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1.Exporter’s name, address, country:
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Form F for China-Chile FTA
(see Instruction overleaf)
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2. Producer’s name and address, if known:
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3.Consignee’s name, address, country:
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4.Means of transport and route (as far as known)
Vessel/Flight/Train/Vehicle
Port of loading
Port of discharge
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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 |
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6. Remarks
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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
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12. Gross weight, quantity (Quantity Unit) or other measures
(liters,m3,etc) |
13. Number, date of invoice and invoiced value |
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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: |