TWELFTH SCHEDULE
Paragraph 4(5)(m)
Original (Duplicate/Triplicate)
UNKNOWN
NOTES:
1.  The following countries shall use this form for the purpose of preferential tariff treatment under the Agreement on Comprehensive Economic Partnership among Member States of the Association of Southeast Asian Nations and Japan (AJCEP Agreement):
BRUNEI DARUSSALAM
CAMBODIA
INDONESIA
LAOS
MALAYSIA
MYANMAR
PHILIPPINES
SINGAPORE
THAILAND
VIETNAM
2.  CONDITIONS: To enjoy preferential tariff treatment under the AJCEP Agreement, goods exported to any of the Parties to the AJCEP Agreement should:
(i) fall within a description of goods eligible for concessions in the importing Party;
(ii) comply with the consignment conditions in accordance with Article 31 of the AJCEP Agreement; and
(iii) comply with the origin criteria in Chapter 3 of the AJCEP Agreement.
3.  ORIGIN CRITERIA: For goods that meet the origin criteria, the exporter should indicate in box 8 of this Form, the origin criteria met, in the manner shown in the following table:
Circumstances of production or manufacture in the country named in box 11 of this form:
Insert in box 8
(a) Goods satisfying subparagraph (c) of Article 24 of the AJCEP Agreement
“PE”
(b) Wholly obtained goods satisfying Article 25 of the AJCEP Agreement
“WO”
(c) Goods satisfying paragraph 1 of Article 26 of the AJCEP Agreement
“CTH” or “RVC”
(d) Goods satisfying paragraph 2 of Article 26 of the AJCEP Agreement
 
— Change in Tariff Classification
“CTC”
— Regional Value Content
“RVC”
— Specific Processes
“SP”
Also, exporters should indicate the following where applicable:
(e) Goods which comply with Article 28 of the AJCEP Agreement
“DMI”
(f) Goods which comply with Article 29 of the AJCEP Agreement
“ACU”
4.  EACH ITEM SHOULD QUALIFY: All items in a consignment should qualify separately in their own right. This is of particular relevance when similar items of different sizes are exported.
5.  DESCRIPTION OF GOODS: For each good, the HS tariff classification number of the importing Party should be indicated at the six-digit level. The description of the good on a certificate of origin should be substantially identical to the description on the invoice and, if possible, to the description under the HS for the good. With respect to subheading 2208.90 and 9404.90, in an exceptional case where the good is a specific product requiring a special description (e.g. “sake compound and cooking sake (Mirin) of subheading 2208.90”, “beverages with a basis of fruit, of an alcoholic strength by volume of less than 1% of subheading 2208.90”, “quilts and eiderdowns of 9404.90”), such description of specific products should be indicated.
6.  INVOICES: Indicate the invoice number and date for each item. The invoice should be the one issued for the importation of the good into the importing Party.
UNKNOWN