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1、原产地证明样本SAMPLE CERTIFICATE OF ORIGINAsia-Pacific Trade Agreement(Combined declaration and certificate)consigned from:(Exporter s businename, address, country)Reference No.Issued in (Country)2. Goods consigned to:(Consignee s name, address, country)Official use4. Means of transport and route:item numb
2、er:6. Marks and number of Packages: 7.Numberand kind of packages/descriptionof goods:8. Origincriterion(see notesoverleaf)9. Grossweightor otherquantity:10. Number and date of invoices:11. Declaration by the exporter :The undersigned hereby declares that the above details and statements are correct:
3、 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 authorizedSignatory 12. CertificateIt is hereby certified on the basis o
4、f control carried out, that the declaration by the exporter is correct.Place and date, signature and Stamp ofCertifying AuthorityNotes for completing Certificate of OriginI. General Conditions:To qualify for preference, products must:a) fall within a description of products eligible for preference i
5、n the list of concessions of an Asia-Pacific Trade Agreement country of destination;b) comply with Asia-Pacific Trade Agreement rules of origin. Each article in a consignment must qualify separately in its own right; andc) comply with the consignment conditions specified by the Asia-Pacific Trade Ag
6、reement rules of origin. In general, products must be consigned directly within the meaning of Rule 5 hereof from the country of exportation to the country of destination.to be made in the boxesBox1Goods Consigned fromType the name, addreand country of the exporter.The name must be the same as the e
7、xporter described in the invoice.Box2Goods Consigned toType the name, addreand country of the importer.The name must be the same as the importer described in the invoice. For third party trade, the words “To Order” may be typed.Box3For Official UseReserved for use by certifying authority.Box4Means o
8、f Transport and RouteState in detail the means of transport and route for the products exported. If the L/C terms etc. do not require such details, type “By Air” or “By Sea”. If the products are transported through a third country this can be indicated as follows: “By Air” “Laos to India via Bangkok
9、”Box5Tariff Item NumberType the 4-digit HS heading of the individual items.Box6Marks and Numbers of PackagesType the marks and numbers of the packages covered by the Certificate. This information should be identical to the marks and numbers on the packages.Box 7 Number and Kind of Packages; Descript
10、ion of GoodsType clearly the description of the products exported. This should be identical to the description of the products contained in the invoice. An accurate description will help the Customs Authority of the country of destination to clear the products quickly.Box8Origin CriterionPreference
11、products must be wholly produced or obtained in the exporting Participating State in accordance with Rule 2 of the Asia-Pacific Trade Agreement Rules of Origin, or where not wholly produced or obtained in the exporting Participating State must be eligible under Rule 3 or Rule 4.a) Products wholly pr
12、oduced or obtained: enter the letter A” in Box 8.b) Products not wholly produced or obtained: the entry in Box 8 should be as follows:letter B” in Box 8, for products which meet the origin criteria according to Rule 3. Entry of letter B” would be followed by the sum of the value of materials, parts
13、or produce originating from non-Participating States, or undetermined origin used, expressed as a percentage of the value of the products; (example B” 50 per cent);letter C” in Box 8 for products which meet the origin criteria according to Rule 4. Entry of letter “C” would be followed by the sum of
14、the aggregate content originating in the territory of the exporting Participating State expressed as a percentage of the value of the exported product; (example C” 60 per cent);letter D” in Box 8 for products which meet the special origin criteria according to Rule 10.Box 9 GroWeight or Other Quanti
15、tyType the groweight or other quantity (such as pieces, kg) of the products covered by the Certificate.Box 10 Number and Date of InvoicesState number and date of the invoice in question. The date of the invoice attached to the Application should not be later than the date of approval on the Certific
16、ate.Box 11 Declaration by the ExporterThe term “Exporter” refers to the shipper who can either be a trader or a manufacturer. Type the name of the producing country and the importing country and the place and date when the declaration is made. This box must be signed by the Company? s authorized signatory.Box 12 CertificationThe certifying
