Customs Form P-8220 Certificate of materials imported from Japan
Annex to Certificate of Origin Ref. No.
CERTFICATE OF MATERIALS IMPORTED FROM JAPAN WHICH WERE USED MANUFACTURE OF THE GOODS DESCRIBED
IN CERTIFICATE OF ORIGIN (Ref. No. )
Issued in (country)
Export Goods Materials imported
from Japan
Description Quantity Description Quantity
Certification
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
Declaration by the exporter
The undersigned hereby declares that the above detailed are correct.
Place and date, signature of authorized signatory