1.Exporter’s name,
address, country:
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Certificate
No.:
CERTIFICATE
OF ORIGIN
Form
F for China-Chile FTA
Issued
in THE
PEOPOE'S REPUBLIC OF CHINA
(see Instruction overleaf)
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2.Producer’s name and
address, if known:
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3.Consigneen收货人名称/公司地址
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4.Means of
transport and route (as far as known)
Departure Date
Vessel /Flight/Train/Vehicle No.
Port of loading
Port of discharge
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5.填写联系方式(联系人,地址,电话，QQ/MSN）方便核对
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6. Remarks
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| 7.Item number
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8. Marks and numbers on packages 唛头
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9. Number and kind of
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10. HS code
品编号
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11.
Origin criter
ion
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12. Gross weight,
quantity or other measures |
13. Number, date of invoice and invoiced value |
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14．Declaration
by the exporter
The undersigned hereby declares that the above details and
statement are correct, that all the goods were produced in
CHINA
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（Country）
Aand that they comply with the origin requirementsspecified in the FTA
for the goods exported to
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（Importing country）
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Place and date, signature of authorized signatory |
15．Certification
It is hereby certified, on the basis of control carried
out, that the
declaration of the exporter is correct.
.-------------------------------------------------------------------------------------------------
Place and date*,signature and stamp of certifying
authority
Certifying
authority
Tel:
Fax:
Address:
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*A Certificate of Origin under China-Chile Free Trade Agreement shall
be valid for one year from the date of issue in the exporting country |
| *请认真填写资料.提交好请选择左侧联系方式与詹小姐联系核对！
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