EXPORTER (Full name & address)	Page of ISSUED BY AUCKLAND REGIONAL CHAMBER OF COMMERCE & INDUSTRY P O Box 47, Auckland, New Zealand Level 9, 90 Symonds Street, Auckland 1010 Phone: +64-9-309-6100 Email: documents@chamber.co.nz The undersigned duly authorised by the AUCKLAND REGIONAL CHAMBER OF COMMERCE & INDUSTRY certifies on the basis of information supplied and to the best of their knowledge and belief that the goods designated below are of origin, production or manufacture. CERTIFICATE OF ORIGIN
CONSIGNEE
CARRIER	PORT OF LOADING
PORT OF DISCHARGE	FINAL DESTINATION
ETD	ETA
MARK(S) & NUMBERS ON PACKAGES	NUMBER AND TYPE OF PACKAGES & DESCRIPTION OF GOODS (Country of Origin)	QUANTITY OR WEIGHT

This certificate is based on information supplied to the Chamber of Commerce by the Consignor, and is not to be taken as amounting to a warranty or representation of fact by the Chamber of Commerce or its servants

Official Seal

FOR: AUCKLAND REGIONAL CHAMBER OF COMMERCE & INDUSTRY

DATE: