Original(DuplicateTriplicate)

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1、ATTACHMENTCOriginal(Duplicate/Triplicate)ReferenceNo.1.Productsconsignedfrom(Exporter'sbusinessname,ASEAN-CHINAFREETRADEAREAaddress,country)PREFERENTIALTARIFFCERTIFICATEOFORIGIN(CombinedDeclarationandCertificate) 2.Productsconsignedto(Consignee'sname,

2、address,FORMEcountry)Issuedin______________(Country)SeeOverleafNotes3.Meansoftransportandroute(asfarasknown)4.ForOfficialUse   DeparturedatePreferentialTreatmentGivenVessel'sname/Aircraftetc.PreferentialTreatmentNotGiven(Pleasestatereason/s)      Port

3、ofDischarge   ..................................................................................SignatureofAuthorisedSignatoryoftheImportingParty                 5.Item6.Marksand7.Numberandtypeof8.Origincriteria9.Gross10.Numberandnumbernumbersonpackag

4、es,descriptionof(seeOverleafweightordateofpackagesproducts(includingquantityNotes)otherquantityinvoiceswhereappropriateandHSandvaluenumberoftheimporting(FOB)Party)              11.Declarationbytheexporter12.CertificationTheundersignedherebydeclarestha

5、ttheaboveItisherebycertified,onthebasisofcontroldetailsandstatementarecorrect;thatalltheproductscarriedout,thatthedeclarationbythewereproducedinexporteriscorrect..............................................................(Country)andthattheycomplywi

6、ththeoriginrequirementsspecifiedfortheseproductsintheRulesofOriginfortheACFTAfortheproductsexportedto.............................................................(ImportingCountry).......................................................................

7、......................................................................Placeanddate,signatureofPlaceanddate,signatureandstampofauthorisedsignatorycertifyingauthority13□IssuedRetroactively□Exhibition□MovementCertificate□ThirdPartyInvoicing           7OV

8、ERLEAFNOTES1.PartieswhichacceptthisformforthepurposeofpreferentialtreatmentundertheASEAN-CHINAFreeTradeAreaPreferentialTariff:BRUNEIDARUSSALAMCAMBODIACHINAINDONESIALAOSMALAYSIAMYANMARPHILIPPINESSINGAPORETHAILANDVIETNAM2.CONDITIONS:Themaincondi