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Original

 东盟原产地证FORM E (填制说明)

1.Goods consigned from
 Reference No.

    ASEAN-CHINA FREE TRADE AREA
PREFERENTIAL TARIFF
CERTIFICATE OF ORIGIN
(Combined Declaration and Certificate)

FORM E

Issued in THE PEOPLE'S REPUBU C OF CHINA
(Country)

See Overleaf Notes

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2.Goods consignee to
3.Means of transport and route
 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 on
packages
 7. Number and type of packages, description of products(ineluding quantity where appropriate and HS number of the importing Party)
 8.Origin criteria

 9.Gross weight or other quantity and value
 10.Number and date of invoices

11. Declaration by the eiporter
The undersigned hereby declares that the above details and statement are correct; that all the products were produced in
CHINA
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(Country)
and that they comply with the origin requirements specified for th ese pro ducts i n the Rul es of 0 ri gi n f or t he A CFTA fo r th e products sported to

INDONESIA
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(Importing Country)

 

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Place and date, signature of anthorised signatory

12. Certification

It is hereby certified, on the basis of control carried out, that the declaretion by the shorter is correct.

 

 

 

　
















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        Place and date,signature of authorized signatory
13.
□ Issued Retroactively .□ Exhibition
□Movement Certificate D □THird party invoicinh
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