附件中国原产地证书.doc

附件1. 中国原产地证书 CERTIFICATE OF ORIGIN 1. Exporter (Name, full address, country) No. 000.000 Certificate of Origin used in FTA between CHINA and SWITZERLAND See notes overleaf before completing this form 2. Consignee (Name, full address, country) 3. Transport details (as far as known) Departure Date Vessel / Flight/ Train/ Vehicle No. Port of loading Port of discharge 4. Remarks 5. Item number (Max 20) 6. Marks and numbers 7. Number and kind of packages; Description of goods 8. HS code (Six digit code) 9. Origin criterion 10. Gross mass (kg) or other measure (liters, m3, etc.) 11. Invoices (Number and date) 12. ENDORSEMENT BY THE AUTHORISED BODY 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 authorised body 13. DECLARATION BY THE EXPORTER The undersigned hereby declares that the details and statement above are correct, that all the goods were produced in ………………………………….. (country) and that they comply with the origin requirements specified in the FTA for the goods exported to …………………………………..(Importing country). ................................................................................... Place and date, signature of authorised signatory 14. REQUEST FOR VERIFICATION, to: 15. RESULT OF VERIFICATION Verification carried out shows that this certificate (1) □ was issued by the authorised body indicated and that the information contained therein is accurate. □ does not meet the requirements as to authenticity and accuracy (see remarks appended) Verification of the authenticity and accuracy of this certificate is requested. ...............................................……………................................. (Place and date) Stamp ...............................................…………….............................