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    原产的证明书

    Certificate of Origin ORIGINAL
    1.Exporter’s name, address, country:
     
     
    Certificate No. 
    CERTIFICATE OF ORIGIN 
    Form F for China-Chile FTA 
    Issued in ____________
    (see Instruction overleaf)
    2. Producer’s name and address, if known:
     
     
    3.Consignee’s name, address, country:
     
    4.Means of transport and route (as far as known)
     
    Vessel/Flight/Train/Vehicle
     
    Port of loading
     
    Port of discharge
     
    5. For Official Use Only
          Preferential Tariff Treatment Given Under _______
               Preferential Treatment Not Given (Please state reasons)
    …...…………………………………………                 
    Signature of Authorized Signatory of the Importing Country
    6. Remarks
     
    7.Item number
    (Max 20)
    8. Marks and numbers on packages
    9. Number and kind of packages; descript__ion of goods
    10. HS code
    (Six digit code)
    11. Origin criterion
     
    12. Gross weight, quantity (Quantity Unit) or other measures (liters,m3,etc)
    13. Number, date of invoice and invoiced value
     
     
     
     
     
     
     
     
     
     
    14.Declaration by the exporter
    The undersigned hereby declares that the above details and statement are correct, that all the goods were produced in
    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 authority
     Certifying authority Tel:                     Fax:
    Address: 

     
     
         
     

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