原产地证模板.docVIP

Asia-Pacific Trade Agreement (Combined declaration and certificate) 1.Goods consigned from: (Exporter’s business name, address, country) ? ? Reference No. ? Issued in ……………. (Country) 2. Goods consigned to: (Consignee’s name, address, country) ? 3.For Official use 4. Means of transport and route: ? 5.Tariff item number: 6. Marks and number of Packages: 7. Number and kind of packages/ description of goods: ? ? ? 8. Origin criterion (see notes overleaf) 9. Gross weight or other quantity: 10. Number and date of invoices: 11. Declaration by the exporter : The undersigned hereby declares that the above details and statements are correct: that all the goods were produced in ………………………………. (Country) and that they comply with the origin requirements specified for these goods in the Asia-Pacific Trade Agreement for goods exported to ………………………………. (Importing Country) ? ? ………………………………. Place and date, signature of authorized Signatory 12. Certificate It is hereby certified on the basis of control carried out, that the declaration by the exporter is correct. ? ? ? ? ? ………………………………… Place and date, signature and Stamp of Certifying Authority ? 原产地证书样本 亚太贸易协定（中文文本仅供参考） （申报和证书合一） 1.货物运自(出口人名称、地址、国家)： ? 编号： ……………. …. …. …. ….签发 （国家） 2. 货物运至（收货人名称、地址、国家）： 3. 官方使用 4.运输工具及路线 ? 5.税则号列 6. 包装唛头及编号 7. 包装件数及种类；货物名称 8. 原产地标准（见背页说明） 9. 毛重或者其他数量 10.发票编号及日期 ? ? ? ? ? ? ? ? 11.出口人声明 下列签字人证明上述资料及申明正确无讹，所有货物产自 ………………………………. 　　　　　（国家） 且符合亚太贸易协定原产地规则的相关规定，该货物出口至 　　　　………………………………. 　　　　（进口国） 　　　……………………………. 申报地点、日期及授权签字人的签字 12. 证明 根据所实施的监管，兹证明上述出口商的申报正确 ? ? ? ? ? ………………………………… 地点和日期，签字和签证机构印章 ?