(Exporter's business name, address, country)
名称/公司地址
SHENZHEN HUAYELONG IMPORTS & EXPORTS LTD.
SHENZHEN,CHINA
| O/B | Reference No. 申请亚太证书 !! ZC3140 CERTIFICATE OF ORIGIN Asia-Pacific Trade Agreement (Combined Declaration and Certificate) Issued in THE PEOPLE’S REPUBLIC OF CHINA· (Country) | |||||
| 2. Goods consigned to: (Consignee's 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: | 6. Marks and number of Packages: 唛头 | 7. Number and kind of packages / description of goods:
品名和箱数 | 8. Origin criterion (see notes overleaf) 产品编号 | 9. Gross weight or other quantity: 个数 | 10. Number and date of invoices: 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 | |||||
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