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1、ORIGINAL 1.Products consigned from(Exporters business name, address, country) 出证代理公司名和地址出证代理公司名和地址(不用填不用填) 2.Products consigned to (Consignees name, address,country) 国外客户名称国外客户名称/公司地址公司地址 Reference No. ASEAN-CHINA FREE TRADE AREA PREFERENTIAL TARIFF CERTIFICATE OF ORIGIN (Combined declaration and ce
2、rtificate) FORM E Issued in THE PEOPLES REPUBLIC OF CHINA (Country) See Notes Overleaf 3.Means of transport and route(as far as known) Departure Date 出发日期出发日期 Vessels name / Aircraft etc. 船船 号码号码 Port of discharge 目的港目的港 4.For official use 口 Preferential Treatment Given - 口 Preferential Treatment No
3、t Given (Please state reason/s) . Signature of Authorised Signatory of the import Party 5.Item number 6.Marks and numbers on packages 10.Number and date of invoices 8.Origin Criterion (see Overleaf Notes ) 产地标准产地标准 9.Gross weight or other quantity and value (FOB) 数量数量/ 发票金额发票金额 唛头唛头 7.Number and typ
4、e of packages,description of products (including quantity where appropriate and HS number of the importing Party) 品名和箱数品名和箱数 海关编码发票号码/日期 11.Declaration by the exporter The undersigned hereby declares that the above details and Statement are correct; that all the products were produced in CHINA (Coun
5、try) and that they comply with the origin requirements specified for these goods in the Rules of Origin for the ACFTA for the products exported to (Importing Country)进口国家 Place and date,signature of authorised signatory 13. 口 Issued Retroactively 口 Exhibition 口 Movement Certificate 口 Third Party Invoicing 12Certification It is hereby certified,on the basis of control carried out, that the dsclaration by the exporter is correct. - Place and date,signature and stamp of certifying authority
