JULY 14.] THE NEW ZEALAND GAZETTE. 2435

SCHEDULE.

FORM 1.

Certificate of Origin to be written or printed on Invoices of Tea whether in Bulk or Packets exported to New Zealand.

I [Full name], [Here insert Manager, Chief Clerk, or as the case may be] of [Here insert name of firm or company], of [Here insert name of city or country], manufacturer/supplier of the goods enumerated in this invoice amounting to , hereby declare that I [(These words should be omitted where the manufacturer or supplier himself signs the certificate) have the authority to make and sign this certificate on behalf of the aforesaid manufacturer/supplier, and that I] have the means of knowing and do hereby certify as follows :—

1. That this invoice is in all respects correct, and contains a true and full statement of the price actually paid or to be paid for the said goods, and the actual quantity and description thereof.

2. That all the tea mentioned in the said invoice has been grown in [Insert name(s) of part(s) of British Dominions] and that the final process of manufacture of all such tea has been performed in [Insert name of part of British Dominions].

Dated at this day of , 19 .
Witness—
[Signature.]

FORM 2.

Combined Certificate of Value and of Origin to be written or printed on Invoices of Tea whether in Bulk or Packets exported to New Zealand.

I [Full name], [Here insert Manager, Chief Clerk, or as the case may be] of [Here insert name of firm or company], of [Here insert name of city or country], manufacturer/supplier of the goods enumerated in this invoice amounting to , hereby declare that I [(These words should be omitted where the manufacturer or supplier himself signs the certificate) have the authority to make and sign this certificate on behalf of the aforesaid manufacturer/supplier, and that I] have the means of knowing and do hereby certify as follows :—

VALUE.

1. That this invoice is in all respects correct, and contains a true and full statement of the price actually paid or to be paid for the said goods, and the actual quantity and description thereof.

2. That no different invoice of the goods mentioned in the said invoice has been or will be furnished to any one; and that no arrangement or understanding affecting the purchase-price of the said goods has been or will be made or entered into between the exporter and purchaser, or by any one on behalf of either of them, either by way of discount, rebate, compensation, or in any manner whatever other than as fully shown on this invoice, or as follows: [Here insert particulars of any special arrangement].

3. That the said invoice exhibits, in the column headed “current Domestic Values in Currency of Exporting Country”, the current domestic value of identically similar goods when sold for home consumption for cash in equal quantities in the ordinary course of business in the principal markets of the country from which the said goods are exported to New Zealand at the time when they are so exported.

4. That the said current domestic value includes any duty leviable in respect of the goods if delivered for home consumption, and that on exportation a drawback or remission of duty amounting to has been/will be allowed by the revenue authorities in the country of exportation.

ORIGIN.

5. That all the tea mentioned in the said invoice has been grown in [Insert name(s) of part(s) of British Dominions] and that the final process of manufacture of all such tea has been performed in [Insert name of part of British Dominions].

Dated at this day of , 19 .
Witness—
[Signature.]

F. D. THOMSON,
Clerk of the Executive Council,