Annex no.

2
the Regulation

The certificate of origin Form A

1. Goods consigned from (exporter's business Reference No

name
2. Goods consigned to (consignee's name) GENERALIZED SYSTEM PREFERENCES
address, country CERTIFICATE OF ORIGIN
(Cimbuned declaration and certificate)
FORM A

Issued in ______________________________
(country)

See notes overleaf

3. Means of transport and route (as far as known) 4. For official use

5.Item6.Marks7.Number and kind of 8. Origin 9

number and packages; description of goods criterion (see or other quantity and date of
numbers notes overleaf invoices
of
packages

11. Certification 12. Declaration by the exporter

It is herbz certified, based on control. The undersigned, declare that the above details
carried out, that the declaration by the exporter is and statements are correct; that all the goods were
correct.
produced in ______________________________
country

and that they comply with the origin requirements

specified for those goods in the generalized
system of preferences for goods exported to

(importing country)

_________________________________________
Place and date, signature and stamp of authorized signatory
Place and date, signature and stamp of certifying authority

Certificate of Origin Form A

(verse)
 NOTES (2005)

I. Countries which accept Form A for the purposes of the generalized system of
preferences (GSP):

Australia European Union

Canada Austria Germany Malta
Japan Belgium Greece Netherlands
New Zealand Cyprus Hungary Poland
Norway Czech Republic Ireland Portugal
Switzerland Denmark Italy Slovakia
Turkey Estonia Latvia Slovenia
Republic of Belarus Finland Lithuania Spain
Republic of Bulgaria France Luxembourg Sweden
Russian Federation United States of
Kingdom America *** United

Full details of the conditions covering admission to the GSP in these countries are obtainable
from the designated authorities in the exporting preference-receiving countries or from the customs
authorities of the preference-giving countries listed above. An information note is also obtainable from
the UNCTAD secretariat.

II. General conditions

To qualify for preference, products must:
(a) fall within a description of products eligible for preference in the country of destination.
description entered on the form must be sufficiently detailed to enable the products to be identified by
the customs officer examining them;
(b) comply with the rules of origin of the country of destination. Each article in a consignment
must qualify separately in its own right; and,
(c) comply with the consignment conditions specified by the country of destination. In general,
products must be consigned direct from the country of exportation to the country of destination but
Most preference-giving countries accept passage through intermediate countries subject to certain conditions.
conditions. (For Australia, direct consignment is not necessary.)

III. Entries to be made in Box 8

Preference products must either be wholly obtained in accordance with the rules of the country.
of destination or sufficiently worked or processed to fulfill the requirements of that country's origin
rules.
(a) Products wholly obtained: for export to all countries listed in Section I, enter the letter 'P' in
Box 8 (for Australia and New Zealand Box 8 may be left blank).
(b) Products sufficiently worked or processed: for export to the countries specified below, the
entry in Box 8 should be as follows:
United States of America: for single country shipments, enter the letter 'Y' in Box 8, for
shipments from recognized associations of countries, enter the letter 'Z', followed by the sum of the
cost or value of the domestic materials and the direct cost of processing, expressed as a percentage of
the ex-factory price of the exported products; (example 'Y' 35% or 'Z' 35%).
Canada: for products which meet origin criteria from working or processing in more than one
If eligible as a least developed country, enter letter 'G' in Box 8; otherwise 'F'.
(3) Japan, Norway, Switzerland and the European Union: enter the letter "W" in Box 8 followed
by the Harmonized Commodity Description and Coding System (Harmonized System) heading at the 4-
digit level of the exported product (example "W" 96.18).
Bulgaria and the Russian Federation: for products which include value added in the
exporting preference-receiving country, enter the letter 'Y' in Box 8 followed by the value of imported
materials and components expressed as a percentage of the fob price of the exported products (example
Y 45%); for products obtained in a preference-receiving country and worked or processed in one or
more other such countries, enter "Pk".
Australia and New Zealand: completion of Box 8 is not required. It is sufficient that a
Declaration be properly made in Box 12.
___________________
For Australia, the main requirement is the exporter's declaration on the normal commercial
 invoice. Form A, accompanied by the normal commercial invoice, is an acceptable alternative, but
official certification is not required.
Official certification is not required.
The United States does not require GSP Form A. A declaration setting forth all pertinent
Detailed information concerning the production or manufacture of the merchandise is considered.
sufficient only if requested by the district collector of Customs.

Annex no. 3
the Regulation

Customs authorities empowered with authentication and issuing of circulation certificates

of goods EUR.1 and certificates of origin of goods Form A:

Chişinău Customs Office 5. Leuşeni Customs Office

2. Central Customs Office 6. Bender Customs Office
3. Cahul Customs Office 7. Ungheni Customs Office
4. Bălţi Customs Office 8. Briceni Customs Office

Annex no. 4
the Regulation

APPLICATION - DECLARATION
for the release of the certificate _______________________
!!! fill in with printed letters !!!
(after the incident, of the circulation of goods EUR.1, or of the origin of goods Form A)

Exporter: Tax code _____________________________

The name complete Prefix poştal______
Telefon
Address completeă
______________________________________________________________________________

2. Recipient of the goods:

The name completeă Prefix poştal______
Phone
Address completeă
______________________________________________________________________________

3. The number the contract data

4. The number and data invoice the export

5. Type of means of transport__________________________ Număregistration rule

6. WE REQUEST THE CUSTOMS OFFICE___________________THE ISSUANCE OF THE CERTIFICATE OF

ORIGIN for the following goods:

Name The producer

of goods of a in Ambala l of gross for merchandise code Name
goods measure units of j places o 1 (USD) l , address,
measure /net unit fiscal telephone
of fax
measure
ă
(USD)
 7. Annex (documents that confirm the origin of the goods):

8. The payment of the fee for customs procedures is made in accordance with the legislation.

Hereby we declare that all the data mentioned above is authentic and we take responsibility.
responsibility
full for the authenticity of the presented documents and the data indicated in them

_____________200_ The leader Chief Accountant _________________

_ L.Ş. name
nameătura)

9. The authenticated certificate of origin has been issued: No. _____________ date ___________, Authority
vamal ability, the customs collaborator authorized with authenticationşand the release:

__________________________________________________________________ (p.9 is filled in

of the customs authority
(the name of the customs authority, first name, last name, signature, personal stamp)

10. The exporter or their legal representative to whom it has been issued (made available.ţthe original
of the certificate of origin authenticate

name

Annex no. 5
the Regulation

Conditions for the completion and authentication of EUR.1 goods movement certificates.
For the authentication and issuance of the EUR.1 goods movement certificate, the goods
must
a) Certificate obtained entirely in the Republic of Moldova in accordance with the provisions of the Regulation.
(CEE) of Commission No. 2454/1993 of July 2, 1993 concerning provisions for the application of the regulation
(CEE) no. 2913/92 of the Council establishing the Community Customs Code. Description of the goods in
the certificate form must be detailed enough to allow identification
goods by customs collaborators through their examination;
b) Safie obtained in the Republic of Moldova, using products other than those provided for
lit. (a), provided that the respective goods undergo sufficient processing or transformations, according to
the requirements of Regulation (EEC) No. 2454/1993 of the Commission of July 2, 1993 regarding provisions
of applying Regulation (EEC) No. 2913/92 of the Council establishing the Customs Code
Community. Each item in a batch of shipped goods must meet all the conditions.
separate and self-sufficient.
Exporter (Name, full address, country)
(complete, country) - the name, full address, and country of residence of the exporter are entered.
The name of the exporter must be identical to the name indicated in the contract and/or invoice.
of the expedition and to correspond to the name indicated in the founding documents of the economic agent
exporter. The abbreviated indication of the exporting company's name is allowed if
it is stated in its statute.
Certificate used in preferential trade between
preferential trade between" - it is indicated on the first line drawn, above the word "and"
the phrase 'Republic of Moldova' (Republica Moldova), and on the second underlined line, below the word
and
goods or the phrase "EUROPEAN COMMUNITY" (European Community).
Consignee (Name, full address, country) (Optional): Recipient
(Name, full address, country) - the name, complete address, and country of residence are to be entered.
The name of the recipient of the goods must match exactly the name
indicate in the contract and/or the shipping invoice.
Heading 4 - 'Country, group of countries or territory in which the products are considered'
as originating”: “The country, the group of holdings or the territory from which they are considered to be originating
the phrase 'Republic of Moldova' (Republica Moldova) is included.
Country, group of countries or territory of destination
on the destination territory" - the phrase that expresses the official name in the language
destination clearance of goods.
Transport details (Optional): Information regarding transport
mention the specific type of transport for the goods and the route (to the extent that it is
for example, "By Air" (Aviation), "By Truck" (Road), "By Rail" (Railway), "By Sea"
(Maritime). The goods will be transported by a third country, mentions are made as follows
By Truck from Chisinau to Sofia via Bucharest.
Official remarks are recorded, for example: 'ISSUED'
"RETROSPECTIVELY" (released "a posteriori"), or "DUPLICATE" (duplicated) with indication
the date of the original certificate number.
Rubric 8 - 'Item number; Marks and numbers; Number and kind of packages;'
Order number, markings and numbers; the number and type of packages;
Description of goods - indicates the serial number of the delivered goods, the marking, and if applicable
the numbering of goods, the number of places, the type of packaging, as well as the description of the goods,
detailed enough to identify the goods for which the certificate is issued.
Rubric 9 – "Gross mass (kg) or other measure (litres, m3gross weight (kg) or other
unit of measurement (liters, m3etc.) - the gross weight is indicated in kilograms or tons, or the quantity
otherwise expressed according to the parameters (units of measurement) of the quantity of goods, according to
Harmonized System for the Description and Coding of Goods.
Invoices (Optional):
The invoice date of the shipment cannot be later than the date of issuance.
of the certificate.
Item 11 - 'Customs endorsement': 'Customs authentication' - to be filled manually,
following the inspection carried out by the customs officer authorized to authenticate the certificate
of the goods circulation EUR.1, certifying that the declaration of the origin of the goods made by
to the exporter is correct. At the top of the section, refers to data regarding
the export document. It is indicated next to the word "Form" (Type) the phrase "Customs"
declaration (Customs Declaration). In the right of the word 'No' (Nr), the number will be indicated
export customs declaration, if it is known. Next to the phrase 'Customs
"office" (Customs Office) will indicate the name of the customs office that issues the certificate of
circulation of goods EUR.1; for example: 'Chiș inău', and next to the phrase 'Issuing country'
or territory” (Country or territory of liberation) will indicate the phrase “Republic of Moldova”
(Republic of Moldova). At the bottom of the section, next to the phrase 'Date', the date is indicated.
authentications and issuance of the EUR.1 goods circulation certificate by the collaborator
Customs; for example, '01.03.2008', with the application of the handwritten signature of the customs collaborator
the authorization and the original stamp of the authorized customs office, intended for certifying the origin
goods, in the places specified in the section for this.
 Rubric 12 – "Declaration by the exporter": "Exporter’s declaration" – to be completed
in the following way:
By the handwritten signature of the leader or the authorized representative
the exporter and the application of the original stamp of the enterprise in the places specified in the designated section
for this, the exporter declares that all the data and statements in the certificate are complete,
You certify that you have completed in good faith, that all goods were produced in the Republic of Moldova.
and when the specific origin requirements for these goods in the Regulation (EEC) are fulfilled
Commission No. 2454/1993 of July 2, 1993, regarding the implementing provisions of the regulation (EEC)
No. 2913/92 of the Council establishing the Community Customs Code.
REQUEST FOR VERIFICATION
"to" - is completed during the control carried out by the customs authorities upon import of
EUR.1 movement certificates, in cases where there are indicators that raise doubts.
regarding the authenticity and correctness of issuing the certificate. Filling in the section
respective is manually operated by the authorized customs officer responsible for import control of origin
of goods. At the top of the section, the name in English of the customs office is indicated.
the EUR.1 circulation certificate has been issued and verified, which must correspond to the name
the customs office indicated in section 11 of the certificate. At the bottom of the section, in the specially designated places
provided - 'Place and date' will indicate the place and date of establishing the need for
initiation of the certificate verification procedure: for example, 'Chisinau, 15.02.2008', with
the application in the respective places of the handwritten signature of the authorized customs collaborator and
the original stamp of the authorized customs office, intended for certifying the origin of the goods.
Rubric 14 - 'RESULT OF VERIFICATION': 'RESULT OF VERIFICATION' - it
complete the customs office that performs the post-control procedure of the certificate of
EUR.1 circulation. In case of confirmation of the origin of goods certified following the procedure of
check, if you will mark with 'X' the box located next to the phrase 'Was issued by the customs
office indicated and that the information contained therein is accurate
demonstrates that the respective certificate was issued by the indicated customs office and that the information
contained in this is true) or, as the case may be, the square located in front of the phrase "Does not
meet the requirements as to authenticity and accuracy (see remarks appended)" (Verification
it has been demonstrated that the respective certificate does not meet the requirements regarding authenticity
and correctness (see the attached remarks). At the bottom of the section, in the specially designated places
"Place and date" will indicate the place and date of establishing the correctness or
incorrectness of the issuance of the EUR.1 goods circulation certificate: for example, “Chiș inău,
February 15, 2008, with the application of the handwritten signature of the customs officer in the respective places
Authorized representatives of the original stamp intended for certifying the origin of goods at the customs office.
he carried out the certificate verification procedure.
Completion of application forms for the goods circulation certificate
EUR.1 – sections 1-10 of the applications for the certificate of origin of goods
EUR-1 will contain information identical to that indicated in boxes 1-10 of the forms.
European Union goods movement certificates EUR.1.
Completion of the reverse side of the application forms for the circulation certificate of
goods EUR.1 – DECLARATION BY THE EXPORTER
EXPORTER" - is filled out in English by the applicant for the certificate of
circulation of goods EUR.1, indicating under the phrase 'SPECIFY as follows the
circumstances which have enabled these goods to meet the above conditions: "(SPECIFIC after
as the circumstances that allowed these goods to meet the mentioned conditions
below”) the circumstances under which the goods for which the certificate is requested were produced.
circulation of goods EUR.1, which justifies compliance with the rules of origin of goods:
for example, "The apple juice (HS 2009) was manufactured from fresh apples (HS 0808) of
Moldovan origin, proved by official documents; during the manufacturing of the apple juice were not
used materials from HS 17” (Apple juice (tariff position 2009) was made from apples
fresh (tariff position 0808) of Moldovan origin, demonstrated by official documents; at
the production of apple juice did not use products from tariff chapter 17). Under the phrase
SUBMIT the following supporting documents
The type, number and date of the documents that justify the origin will be indicated.
preferential treatment of goods for which the EUR.1 goods circulation certificate is requested:
example, "invoice no.30 from 22.02.2008, manufacturer’s declaration no.25 from 21.07.2008:"
(commercial invoice no. 30 from 22.02.2008, manufacturer’s declaration no. 25 from 21.02.2008,:). In
the specially provided places - 'Place and date' (Locul ș i data) will indicate the place and date of completion
exporter's declaration: for example, “Chisinau, 22.02.2008”, applying in the places
respective to the handwritten signature of the head of the exporting company and the application
the original stamp of the exporter (in the case of an individual, the stamp is not mandatory).

Annex No. 6
the Regulation

Conditions for the completion and authentication of certificates of origin for goods Form A
For the authentication of the certificate of origin of the goods Form A and its issuance in
Under the framework of the Generalized System of Preferences, the goods must:
a) Safeguard obtained entirely in the Republic of Moldova according to the requirements of regulatory acts
applicable to the preferential regime. Description of the goods, in the certificate of origin form,
it must be detailed enough to allow for the identification of the goods by
customs collaborators through their examination;
b) Safie obtained in the Republic of Moldova, using products other than those provided for
lit. (a), provided that the respective goods undergo sufficient processing or transformation, according to
the requirements of the applicable normative acts for the preferential regime. Each article from a batch of
The dispatched goods must meet all conditions separately and independently.
Section 1 – 'Goods consigned from (exporter’s business name, address, country)':
"Goods shipped by (name, complete address, country)" - the name, address is entered.
full address of the exporter. The name of the exporter must be identical to
the name indicated in the contract and/or the shipping invoice should match the name indicated in
the founding documents of the exporting economic agent. The abbreviated indication is allowed.
the name of the exporting enterprise, if it is indicated in its statute.
Goods consigned to (consignee’s name, address, country):
expedite to (Recipient's name, full address, country) - the name, address is indicated
full address of the recipient of the goods. The name of the recipient must be
matches exactly the names indicated in the contract and/or the shipping invoice.
Means of transport and route (as far as known): "The means of transport and
route (as far as it is known) - the specific type of means of transport is mentioned
goods and route (as far as known), for example 'By Air', 'By Truck', 'By Rail'
"By Sea". The goods will be transported by a third-party carrier, as mentioned in the following way:
By Truck from Chişinău to Istanbul via Bucharest
Bucharest.
Rubric 4 - 'For official use': 'For official use' - notes are entered, for example:
"ISSUED RETROSPECTIVELY" (issued "a posteriori"), or "DUPLICATE" (duplicate) with
indication of the date and the number of the original certificate.
In the case of issuing certificates of origin for goods, Form A for the goods, at
the production of which used products originating from the state for which it is provided
the possibility of accumulation, the respective phrase provided by the act will be entered in section 4
normative that regulate the preferential trade regime.
Order number
delivered goods.
Section 6 - 'Marks and numbers of packages': 'Marking and the number of packages' - is
indicate the marking and the number of packages, as applicable, and the numbering of goods.
 Rubric 7 - 'Number and kind of packages; description of goods': 'Number of places'
type of packaging
to identify the goods for which the certificate is issued, and when box 8 will
complete with the letter 'P', the first 4 symbols of the tariff position of the goods will be indicated according to
The Harmonized System for the Description and Coding of Goods. The code (tariff position) of the goods and
her name must correspond to the respective codes and descriptions in the Harmonized System
of Description and Coding of Goods, contract and shipping invoice.
Origin criterion (see notes overleaf):
(verse) - the completion of section 8 must correspond to the requirements and notes on the side
back of the certificate of origin Form A. The criterion of origin of the goods must be indicated
for each product mentioned in column 7.
The goods for which the certificate of origin is issued must be obtained entirely or
subject to sufficient processing in the Republic of Moldova, with the completion of section 8 according to
applicable normative acts of the preferential regime.
Gross weight or other quantity
expressed" - indicates the gross mass in kilograms or tons, or the quantity otherwise expressed according to
parameters (units of measurement) of the quantity of goods, according to the Harmonized System of
Description of Goods Coding.
Item 10 - "Number and date of invoices": "The number and date of invoices" - is indicated
the numbers and dates of the shipping invoices. The date of the shipping invoice cannot be
subsequent to the date of issue of the certificate.
Rubric 11 - "Certification": "To certify" - it is certified by the customs collaborator, on
based on the control carried out, the declaration of the origin of the goods made by the exporter is
Correct. At the top of the section, the name of the authorized customs office is indicated in English.
with the certification of the origin of the goods, and at the bottom the place and date of authentication and release are indicated.
of the certificate, with the application of the handwritten signature of the authorized customs collaborator and the stamp
in the original of the competent customs office, intended for the certification of the origin of goods in the places listed
provided for this.
Rubric 12 - 'Declaration by the exporter': 'The exporter's declaration' - is completed
as follows:
By the handwritten signature of the leader or the authorized representative
the exporter and the application of the original company stamp in the places indicated in the specified fields
for this, the exporter declares that all the data and statements in the certificate are complete,
You certify in good faith that all goods were produced in the Republic of Moldova.
and when I meet the specified origin requirements for these goods in the normative acts
applicable to the preferential regime. At the bottom of the section, the place and date of completion will be indicated.
the completion of the certificate of origin by the exporter. At the top of the section, it indicates
the name in English of the country of origin of the goods - "Republic of Moldova"
Moldova). At the bottom of the section, the exporter indicates the name in English of the country.
import (the recipient of the goods).
Each certificate of origin for goods Form A is assigned an individual number.
The upper right part of the certificate mentions the name in English of the country of origin.
of goods – "Republic of Moldova".

Annex No. 7
the Regulation

Procedure for post-control of EUR.1 goods circulation certificates.

and certificates of origin of goods Form A and administrative cooperation
The customs authorities of the Republic of Moldova carry out post-control of certificates.
preferential origin certificates issued for goods exported from the Republic of Moldova within
preferential trade regimes in the European Union countries and the countries that grant the System
Generalized Preferences, in accordance with the procedures established by the (EEC) Regulation
Commission No. 2454/1993 of July 2, 1993 regarding provisions for the application of regulation (EEC)
No. 2913/92 of the Council establishing the Community Customs Code, other applicable legislative acts
asymmetrical preferential trade regimes and this Regulation.
The posterior control of the certificates of origin is carried out at the request of the authorities.
also from the member states of the European Union and countries that grant the Generalized System of
Preferences, in case there are grounds to consider that the data from the certificates are not truthful or
in order to carry out selective control.
The customs authorities carry out the subsequent control of certificates based on a written request from
of the customs authority of the countries mentioned in point 2, in which we indicate the reasons for the request to initiate
post-control procedures of the certificates.
4. To support the request for verification, the competent customs authorities (from the states
the applicant will transmit any information obtained that suggests the data in the certificate of
origin (object of verification) are not authentic or truthful.
5. For the purpose of carrying out post-control, the customs authorities of the requesting states will
return the certificates of origin and invoices if they have been submitted or possibly the copies
to them.
The subsequent control is arranged by the Customs Service and is carried out by the customs authorities.
competencies that authenticated and issued the corresponding certificate of origin.
7. For the purpose of conducting post-control, the authorized customs authority has the right to
take all necessary measures to verify the authenticity of the certificates, accuracy
information regarding the true origin of the goods in question and the fulfillment of other requirements. In
for this purpose, customs offices have the right to request any supporting documents and evidence, to
carry out any control of the accounting operations of the exporter or any other control that
it is considered necessary.
8. The results of the post-control are communicated to the customs authority of the requesting state.
to the most restricted term, but no more than the term set by the normative acts mentioned at
pct.1, which begins from the date of receipt of the properly drafted written request.
9. The results of the subsequent control are communicated in the form of documents, reports, and others.
act that must allow to determine whether the certificate in question refers to the goods
exported by fraudsters if this goods can be considered as originating from the Republic
Moldova in accordance with the origin criteria established in the normative acts mentioned in point 1.
10. In the case when the certificate was issued for a batch of goods produced using
the production covered by another certificate of preferential origin of the goods, then to the results
a copy of the certificate covering the used goods must also be attached to the verification.
11. In the event that as a result of the checks performed or based on the existing information
indicates irregularities in the certification system of goods' origin, customs authorities of the Republic
Moldova (ex officio or at the request of the requesting states) carries out urgent investigations in
the detection and removal of irregularities. The investigation may involve, if necessary,
representatives of the competent authorities from the member states of the European Union or states that
grants the Republic of Moldova the Generalized System of Preferences.