and address of the exhibition indicated in Box 2.

ISSUED RETROACTIVELY: In exceptional cases, due to involuntary errors or omissions or other valid causes, the Certificate of Origin (Form D) may be issued retroactively, in accordance with paragraph 2 of Rule 10 of Annex 8 of the ATIGA, the “Issued

Retroactively” box should be ticked (√).

ACCUMULATION: In cases where goods originating in a Member State are used in another Member State as materials for finished goods, in accordance with paragraph 1

of Article 30 of the ATIGA, the “Accumulation” box should be ticked (√).

PARTIAL CUMULATION (PC): If the Regional Value Content of the material is less than forty percent (40%), the Certificate of Origin (Form D) may be issued for cumulation purposes, in accordance with paragraph 2 of Article 30 of the ATIGA, the “Partial

Cumulation” box should be ticked (√).

DE MINIMIS: If a good that does not undergo the required change in tariff classification does not exceed ten percent (10%) of the FOB value, in accordance with Article 33 of the

ATIGA, the “De Minimis” box should be ticked (√).”; and

P.U. (A) 380 11