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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.


GENRALIZED 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.Marks and numbers of packages唛头

7. Number and kind of packages;description of goods
品名和箱数类型的描述
8. Origin criterion (see Notes 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, that the declaration by the exporter is correct.

 

 

 

 


  

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    Place and date. signature and stamp of certifying authority
12. Declaration by the exporter
The undersigned hereby declares that the above details and statements are correct; that all the goods were

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  and that they comply with the origin requirements specified for those goods in the Generalized System of Preferences for goods exported to


 
JAPAN      
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(import  country )


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Place and date,signature of authorized signatory
 

*请认真填写资料.提交好请选择以下方式与詹小姐联系核对