FORM E 模版

ORIGINAL1.Productsconsignedfrom(Exporter'sbusinessname,address,country)出证代理公司名和地址(不用填)ReferenceNo.ASEAN-CHINAFREETRADEAREAPREFERENTIALTARIFFCERTIFICATEOFORIGIN(Combineddeclarationandcertificate)FORMEIssuedinTHEPEOPLE'SREPUBLICOFCHINA(Country)SeeNotesOverleaf2.Productsconsignedto(Consignee'sname,address,country)国外客户名称/公司地址3.Meansoftransportandroute(asfarasknown)4.Forofficialuse口PreferentialTreatmentGiven--------------------------------------------------------------------------------口PreferentialTreatmentNotGiven(Pleasestatereason/s)…...…………………………………………………………………………SignatureofAuthorisedSignatoryoftheimportPartyDepartureDate出发日期Vessel’sname/Aircraftetc.船号码Portofdischarge目的港5.Itemnumber6.Marksandnumbersonpackages7.Numberandtypeofpackages,descriptionofproducts(includingquantitywhereappropriateandHSnumberoftheimportingParty)品名和箱数海关编码8.OriginCriterion(seeOverleafNotes)产地标准9.Grossweightorotherquantityandvalue(FOB)数量/发票金额10.Numberanddateofinvoices唛头发票号码/日期11.DeclarationbytheexporterTheundersignedherebydeclaresthattheabovedetailsandStatementarecorrect;thatalltheproductswereproducedinCHINA(Country)andthattheycomplywiththeoriginrequirementsspecifiedforthesegoodsintheRulesofOriginfortheACFTAfortheproductsexportedto(ImportingCountry)进口国家Placeanddate,signatureofauthorisedsignatory12CertificationItisherebycertified,onthebasisofcontrolcarriedout,thatthedsclarationbytheexporteriscorrect.--------------------------------------------------------------------------Placeanddate,signatureandstampofcertifyingauthority13.口IssuedRetroactively口Exhibition口MovementCertificate口ThirdPartyInvoicing