C16

IN ACCORDANCE WITH NIGERIAN GOVERNMENT NOTICE 1989 OF 1970

NIGERIA
Combined Certificate of Value and Origin and Invoice of Goods for
Exportation to Nigeria
CERTIFICATE OF VALUE
I, .............................................................................
................................................................................
...........
of .............................................................................
................................................................................
......................
*Manufacturers/Suppliers/Exporters of the goods enumerated in this invoice amoun
ting to .........................................
................................................................................
................................................................................
........................................
hereby declare that I have the authority to make'and sign this certificate on be
hall of the aloresaid *Manufacturers/
Suppliers/Exporters and that I have the means of knowing and I do hereby certify
as lollows:
(1) That this invoice is in ali respects correct and contains a true and full st
atement 01the price actually paid or
to be paid for the said goods, and the actual quantity thereof.
(2)
That no different invoice of the goods mentioned in the said invoice has been or
will be furnished to anyone.
(3) That no arrangement or understanding affecting the purchase price of the sai
d goods has been or will be
made or entered into between the said exporter and purchaser or by anyone on beh
alf 01either 01them either by
way 01 discount, rebate, compensation or in any manner whatever other than as lu
lly shown on this invoice.
CERTIFICATE OF ORIGIN
(1)
That ali the goods mentioned in this invoice have been wholly produced or manula
ctured in .................................
................................................................................
................................................................................
.......................
(2)
That ali goods mentioned in this invoice have been either wholly or partially pr
oduced or manulactured in
................................................................................

................................................................................
.......................
(3)
That as regards those goods only partially produced or manulactured,
(a)
the linal process or processes 01 manulacture have been performed in ...........
................................................
(b) the expenditure in material produced andlor labour performed in calculated
subject to qualilications hereunder, in the case 01ali such goods is not less th
an 25 per cent 01the lactory or works
costs 01ali such goods in their linished state. *See note below.
(4) That in the calculation 01such proportion 01material produced and/or labour
performed none 01the lollowing
items has been included or considered:Manulacturer's
prolit, or remuneration of any trader, agent, broker or other person dealing in
the goods in their
linished condition; royalties; cost 01outside packages, or any cost 01packing th
e goods thereinto; any cost 01
conveying, insuring, or shipping the goods subsequent to their manulacture.
....................
Dated at..
this.. ...day 01 ......
(Signature)
..(Signature of Witness)..................................................
Note: (1)
The person making the declaration should be the principal or a manager, chiel cl
erk, secretary, or
responsible employee.
(2)
The piace or country 01origin 01imports is that in which the goods were produced
or manulactured and,
in the case 01 partly manulactured goods, the piace or country in which any lina
l operation, has altered
to any appreciable extent the character, composition and value 01goods imported
into that country.
(3)
In the case 01goods which have at some stage entered into the commerce 01,or und
ergone a process
01 manulacture in a loreign country, only that labour and material which are exp
ected in or added to the
goods after their return to the exporting territory shall be regarded as the pro
duce or manulacture of the
territory in calculating the proportion of labour and material in the factory or
works cost 01the
linished article.
(4) *Delete
the inapplicable
Enumerate the lollowing charges and state whether each
included in or excluded Irom the above selling price tamount has been
o purchaser:Amount

in currency
exporting country
01 State il included in above
selling price to purchaser
(1) Cartage to rai! and/or docks
(2) Inland Ireight (rai! or canal) and other charges
insurance
to the dock area, including inland
(3) Labour in packing the goods into outside packages
(4) Value 01 outside packages
(5) Il the goods are subject to any charge by way of royalties
(6) OCEAN FREIGHT
(7) OCEAN INSURANCE ...
(8) Commission, establishment and other charges 01 a like nature ...
(9) Other costs, dues, charges and expenses incidental to the delivery of the ar
ticles
State lull particulars 01 Royalties below:
Form No.441D
TATEFREIGHTFORMSWaybillHouse,lFitzhamonCourl,WolvertonMill'MillonKeynes.MK126BA

Invoice No. ....................................................

Piace and Dale..................................................................
................................................
'State here *1NVOICE of .supplied
generai nature
or class 01
goods. by of....................................................................
.....................................
Io 0f...........................................................................
..............................
lo be shipped per : ....
Order No. ......................................................
Marks and Selling Price lo Purchaser
Counlry of
numbers on QUANTITY AND DESCRIPTION OF GOODS
Origin @ Amounl
packages