外贸单证样本普惠制产地证表格格式

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1. Goods consigned from (Exporter's business name, address, country) Reference No.

GENERALIZED SYSTEM OF PREFERENCES

CERTIFICATE OF ORIGIN

(Combined declaration and certificate)

2. Goods consigned to (Consignee's name, address, country) FORM A

Issued in

THE PEOPLE'S REPUBLIC OF CHINA

(country)

See Notes overleaf 3 Means of transport and route (as far as known) 4. For official use

5. Item num- ber

6. Marks and

numbers of

packages

7. Number and kind of packages; description of goods 8. Origin

criterion

(see Notes

overleaf)

9. Gross

weight

or other

quantity

10. Number

and date of

invoices

11. Certification

It is hereby certified, on the basis of control carried out, that the declaration by the exporter is correct. 12. Declaration by the exporter

The undersigned hereby declares that the above details and statements are correct, that all the goods were

produced in

CHINA

(country)

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