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

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
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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






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       (lmporting Country)

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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. 

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        Place and date,signature of authorized signatory