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ORIGINAL

 普惠制原产地证(填制说明)
1.Goods consigned O/B你(公司/工厂)的名字 Reference No.

            GENERALIZED SYSTEM OF PREFERENCES 
  
            CERTIFICATE OF ORIGIN
            (Combined declaration and certificate)

                     FORM  A
       Issued in THE PEOPOE'S REPUBLIC OF CHINA
                           -------------------------------------------------------------
 
                            
(Country)

                                                                                              See Noted Overleaf
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2.Goods consignee to收货人名称/公司地址
3.Means of transp ort and route运输方式出货日期

4.填写联系方式(联系人,地址,电话,QQ/MSN)方便核对

5.Item
number
6.Mrks and 
numbers唛头
7.Number and kind of packages;description of goods
品名和箱数类型的描述

8.Origin  criterion(seeNotes
overleaf)

9.Gross
weight
or other
quantity个数
10.Number
and date
 of invoices
发票号和日期

11.Certification








  
It is hereby certified,on the basis of control carried out,  the








    dsclaration by the exporter is correct.

 


 

 



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    Place and date. signature and stamp of certifying authority

12.Declaration  by  the  exporter




 he undersigned hereby declares that the above detail and state-



     ments are correct that the goods were produce in



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  and that they comply with the original requirements sp ecified  for





 those goods in the Generaliderl System of Preferences for  goods ex-



 
 ported to       

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(import  country )








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Place and date,signature of authorized signatory

 

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