1、1. Goods consigned from:(Exporters business name, address, country) Reference No. CERTIFICATE OF ORIGINAsia-Pacific Trade Agreement(Combined Declaration and Certificate)Issued in THE PEOPLES REPUBLIC OF CHINA(Country)2. Goods consigned to:(Consignees name, address, country)客户名称/公司地址3. For Official u
2、se4. Means of transport and route:运输方式及出出货日期.5. Tariffitem number:4位HS编码6. Marks andnumber of Packages:唛头7. Number and kind of packages / description of goods:品名和总箱数TOTAL:8. Origincriterion (see notes overleaf)“A”9. Gross weightor other quantity:数量10. Number and date of invoices:发票号日期11. Declaration
3、 by the exporter:The undersigned hereby declares that the above details and statements are correct: that all the goods were produced in (Country)and that they comply with the origin requirements specified for these goods in the Asia-Pacific Trade Agreement for goods exported to (Importing Country) Place and date, signature of authorized Signatory12. CertificateIt is hereby certified on the basis of control carried out, that the declaration by the exporter is correct.Place and date, signature and Stamp of Certifying Authority
