普惠制原产地证书 ORIGINAL Reference no 1. Goods consigned from(Exporters business name, GENERALIZED SYSTEM OF PREFERENCES address, country) CERTIFICATE OF ORIGIN (Combined declaration and certificate) 2.Goods consigned to( Consignee's name, address. FORMA country) Issued in THE PEOPLES REPUBLIC OF chIina (country) See Notes, ove leaf 3. Means of trans port and route(as far as known) 4. For official use 5.Item. Marks and numbers of6 7. Nunber 8. Orign 9. Gross weight or 10. Number and date number and kind of criterion(see other quantity of invoices packages; Notes verdean description 11.Certification 12. Declaration by the exporter It is hereby certified, on the basis of control The undersigned hereby declares that the above details and carried out, that the declaration by the tatements are correct; that all the goods were produced in exporter is correct CHINA and that they comply with the origin requirements specified for hose goods in the Generalized System of Preferences for goods Place and date, signature and stamp of exported certifying authority Place and date, signature and stamp of certifying authority (importing country) Place and date, signature of authorized signatory普惠制原产地证书 ORIGINAL 1.Goods consigned from (Exporter’s business name, address, country) Reference No: GENERALIZED SYSTEM OF PREFERENCES CERTIFICATE OF ORIGIN (Combined declaration and certificate) FORM A Issued in THE PEOPLE’S REPUBLIC OF CHINA (country) See Notes, overleaf 2.Goods consigned to(Consignee’s name, address, country) 3.Means of transport and route(as far as known) 4.For official use 5.Item number .Marks and numbers of6 packages 7.Nunber and kind of packages; description of goods 8.Orign criterion(see Notes verleaf) 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 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 CHINA (country) and that they comply with the origin requirements specified for those goods in the Generalized System of Preferences for goods exported ( importing country) Place and date, signature of authorized signatory