I HEREBY DECLARE: a) that the goods listed here in quantities as specified below have been produced by this company/enterprise/workshop supplier;2 b) that evidence is available that the goods listed below comply with the origin criteria as specified by the Annex on the Rules of Origin for the Southern African Development Community. List Of Goods Commercial Description of Quantity Criterion Goods ................................................ (Stamp) ................................................ ................. Signature of the PRODUCER 2 Please delete the description not applicable

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