090403制普惠制产地证

GENERALIZED SYSTEM OF PREFERENCES CERTIFICATE OF ORIGIN
(Combined declaration and certificate)
FORM A
Issued in
XYZ COMPANY, 6-2OHTEMACHI, 1-CHOME, CHIYADA-KU, TOKYO, JAPAN
5.Item 6.Marks and numnumbers of ber packages
7.Number and kind of packages; description of goods
8.Origin criterion (see Notes overleaf)
9.Gross weight or other quantity
JAPAN
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ABC COMPANY 陈玲 NANJING，JIANGSU JANNUARY 13，2005
--------------------------------------------------------------------------------------------------------Place and date, signature and stamp of certifying authority ---------------------------------------------------------------------------------------------------------Place and date, signature and stamp of authorized signatory
题目名称 普惠制产地证的填制 基本要求 根据给定资料制作普惠制产地证 下载模板 0904_普惠制产地证.doc 相关说明 BENEFICIARY: ABC COMPANY, NO.128 ZHONGSHAN XILU,NANJING,CHINA APPLICANT: XYZ COMPANY,6-2OHTEMACHI,1-CHOME,CHIYADA-KU,TOKYO,JAPAN MERCHANDISE: 100PCT COTTON MEN’S SLACKS,100 CARTON CIF VALUE: USD 10000.00
ORIGINAL
1.Goods consigned from (Exporter's business name, address, cwk.baidu.comuntry) Reference No.
ABC COMPANY, NO.128 ZHONGSHAN XILU, NANJING, CHINA
2.Goods consigned to (Consignee's name, address, country)
附加信息： N.W.: 1KGS/CARTON G.W.: 1.8KGS/CARTON MEAS: 8CBM 起运港：南京 卸货港：东京 发票号码：JS02154 发票日期：2005 年 1 月 3 日 唛头： XYZSLACKS TOKYO 1-100 申请日期：2005 年 1 月 13 号 申请人： 陈玲
10.Number and date of invoices
1
XYZSLACKS TOKYO 1-100
100PCT COTTON MEN’S SLACKS PACKED IN “P” ONE HUNDRED （100） CARTONS ONLY. *********************************************
CHINA
produced in
(country)
and that they comply with the origin requirements specified for those goods in the Generalized System of Preferences for goods exported to
THE PEOPLE'S REPUBLIC OF CHINA
(country)
See Notes overleaf
3.Means of transport and route (as far as known)
4.For official use
FROM NANJING TO TOKYO BY VESSEL
G.W. 180KGS
JS02154 JAN.3，2005
11. Certification 12.Declaration by the exporter It is hereby certified, on the basis of control carried out, that the The undersigned hereby declares that the above details and statements declaration by the exporter is correct. are correct, that all the goods were