African Growth and Opportunity Act
Application for a Visa
1. |
Exporter Name & Address |
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2. |
Producer Name & Address |
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3. |
Importer Name & Address |
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6. |
US/African Fabric Producer Name & Address |
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4. |
Description of Article |
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7. |
US/African yarn Producer Name & Address |
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8. |
US Thread Producer Name & Address |
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9. |
Name of Handloomed, Handmade or Folklore Article |
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10. |
Name of Preference Group H Fabric or Yarn: |
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Preference Groups:
For Visa – For Certificate of Origin:
1. A: |
Apparel assembled from US-formed and cut fabric from US yarn [19 CFR 10.213 (a)(1)]. |
2. B: |
Apparel assembled and further processed from US-formed and cut fabric from US yarn [19 CFR 10.213 (a)(2)]. |
3. C: |
Apparel cut and assembled from US-fabric from US yarn and thread [19 CFR 10.213 (a)(3)]. |
4. D: |
Apparel assembled from regional fabric from yarn originating in the US or one or more beneficiary countries [19 CFR 10.213 (a)(4)]. |
5. E: |
Apparel assembled in one or lesser developed beneficiary countries [19 CFR 10.213 (a) (5)]. |
6. F: |
Sweaters knit to shape in chief weight or cashmere [19 CFR 10.213 (a)(6).] |
7. G: |
Sweaters knit to shape with 50 per cent or more by weight or fine [19 CFR 10.213 (a)(7)]. |
8. H: |
Apparel cut and assembled in one or more beneficiary countries from fabrics or yarn not formed in the United States or a beneficiary country (as identified in NAFTA) or designated as not available in commercial quantities in the Unite States [19 CFR 10.213 (a)(8) or (a)(9)]. |
9. I: |
Handloomed, handmade or folklore articles [19 CFR 10.213 (a)(10)]. |
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11.
(a) |
I certify that the information on this document */ and the attached continuation sheet(s) number(s)………..to…………is complete and accurate and I assume the responsibility for proving such representations. I understand that I am liable for any false statements or material omissions made on or in connection with this document. |
(b) |
I agree to maintain, and present upon request, documentation necessary to support this certificate. |
(c) |
I apply for the issue of a visa in respect of the articles described above. |
* Delete and sign in full if not applicable.
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14. |
Name (Printer or Type |
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16(b) |
Blanket Period of Certificate of Origin |
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Facsimile Number
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DA 46A1.01(a)
For Official Use of the South African Revenue Service:
Certificate of Origin (DA 46A1.01) No. …………………/………………….and Date………………………
Exporter Registration No: ………………………………………………….
Producer (Manufacturer) Registration No:…………………….….
(Customs Code Number) (Customs Code Number)
(Continued overleaf)
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