[See rule 15(1)]

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..... GIN 1. Product consigned from (Exporters‟ Business Name, Address, Country) Reference No. Duty Free Tariff Preference Scheme by India for Least Developed Countries (Combined declaration and certificate) Issued in . (Country) (See notes overleaf) 2. Product consigned to (Consignee‟s .....

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..... e produced in (Country) and that they comply with the origin requirements specified for those products in Duty Free Tariff Preference Scheme by India for Least Developed Countries (Importing Country) Place and date, name and signature of the authorised signatory 12. Certificate: It is hereby .....

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..... d - enter the letter A in box 8. 3. For products not wholly produced or obtained - (i) enter the letter B in box 8 for products, which meet the origin criteria according to rule 5 of the aforesaid rules. Entry of letter B shall be followed by the percentage of local value added content, as calculated under clause (a) or clause (b) of sub-rule (2) of rule 5 of the said rules: [ ex .....

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