FF 中国-智利证书

1.Exporter＇name,address,country:（出口商）★

NINGBO ONETOUCH FOREIGN TRADE SERVICE CO.,LTD.O/B YUYAO HEMAY ELECTRICAL APPLIANCES CO.,LTD NO 128 WEISAN ROAD YAOBEI INDUSTRIAL ZONE YUYAO CITY ZHEJIANG PROVINCE CONTACT:BRUCE Certificate N°:

★为必填项

CERTIFICATE OF ORIGIN

Form F for China-Chile FTA

Isued in_____________

注：开船后30天后不再受理FORM F的申领

第6栏填写说明：非成员方经营者：指的是中国和智利以外国家的公司，包括中国香港、澳门、中国台湾。发票由非成员方经营者出具指的是国外清关时使用的是非中国大陆和智利所在地公司抬头发票的，在第5栏需要填写实际货物生产商名址。同时第二栏的生产商信息不能打保密，并且需要提供生产商有效的营业执照复印件至商检局备查。

2.Producer’s name and address,if known:（生产者）★

AVAILABLE TO THE COMPETENT GOVERNMENTAL AUTHORITY

UPON REQUEST

3.Consignee’s name,address,country:（收货人）★

KARIM MAZU COMERCIAL GASFIX EIRL ADDRESS:YUNGAY 0693,LA GRANJA,SANTIAGO,CHILE POSTAL CODE:8780000 TAX ID:76979.340-2

PHONE(569_81597297

4.Means of transport and route(as far as known)（运输方法和路线）★Departure Date MARCH 4 2019

Vessel/Flight/Train/Vehicle No. EVER ETHIC V.131E

=Port of loading NINGBO CHINA

Port of discharge SAN ANTONIO ,CHILE 5.Preferential For Official Use Only

□Preferential Tariff Treatment Given Under China-Chile

□Preferential Treatment Not Given (Please state reasons)

------------------------------------------------------

Signature of Authorized Signatory of the Importing Country

6.Remarks

该栏可留空或注明客户定单编号、信用证编号等。发票由非成员方经营者出具的，应在此栏填写原产国生产商名称、地址和国名。该栏填写的生产商名址应与第二栏的一致。

7.item number( Max 20) (序号）1

不

用

填8. Marks

and

numbers

on

packages★

N/M

9. Number and kind of

packages; description of goods

★

FAUCET

TOTAL: SIX (6)PACKAGES IN

BULK ONLY.

TEL:86-574-62194578

FAX:86-574-62194577

MOBILE:86-132********

10. HS code

(Six digit code)

★

商品编码（至

少六位）？？

8481809000

8.Origin

criterion (See

Notes Overleaf)

★

P

12. Gross

weight,quantity(qua

ntity )or other

measures(liters,m3,

etc)★

66.54KGS

13. Number,

date of ★

发票号码

发票日期

TO20181018HM

OCT,18.2018

FOB:USD 640

14. Declaration by the exporter

The undersigned hereby declares that the above details and statement are correct, that all the goods were produced in

CHINA

(Country)

And that they comply with the origin requirements specified in the FTA for the goods exported to

(Importing country)

Place and date, signature of authorized signatory 15. Certification

It is hereby certified, on the basis of control carried out, that the declaration of the exporter is correct. Place and date, signature and stamp of certifying Certifying authonity

Tel: Fax:

Address: