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普惠制产地证Form A申请表格.doc

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1、刘先生 q/q:ORIGINAL1.Goods consigned from(Exporters business name, address,country)2.Goods consignee to (Cousignees name, address,country).Reference No.GENERALIZED SYSTEM OF PREFERENCECERTIFICATE OF ORIGIN(Combined declaration and certificate)FORM AIssued in THE PEOPOES REPUBLIC OF CHINA(Country)See No

2、ted Overleaf3.Means of transport and route(as far as known)FROM NINGBO CHINA TO FELIXSTOWE,UK BY SEA ON/AFTER NOV 11 20164.For official use5.Itemnumber6.Mrks and num ber ofPackages10.Numberand date ofinvoices7.Number and kind of packages;description of goods 8.Origin criterion(seeNotesoverleaf)9.Gro

3、ssweightor otherquantityCLIP BOARD TOTAL:SIX HUDNRED AND TWO (602) CTNS ONLY.P 6683.41KGS?11.CertificationIt is hereby certified,on the basis of control carried out,the dsclaration by the exporter is correct.-Place and date. signature and stamp of certifying authority12.Declaration by the exporterhe

4、 undersigned hereby declares that the above detail and statements are correct that the goods were produce in-and that they comply with the original requirements sp ecifiedfor those goods in the Generaliderl System of Preferences forgoods exp orted to-(import country )-Place and date,signature of authorized signatory

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