中国—智利自由贸易区原产地证书样本及其填制说明

附件

5

：

中国—智利自由贸易区原产地证书样本及其填制说明

Certificate of Origin

ORIGINAL

er’s name, address, country:

2. Producer’s name and address, if

known:

nee’s name, address, country:

Certificate No.:

CERTIFICATE OF ORIGIN

Form F for China- Chile FT

A

Issued in ____________

(see Instruction overleaf)

5. For Official Use Only

Preferential T

ariff

Treatment Given Under _______

of transport and route (as far as known)

Departure Date

Preferential Treatment Not Given (Please state reasons)

…...…………………………………………

Signature of Authorized Signatory of the Importing Country

6. Remarks

V

essel /Flight/Train/V

ehicle No.

Port of loading

Port of discharge

number

(Max 20)

and

numbers

on

packages

8.

Marks

9.

Number

and

kind

of

10. HS

packages;

description

of

code

goods

code)

11.

criterion

Origin

12.

Gross

weight,

13. Number, date

quantity

Unit)

measures

(liters,m

3

,etc)

(Quantity

of invoice and

or

other

invoiced value

(Six

digit

14

．

Declaration by the exporter

The

undersigned

hereby

declares

that

the

above

details

and

statement

are

correct,

that

all

the

goods

were

produced in

（

Cou ntry

）

and

that

they

comply

with

the

origin

requirements

specified in the FTA for the goods exported to

（

Importing country

）

Place and date, signature of authorized signatory

15

．

Certification

It is hereby certified, on the basis of control carried out, that the

declaration of the exporter is correct.

Place and date

*

, signature and stamp of certifying authority

Certifying authority

Tel:

Fax:

Address:

*

A Certificate of Origin under China-Chile Free Trade Agreement shall be valid for one year from the date of

issue in the exporting country.

—

1

—