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1、原产地证书格式ORIGINAL1.Exporters name, address, country:2. Producers name and address, if known:3.Consignees name, address, country:Certificate No.: CERTIFICATE OF ORIGINForm F for China-Chile FTAIssued in _ (see Instruction overleaf)5. For Official Use OnlyPreferential Tariff Treatment Given Under _Prefe
2、rential Treatment Not Given (Please state reasons). Signature of Authorized Signatory of the Importing Country4.Means of transport and route (as far as known)Departure Date Vessel /Flight/Train/Vehicle No.Port of loadingPort of discharge 6. Remarks7.Item number(Max 20)8.Marks and numbers on packages
3、9. Number and kind of packages; description of goods10. HS code(Six digit code)11.Origin criterion12. Gross weight, quantity (Quantity Unit) or other measures (liters,m3,etc) 13.Number, date of invoice and invoiced value14Declaration by the exporterThe undersigned hereby declares that the above deta
4、ils and statement are correct, that all the goods were produced in（Country 国家名称）and that they comply with the origin requirements specified in the FTA for the goods exported to （Importing country 进口国家名称）Place and date, signature of authorized signatory15CertificationIt is hereby certified, on the ba
5、sis of control carried out, that the declaration of the exporter is correct.Place and date*, signature and stamp of certifying authorityCertifying authority Tel: Fax:Address: * A Certificate of Origin under China-Chile Free Trade Agreement shall be valid for one year from the date of issue in the ex
6、porting country.原产地证书格式原产地证书格式1.出口商的名称、地址、国家2. 生产商的名称、地址，在已知情况下证书号： 原产地证书 中国智利自贸区 FORM F 签发国_ （填制方法详见证书背面注释）3. 收货人的名称、地址、国家5. 供官方使用可享受_ 自贸区优惠待遇 不能享受_自贸区优惠待遇 理由：.进口国官方机构的授权人手签4运输方式及路线（就所知而言） 离港日期 船只/飞机/火车/货车编号 装货口岸 到货口岸6备注：7.项目号（最多 20项）8.唛头及包装号9.包装数量及种类，商品名称10. HS 编码(以六位编码为准) 11. 原产地标准12.毛重、数量（数量单位）或其它计量单位(升、立方米等) 13.发票号、发票日期及发票价格14出口商申明 下列签字人证明上述资料及申明正确无误，所有货物 产自（XX 国家） 且符合自贸区原产地规则的相关规定，该货物出口至 （XX 进口国）申报地点、日期及授权签字人的手签15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、日期*、签字及签证机构印章签证机构 电话 传真地址*中国-智利自贸区协定项下的原产地证书应在自出口方签发之日起一年内有效。
