普惠制原产地证样本

1.Goodsconsignedfrom(Exporter'sbusinessname,address,country)ReferenceNo.GENERALIZEDSYSTEMOFPREFERENCESCERTIFICATEOFORIGIN(Combineddeclarationandcertificate)2.Goodsconsignedto(Consignee'sname,address,country)FORMAIssuedinTHEPEOPLE'SREPUBLICOFCHINA(country)SeeNotesoverleaf3Meansoftransportandroute(asfarasknown)4.Forofficialuse5.Itemnum-ber6.Marksandnumbersofpackages7.Numberandkindofpackages;descriptionofgoods8.Origincriterion(seeNotesoverleaf)9.Grossweightorotherquantity10.Numberanddateofinvoices11.CertificationItisherebycertified,onthebasisofcontrolcarriedout,thatthedeclarationbytheexporteriscorrect.12.DeclarationbytheexporterTheundersignedherebydeclaresthattheabovedetailsandstatementsarecorrect,thatallthegoodswereProducedinPProducedinchinaandthattheycomplywiththeoriginrequirementsspecifiedforthosegoodsintheGeneralizedSystemofPreferencesforgoodsexportedto----------------------------------------------------------------------------------------------------------Placeanddate,signatureandstampofcertifyingauthority(importingcountry)---------------------------------------------------------------------------------------------------------Placeanddate,signatureandstampofauthorizedsignatory----------------------------------------------------------------------------------------------------------Placeanddate,signatureandstampofcertifyingauthority----------------------------------------------------------------------------------------------------------Placeanddate,signatureandstampofauthorizedsignatory