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1.Exporter
1. 出口方名址
Certificate No. 原产地证书号码
CERTIFICATE OF ORIGIN
2.Consignee
2. 收货人名址
3.Means of transport and route
5.For certifying authority use only
OF
THE PEOPLE'S REPUBLIC OF CHINA
3. 运输路线及路线
5. 供签证机构使用
4.Country / region of destination
4. 运抵国/地区
6.Marks and numbers 7.Number and kind of packages;
description of goods
8.H.S.Code
9.Quantity
10.Number and date of invoices
6. 运输标志 7. 包装件数、种类 8. 商品编码 9. 商品数量 10. 发票号码
及商品名称 及日期
11.Declaration by the exporter
The undersigned hereby declares that the above
12.Certification
It is hereby certified that the declaration by the
details and statements are correct, that all the goods exporter is correct. were produced in China and that they comply with the Rules of Origin of the People's Republic of China.
10.出口商声明
签章
11. 签证机构证明
签章
------------------------------------------------------------------ ------------------------------------------------------------------- Place and date, signature and stamp of authorized Place and date, signature and stamp of certifying signatory
authority
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