FORM-E-空白格式

1.Goodsconsignedfrom(Exporter’sbusinessname,address,country)ReferanceNo.ASEAN-CHINAFREETRADEAREAPREFERENTIALTARIFFCERTIFICATEOFORIGIN(CombinedDeclarationandCertificate)FORMEIssuedinTHEPEOPLE’SREPUBLICOFCHINA(Country)SeeNotesOverleaf2.Goodsconsignedto(Consignee’sname,address,country)3.Meansoftransportandroute(asfarasknown)DeparturedateVessel’sname/Aircraftetc.Portofdischarge4.Forofficeuse5.Itemnumber6.MarksandnumbersofPackages7.Numberandtypeofpackages,descriptionOfgoods(includingquantitywhereappropriateandHSnumberoftheimportingcountry)8.Oreigincriterion(seeNotesoverleaf)9.Grossweightorotherquantityandvalue(FOB)10.NumberanddateofInvoices12.DeclarationbytheexporterTheundersignedherebydeclaresthattheabovedetailsandstatementsarecorrect;thatallthegoodswereproducedin(country)andthattheycomplywiththeoriginrequirementsspecifiedforthosegoodsintheGeneralizedSystemofPreferencesforgoodsexportedto(importingcountry)Placeanddate,signatureofauthorizedsignatory11.CertificationItisherebycertified,onthebasisofcontrolcarriedout,thatthedeclarationbytheexporteriscorrect.,Placeanddate,signatureandstampofcertifyingauthority