原产地证书格式(中英).docxVIP

附表 2 原产地证书格式 ORIGINAL 1.Exporter ’ s name, address, country: Certificate No.: 2. Producer ’ s name and address, if known: CERTIFICATE OF ORIGIN 3.Consignee ’ s name, address, country: Form F for China-Chile FTA Issued in ____________ (see Instruction overleaf) 4.Means of transport and route (as far as known)  5. For Official Use Only Preferential Tariff Treatment Given Under _______ Preferential Treatment Not Given (Please state reasons) Departure Date Vessel /Flight/Train/Vehicle No. Port of loading Port of discharge  ?... ???????????????? Signature of Authorized Signatory of the Importing Country 6. Remarks 7.Item 8. Marks 9. Number and kind of 10. HS 11. Origin 12. Gross weight, 13. Number, number and packages; description of code criterion quantity (Quantity date of invoice (Max numbers goods (Six digit Unit) or other and invoiced 20) on code) measures value packages (liters,m3,etc) 14．Declaration by the exporter The undersigned hereby declares that the above details and statement 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  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 （Importing country） Certifying authority Tel: Fax: Address: Place and date, signature of authorized signatory 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. 4 Overleaf Instruction Box 1: State the full legal name, address (including country) of the exporter. Box 2: State the full legal name, address (including country) of the producer. If more than one producer ’ s good is included in the certificate, list the additional producers, including name, address (including country). If the exporter or the producer wishes the information to be confiden