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Original

 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 PEOPOE'S REPUBLIC OF CHINA
                     (Country)                      See Noted Overleaf

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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.Mrks and 
num ber of
packages
7.Number and kind of packages;description of goods
8.Origin 
criterion
9.Grossweightor otherquantity
10.Number and date of invoices

11.Declaration by the exp orter  










The unsersingned hereby declares that the abore details and 








statements Are correct,that all the goods were produced in



 


                                     CHINA
  ------------------------------------------------------

and that they copiy with the origin requirements specified for




these goods in the ASEAN_CHINA Free Trad Area Preferenitial





Tariff for the goods exported to







------------------------------------------------------  




       (lmporting Country)

------------------------------------------------------  



place and date, sgnature of authorised signatoy
 

12.Certification 


lt is heredy certified,on the basis of control carried out, that the

 Declaration by the exporter is correct.
 

 


















        ------------------------------------------------------


        Place and date,signature of authorized signatory

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