原产地证书格式(中英)

附表

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原产地证书格式

ORIGINAL

er’s name, address, country:

2. Producer’s name and address, if known:

nee’s name, address, c

ountry:

Certificate No.:

CERTIFICATE OF ORIGIN

Form F for China-Chile FTA

Issued in ____________

(see Instruction overleaf)

5. For Official Use Only

Preferential Tariff Treatment Given Under _______

Preferential Treatment Not Given (Please state reasons)

…...…………………………………………

Signature of Authorized Signatory of the Importing Country

6. Remarks

of

transport

and

route

(as

far

as

known)

Departure Date

Vessel /Flight/Train/Vehicle No.

Port of loading

Port of discharge

number

(Max

20)

8.

Marks

and

numbers

on

packages

9.

Number

and

kind

of

10.

HS

11.

Origin

packages;

description

of

code

criterion

goods

(Six digit

code)

12.

Gross

weight,

quantity

(Quantity

Unit)

or

other

measures

(liters,m3,etc)

13.

Number,

date

of

invoice

and

invoiced

value

14

．

Declaration by the exporter

The

undersigned

hereby

declares

that

the

above

details and statement are correct, that all the goods

were produced in

（

Country

< br>）

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.

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Overleaf Instruction

Box 1:

State the full legal name, address (including country) of the exporter.

Box 2:

State

the

full

legal

name,

address

(including

country)

of

the

producer.

If

more

than

one

producer’s

good

is

included in the certificate, list the additional producers, including name, address (including country). If the exporter or the

produc

er

wishes

the

information

to

be

confidential,

it

is

acceptable

to

state

“Available

to

the

competent

governmental

authority

upon

request”.

If

the

producer

and

the

exporter

are

the

same,

please

complete

field

with

“SAME”.

If

the

producer is unknown, it is acceptable to state

Box 3:

State the full legal name, address (including country) of the consignee.

Box 4:

Complete

the

means

of

transport

and

route

and

specify

the

departure

date,

transport

vehicle

No.,

port

of

loading and discharge.

Box 5:

The

customs

authorities

of

the

importing

country

must

indicate

(√

)

in

the

relevant

boxes

whether

or

not

preferential tariff treatment is accorded.

Box 6:

Customer’s Order Number, Letter of Credit Number, and etc.

may be included if required. If the inv

oice is

issued by a non- Party operator, the name, address of the producer in the originating Party shall be stated herein.

Box 7:

State the item number, and item number should not exceed 20.

Box 8:

State the shipping marks and numbers on the packages.

Box 9:

Number

and

kind

of

package

shall

be

specified.

Provide

a

full

description

of

each

good.

The

description

should be sufficiently detailed to enable the products to be identified by the Customs Officers examining them and relate it

to

the

invoice

des

cription

and

to

the

HS

description

of

the

good.

If

goods

are

not

packed,

state

“in

bulk”.

When

the

description of the goods is finished, add “***” (three stars) or “

” (finishing slash).

Box 10:

For each good described in Box 9, identify the HS tariff classification to six digits.

Box 11:

If the goods qualify under the Rules of Origin, the exporter must indicate in Box 11 of this form the origin

criteria on the basis of which he claims that his goods qualify for preferential tariff treatment, in the manner shown in the

following table:

The origin criteria on the basis of which the exporter claims that his

Insert in Box 11

goods qualify for preferential tariff treatment

Goods wholly obtained

General rule as ≥

40% regional value content

Products specific rules

P

RVC

PSR

Box 12:

Gross

weight

in

Kilos

should

be

shown

here.

Other

units

of

measurement

e.g.

volume

or

number

of

items

which would indicate exact quantities may be used when customary.

Box 13:

Invoice number, date of invoices and invoiced value should be shown here.

Box 14:

The field must be completed, signed and dated by the exporter. Insert the place, date of signature.

Box 15:

The field must be completed, signed, dated and stamped by the authorized person of the certifying authority.

The telephone number, fax and address of the certifying authority shall be given.

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