商检局证书产地证样本-FORM A

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ORIGINAL
1.Goods consigned from(Exporter's business name, address,
country) *
Reference No.
GENERALIZED SYSTEM OF PREFERENCE
CERTIFICATE OF ORIGIN
(Combined declaration and certificate)
(import country )
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Place and date,signature of authorized signatory
and that they comply with the original requirements sp ecified
for those goods in the Generaliderl System of Preferences for
goods exp orted to
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FORM A
Issued inTHE PEOPOE'S REPUBLIC OF CHINA
(Country)
See Noted Overleaf
2.Goods consignee to (Cousignee's name, address,country)
3.Means of transport and route(as far as known)
4.For official use
5.Item
num
ber
6.Mrks and num ber of
packages *
7.Number and kind of packages;description of goods*
8.Origin criterion
(sቤተ መጻሕፍቲ ባይዱeNotes
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,
the dsclaration by the exporter is correct.
he undersigned hereby declares that the above detail and
statements are correct that the goods were produce in
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Place and date. signature and stamp of certifying authority
12.Declaration by the exporter
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