亚太原产地证FORM B.docVIP

1. Goods consigned from: (Exporters business name, address, country) Reference No.? CERTIFICATE OF ORIGIN Asia-Pacific Trade Agreement (Combined Declaration and Certificate) ??Issued in THE PEOPLE’S REPUBLIC OF CHINA· ?????????????(Country) 2. Goods consigned to: (Consignees name, address, country) ?? 客户名称/公司地址 3. For Official use ? ??? 4. Means of transport and route: ?? 运输方式及出出货日期 . 5. Tariff item number: 4位HS编码 6. Marks and number of Packages: 唛头 7. Number and kind of packages / description of goods: ?? 品名和总箱数 TOTAL: 8. Origin criterion (see notes overleaf) “A” 9. Gross weight or other quantity: 数量 10. Number and date of invoices: 发票号日期 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