ORIGINAL Goods consigned from (exporter's business name, Reference No ddress country) GENERALIZED SYSTEM OF PREFERENCES 2, Goods consigned to(Consig nee's name, address, country) CERTIFICATE OF ORIGIN ( Combined decla ertificate) FORM A Issued in (country) See Notes. Ove leaf 普惠制原产地证模 3, Means of trans port and route(as far as kno wn) 4、 For offlicial use Item6、 Marks and7、 Number and kind of Origin Gross10、 number numbers packages: description of criterion e ht and date goods ee Notes other cages overleaf quantity Invoices ll、 Certification 12. Declaration by the exporter It is hereby certified, on the basis of control carried The unde rsigned he re by declares that the above 板 out that the decla ration by the exporter is correct. de tails and statements are correct; that all the goods Pro duced (country) And that they comply with the origin Place and date, signature and stamp of certify ing requirements specified for those goods in the autho rity Generalized System of Preferences for goods exported to (impo rting country) I Place and date, signature of a uthorized signatoORIGINAL 1、 Goods consigned from (exporter’s business name, address、country) 2、Goods consigned to (Consignee’s name, address, country) Reference No. GENERALIZED SYSTEM OF PREFERENCES C ERTI FI CAT E O F OR IGIN (Combined declaration and certificate) FORM A Issued in (country) See Notes. Overleaf 3、Means of transport and route (as far as known) 4、For official use 5 、 Item number 6、Marks and numbers of packages 7 、 Number and kind of packages;description of goods 8 、 Origin criterion (see Notes overleaf) 9 、 Gross weight or other quantity 10 、 number and date of invoices 11、Certification It is hereby certified, on the basis of control carried out that the declaration by the exporter is correct. Place and date, signature and stamp of certifying authority 12、Declaration by the exporter The undersigned hereby declares that the above details and statements are correct; that all the goods were Produced in (country) And that they comply with the origin requirements specified for those goods in the Generalized System of Preferences for goods exported to (importing country) Place and date, signature of authorized signatory 普惠制原产地证模板