普惠制原产地证明书（FORM A） 范本，样图.doc

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1、1.Goodsconsignedfrom(Exporter'sbusinessname,address,country)IMPORT&EXPORTCO.,LTD.SHENZHENHAIFUO/B…贵公司抬头（可不填）ReferenceNo.GENERALIZEDSYSTEMOFPREFERENCECERTIFICATEOFORIGIN(Combineddeclarationandcertificate)FORMAIssuedinTHEPEOPOE'SREPUBLICOFCHINA(Country)S

2、eeNotedOverleaf2.Goodsconsigneeto(Cousignee'sname,address,country)收货客户名称/地址如无详细地址，则打上ToOrder3.Meansoftransportandroute(asfarasknown)运输方式出货日期4.Forofficialuse5.Itemnumber6.Mrksandnumberofpackages7.Numberandkindofpackages;descriptionofgoods品名和箱数8.Origincr

3、iterion(seeNotesoverleaf)原产地标准9.Grossweightorotherquantity个数10.Numberanddateofinvoices序号唛头发票号和日期11.CertificationItisherebycertified,onthebasisofcontrolcarriedout,thedsclarationbytheexporteriscorrect.商检局盖印------------------------------------------------

4、----------------------------Placeanddate.signatureandstampofcertifyingauthority12.Declarationbytheexporterheundersignedherebydeclaresthattheabovedetailandstatementsarecorrectthatthegoodswereproducein-----------------------------------------------------

5、---------------------andthattheycomplywiththeoriginalrequirementsspecifiedforthosegoodsintheGeneraliderlSystemofPreferencesforgoodsexportedto我司盖印--------------------------------------------------------------------------(importcountry)------------------

6、--------------------------------------------------------Placeanddate,signatureofauthorizedsignatory实样图：