产地证样本Form-F-Excel档空白格式.xlsVIP

Sheet1

(seeInstructionoverleaf)

FormFforChina-ChileFTA

Theundersignedherebydeclaresthattheabovedetailsandstatement

arecorrect,thatallthegoodswereproducedin

andthattheycomplywiththeoriginrequirementsspecifiedinthe

FTAforthegoodsexportedto

Placeanddate,signatureofauthorizedsignatory

*ACertificateofOriginunderChina-ChileFreeTradeAgreementshallbevalidforoneyearfromthedateofissueintheexportingconutry.

Itisherebycertified,onthebasisofcontrolcarriedout,thatthe

declarationoftheexporteriscorrect.

Placeanddate,signatureandstampofcertifyingauthority

Certifyingauthority

Address:NO.66,HUACHENGAVENUE,ZHUJIANGXINCHENG

GUANGZHOU,510623CHINA

Tel:00862038290129Fax:00862038290102

CERTIFICATEOFORIGIN

(Importingcountry)

1.Exportersname,address,country

CertificateNo.:

2.Producersnameandaddress,ifknown:

3.Consigneesname,address,country:

IssuedinThePeoplesRepublicofChina

4.Meansoftransportandroute(asfarasknown)

5.ForOfficialUseOnly

DepartureDate

PreferentialTariffTreatmentGivenUnderChina-ChileFTA

Vessel/Flight/Train/VehicleNo.

PreferentialTreatmentNotGiven(Pleasestatereasons)

Portofloading

SignatureofAuthorizedSignatoryoftheimportingCounry

6.Remarks

Portofdischarge

7.Item

8.Marksandnumbers

9.Numberandkindofpackages;description

10.HScode

11.Origin

12.Grossweight,

13.Number,

number

onpackages

ofgoods

(Sixdigit

criterion

quantity(Quantity

dateofinvoice

(Max20)

code)

Unit)orother

andinvoice

measures

value

(Liters,m3,etc)

14.Declarationbytheexporter

15.Certification

CHINA

(Country)

CHILE