1、1. Exporters name, address, country:出口商SHENZHEN PULAISIDUN TRADING CO.,LTD CHINA BUILDING S04, BUILDING 16, YUEYUN,WEN JINNA LU,LUO, LAKE DISTRICT ,SHENZHEN2 Producers name and address, country: 生产商3. Consignees name, address, country: 收货商Certificate No.: CERTIFICATE OF ORIGINForm for China-Australi
2、a Free Trade AgreementIssued in The Peoples Republic of China 4.Means of transport and route (as far as known)Departure Date （超过当天即为后发）Vessel /Flight/Train/Vehicle No. Port of loading : Port of discharge: 5. Remarks6.项目编号不能超过 20项7.包装上的运输唛头及编号: 8 Number and kind of packages, description of goods货物描述9
3、. HS code(Six digit code)6 位 hs 编码10 OriginCriterion原产地标准(WO/WP/PSR)11. Gross weight, quantity (Quantity Unit) or other measures (liters, m3, etc)数量单位12. Number, date of invoice And invoicd 发票号及发票日期*13Declaration by the exporter or producerThe undersigned hereby declares that the above- stated infor
4、mation is correct and that the goods exported toAUSTRALIA (IMPORTING PARTY)comply with the origin requirements specified in the China-Australia Free Trade Agreement Place and date, signature of authorized person14CertificationOn the basis of control carried out It is hereby certified that the information herein is correct and that the described goods comply with the orgin requirements of the China-Australia Free Trade AgreementPlace,and date*, signature and stamp of the authorisedbodyTel: Fax:Address:
