普惠制产地证普惠制产地证
ORIGINAL
1. Goods consigned from (Exporter's business name, address, country) Reference No.
GENERALIZED SYSTEM OF PREFERENCES
CERTIFICATE OF ORIGIN
(Combined declaration and certificate) 2. Goods consigned to (Consignee's name, address, country) FOR...
普惠制产地证
ORIGINAL
1. Goods consigned from (Exporter's business name, address, country) Reference No.
GENERALIZED SYSTEM OF PREFERENCES
CERTIFICATE OF ORIGIN
(Combined declaration and certificate) 2. Goods consigned to (Consignee's name, address, country) FORM A
THE PEOPLE'S REPUBLIC OF CHINA Issued in
(country)
See Notes overleaf 3 Means of transport and route (as far as known) 4. For official use
5. Item 6. Marks and 7. Number and kind of packages; description of goods 8. Origin 9. Gross 10. Number num- numbers of criterion weight and date of ber packages (see Notes or other invoices
overleaf) quantity
11. Certification 12. Declaration by the exporter
It is hereby certified, on the basis of control carried out, that the The undersigned hereby declares that the above details and statements
declaration by the exporter is correct. are correct, that all the goods were
CHINA produced in (country)
and that they comply with the origin requirements specified for those
goods in the Generalized System of Preferences for goods exported to
---------------------------------------------------------------------------------------------------------- ---------------------------------------------------------------------------------------------------------- Place and date, signature and stamp of certifying authority Place and date, signature and stamp of authorized signatory
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