智利自贸区优惠原产地证书FORM F
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6.Re mark s
10.H.S.Code 11.Origin 12.Gross weight,
13.Number,
(Six digit code)
criterion
quantity(Quantity Unit) or other measures(liters,
date of invoice
and invoice and value
刘先生 q/q：２９ ６９０３１ ５７３
1,Exporte r name,addr ess,countr y:
2,Produce r's name and address,if know:
3, Consignee 'name,add ress,count ry:
4,Means of transport and route (wk.baidu.coms far as known)
14.Declar ation by the exporter
The undersign ed hereby declares that above detail and statement are
correct,tha t all the goods were produced in
and that they comply with the origin requireme nts specifid in the FTA for the goods exported to
Place and date,signature and stamp of certifying authority
Certifying authority
CHINA
Tel:
Fax:
Address:
Departure Date Vessel/Fli ght/Train/ Port of loading Port of discharge
7.Item 8.Marks and numbers
number on packages (Max.20)
9.Number and kind of packages; description
Place and date,signa ture of authorized signatory
CHINA
(Country)
CHILE
(Importing country)
CHINA
15.C ertifi catoi n
It is hereby certified ,on the basis of control carried out ,that the declarati on of the exporter is correct.
of goods
Certificate No.:
F10470ZC4546** **
CERTIFICATE OF ORIGIN Form F for China-Chile FTA
Issued in
The People's Republic of China
(see Instruction overleaf)
5. For Offici al Use Only
Prefer ential Tariff Treat ment Given Under ChinaChile FTA
Prefer ntial Treat ment Not Given (Pleas e state reason s)
Signature of Authorized Signatory of the Importing Country
10.H.S.Code 11.Origin 12.Gross weight,
13.Number,
(Six digit code)
criterion
quantity(Quantity Unit) or other measures(liters,
date of invoice
and invoice and value
刘先生 q/q：２９ ６９０３１ ５７３
1,Exporte r name,addr ess,countr y:
2,Produce r's name and address,if know:
3, Consignee 'name,add ress,count ry:
4,Means of transport and route (wk.baidu.coms far as known)
14.Declar ation by the exporter
The undersign ed hereby declares that above detail and statement are
correct,tha t all the goods were produced in
and that they comply with the origin requireme nts specifid in the FTA for the goods exported to
Place and date,signature and stamp of certifying authority
Certifying authority
CHINA
Tel:
Fax:
Address:
Departure Date Vessel/Fli ght/Train/ Port of loading Port of discharge
7.Item 8.Marks and numbers
number on packages (Max.20)
9.Number and kind of packages; description
Place and date,signa ture of authorized signatory
CHINA
(Country)
CHILE
(Importing country)
CHINA
15.C ertifi catoi n
It is hereby certified ,on the basis of control carried out ,that the declarati on of the exporter is correct.
of goods
Certificate No.:
F10470ZC4546** **
CERTIFICATE OF ORIGIN Form F for China-Chile FTA
Issued in
The People's Republic of China
(see Instruction overleaf)
5. For Offici al Use Only
Prefer ential Tariff Treat ment Given Under ChinaChile FTA
Prefer ntial Treat ment Not Given (Pleas e state reason s)
Signature of Authorized Signatory of the Importing Country