办理商检局中国—智利自由贸易区原产地证form f空白表格-金沙2004路线js5

2.      producer’s name and address,if known:（生产者）

3.      consignee’s name,address,country:（收货人）

4.        means of   transport and route(as far as known)

departure date（船期）   

vessel/flight/train/vehicle   no.   船名航次

port of loading（装货港）  

port of discharge     目的港

5.      preferentialfor official use only

         preferential tariff treatment given   under_______

         preferential treatment not given (please   state  reasons)

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signature of authorized signatory of the importing country  

6.    remarks

7.item number(max 20)

1

8. marks and numbers on packages

(唛头)

9. number and kind of packages;   description of goods

品名，箱数

10. hs code (six digit code)

 海关编码

11. 原产地标准

 p 或者rvc

12. gross weight,

数量(pcs)

13. number, date of

发票号码及日期

美金额(fob)

14. declaration by the exporter

the undersigned hereby declares that   the above details and statement are correct, that all the goods were produced   in

(country)

and that they comply with the origin requirements specified in the fta   for the goods exported to

(importing country)

place and date, signature of authorized signatory

15. certification

it is hereby certified, on the basis of control carried out, that the   declaration of the exporter is correct.

place and date, signature and stamp of certifying