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customs import documents, including computer print-outs if approved as such,
national port documents and other documents issued by an official entity,
declaration by the captain or the transport company,
other forms of receipt provided by the importer.
It is hereby certified that … (description of goods, quantity and packaging identification) have been unloaded … (place of unloading/name of the town) on … (date of unloading).
It is certified in addition that the product has left the place of unloading or at least that, to its knowledge, the product has not subsequently been loaded for re-exportation.
The certificate is issued on the basis of the following documents:
(list of the documents presented which give the basis for the agency issuing the certificate)
Date and place of signature, signature and stamp of official agency