海峡两岸原产地证书模板

附件1大陆原产地证书格式

海峡两岸经济合作框架协议原产地证书

正本

填写须知

第1栏：应填写海峡两岸经济合作框架协议下在双方注册登记的海峡两岸双方出口商详细名称、地址、电话、传真和电子邮件等联系方式。如无传真或者电子邮件，应填写“无”。

第2栏：应填写海峡两岸经济合作框架协议下在双方注册登记的海峡两岸双方生产商的详细名称、地址、电话、传真和电子邮件等联系方式。如无传真或者电子邮件，应填写“无”。如果证书包含一家以上生产商，应详细列出所有生产商的名称、地址，如果证书填写不下，可以随附生产商清单。如果生产商和出口商相同，应填写“同上”。若本栏资料属机密性资料时，请填写“签证机构或者相关机关要求时提供”。

第3栏：应填写海峡两岸经济合作框架协议下在双方注册登记的海峡两岸双方进口商的详细名称、地址、电话、传真和电子邮件等联系方式，如无传真或者电子邮件，应填写“无”。

第4栏：应填写运输方式及路线，详细说明离港日期、运输工具（船舶、飞机等）的编号、装货口岸和到货口岸。如离港日期未最终确定，可填写预计的离港日期，并注明“预计”字样。

第5栏：不论是否给予优惠关税待遇，进口方海关可在本栏标注(√)。如果不给予优惠关税待遇，请在该栏注明原因。该栏应由进口方海关已获授权签字人签字。

第6栏：如有需要，可填写订单号码、信用证号等。

第7栏：应填写项目编号，但不得超过20项。

第8栏：应对应第9栏中的每项货物填写《协调制度》编码，以进口方8位编码为准。

第9栏：应详细列明货品名称、包装件数及种类，以便于海关关员查验。货品名称可在中文名称外辅以英文，但不能仅以英文填写。货品名称应与出口商发票及《协调制度》上的商品描述相符。如果是散装货，应注明“散装”。当本栏货物信息填写完毕时，加上“***”（三颗星）或者“＼”（结束斜线符号）。

第10栏：每种货物的数量可依照海峡两岸双方惯例采用的计量单位填写，但应同时填写以国际计量单位衡量的数量，如毛重（用千克衡量），容积（用公升衡量），体积（用立方米衡量）等，以精确地反映货物数量。

第11栏：应填写唛头或者包装号，以便于海关关员查验。

第12栏：若货物符合临时原产地规则，出口商必须按照下列表格中规定的格式，在本证书第12栏中

此外，如果货物适用的原产地标准依据“累积规则”条款、“微小含量”条款或者“可互换材料”条款，亦应于本栏相应填写“ACU”、“DMI”或者“FG”。

第13栏：应填写海峡两岸经济合作框架协议下海峡两岸双方出口商开具的商业发票所载明的货物实际成交价格、发票编号及发票日期。

第14栏：应由出口商或者已获授权人填写、签名，并应填写签名的地点及日期。

第15栏：应由签证机构的授权人员填写签证地点和日期，并签名、盖章。同时应提供签证机构的电话号码、传真及地址。

证书应以中文填写，必要时辅以英文，但不能仅以英文填写。所有栏目必须填写。证书如有续页，亦按照本须知填写，续页也应填写同一证书编码。同时请在证书下方填写“第X页，共X页”。如果证书仅有1页，亦应填写“第1页，共1页”。

原产地证书续页格式

正本续页

附件2台湾原產地證明書格式

海峽兩岸經濟合作架構協議原產地證明書

正本

第頁，共頁

填寫須知

第1欄：應填寫海峽兩岸經濟合作架構協議下在雙方註冊登記的海峽兩岸雙方出口商詳細名稱、地址、電話、傳真和電子郵件等聯繫方式。如無傳真或電子郵件，應填寫「無」。

第2欄：應填寫海峽兩岸經濟合作架構協議下在雙方註冊登記之海峽兩岸雙方生產商的詳細名稱、地址、電話、傳真和電子郵件等聯繫方式。如無傳真或電子郵件，應填寫「無」。如證明書包含一家以上生產商，應詳細列出所有生產商的名稱、地址，如證明書填寫不下，可以隨附生產商清單。如生產商和出口商相同，應填寫「同上」。若本欄資料屬機密性資料時，請填寫「簽證機構或相關機關要求時提供」。

第3欄：應填寫海峽兩岸經濟合作架構協議下在雙方註冊登記之海峽兩岸雙方進口商的詳細名稱、地址、電話、傳真和電子郵件等聯繫方式，如無傳真或電子郵件，應填寫「無」。

第4欄：應填寫運輸方式及路線，詳細說明離港日期、運輸工具（船舶、飛機等）的編號、裝貨口岸和到貨口岸。如離港日期未最終確定，得填寫預計的離港日期，並註明「預計」字樣。

第5欄：不論是否給予優惠關稅待遇，進口方海關可在本欄標註(v)。如果不給予優惠關稅待遇，請在該欄註明原因。該欄應由進口方海關已獲授權簽字人簽字。

第6欄：如有需要，得填寫訂單號碼、信用狀號碼等。

第7欄：應填寫項目編號，但不得超過20項。

第8欄：應對應第9欄中的每項貨物填寫「調和制度」編碼，以進口方8位碼為準。

第9欄：應詳細列明貨品名稱、包裝件數及種類，以便於海關關員查驗。貨品名稱可在中文名稱外輔以英文，但不能僅以英文填寫。貨品名稱應與出口商發票及「調和制度」上的商品描述相符。如果是散裝貨，應註明“散裝”。當本欄貨物資料填寫完畢時，加上“***”（三顆星）或“＼”（結束斜線符號）。

第10欄：每種貨物的數量可依照海峽兩岸雙方慣例採用的計量單位填寫，但應同時填寫以國際計量單位衡量的數量，如毛重（用千克衡量），容積（用公升衡量），體積（用立方米衡量）等，以精確地反映貨物數量。

第11欄：應填寫嘜頭或包裝號，以便於海關關員查驗。

第12欄：若貨物符合臨時原產地規則，出口商必須按照下列表格中規定的格式，在本證明書第12欄中標明其貨物申報適用

此外，如果貨物適用的原產地標準依據「累積規則」條款、「微小含量」條款或「可互換材料」條款，亦應於本欄相應填寫“ACU”、“DMI”或“FG”。

第13欄：應填寫海峽兩岸經濟合作架構協議下海峽兩岸雙方出口商開具的商業發票所載明的貨物實際成交價格、發票編號及發票日期。

第14欄：應由出口商或已獲授權人填寫、簽名，並應填寫簽名的地點及日期。

第15欄：應由簽證機構的授權人員填寫簽證地點和日期，並簽名、蓋章。同時應提供簽證機構的電話號碼、傳真及地址。

證明書應以中文填寫，必要時輔以英文，但不能僅以英文填寫。所有欄位必須填寫。證明書如有續頁，亦按照本須知填寫，續頁也應填寫同一證明書編號。同時請在證明書下方填寫「第X頁，共X頁」。如果證

明書僅有1頁，亦應填寫「第1頁，共1頁」。

原產地證明書續頁格式

正本續頁

第頁，共頁

附件3

《海峡两岸经济合作框架协议》项下

进口货物原产资格申明书

本人_______（姓名及职务）/本单位（单位名称及海关注册编码）为进口货物收货人（不适用的部分请划去），兹申明编号为____________的报关单所列第______项货物原产台湾，且货物符合《海峡两岸经济合作框架协议》原产地规则的要求。

本人/本单位申请对上述货物适用《海峡两岸经济合作框架协议》协定税率，并申请缴纳保证金后放行货物。本人/本单位承诺自货物进口之日起1年内补交《海峡两岸经济合作框架协议》原产地证书。

签名：____________

日期：____________

原产地证附样本

原产地证 C/O为CERTIFICATE OF ORIGIN的简称，意思为“原产地证书”，以下为具体内容。一、原产地证书的作用原产地证明书（CERTIFICATE OF ORIGIN）是出口商应进口商要求而提供的、由公证机构或政府或出口商出具的证明货物原产地或制造地的一种证明文件。原产地证书是贸易关系人交接货物、结算货款、索赔理赔、进口国通关验收、征收关税在有效凭证，它还是出口国享受配额待遇、进口国对不同出口国实行不同贸易政策的凭证。二、原产地证书的类型根据签发者不同，原产地证书一般可分为以下三类： ①商检机构出具的原产地证书，如：中华人民共和国检验检疫局（CIQ）出具的普惠制产地证格式A（GSP FORM A）；一般原产地证书（CERTIFICATE OF ORIGIN）。 ②商会出具的产地证书，如：中国国际贸易促进委员会（CCPIT）出具的一般原产地证书，简称贸促会产地证书（CCPIT CEERTIFICATE OF ORIGIN）； ③制造商或出口商出具的产地证书；在国际贸易实务中，应该提供哪种产地证明书，主要依据合同或信用证的要求。一般对于实行普惠制国家出口货物，都要求出具普惠制产地证明书。如果信用证并未明确规定产地证书的出具者，那么银行应该接受任何一种产地证明书。现在我国多数出口商习惯于使用贸促会出具的证书。三、原产地证书的申请根据我国的规定，企业最迟于货物报关出运前三天向签证机构申请办理原产地证书，并严格按照签证机构的要求，真实、完整、正确地填写以下材料： ①《中华人民共和国出口货物原产地证书/加工装配证明书申请书》；（见附页）此处显示一份《一般原产地证明书/加工装配证明书》图5-1（国际商务单证103） ②《中华人民共和国出口货物原产地证明书》一式四份； ③出口货物商业发票；

原产地证明书样本(完整版)

原产地证明书样本原产地证明书样本。 sampleertifiateoforigin asia-paifitradeagreement 1.goodsonsignedfrom: refereneno. issuedin……………. goodsonsignedto: 3.foroffiialuse 4.meansoftransportandroute: 5.tariffitemnumber: 6.marksandnumberofpakages: 7.number andkindofpakages desription ofgoods: 8.origin riterion 9.gross eight orother quantit:

10.numberanddateofinvoies: 1 1.delarationbtheexporter: theundersignedherebdelaresthattheabovedetailsandstatement sareorret:thatallthegoodsereproduedin ………………………………. andthatthepliththeoriginrequirementsspeifiedforthesegoods intheasia-paifitradeagreementforgoodsexportedto ………………………………. ………………………………. plaeanddate,signatureofauthorized signator1 ertifiate itisherebertifiedonthebasisofontrolarriedout,thatthedelar ationbtheexporterisorret. ………………………………… plaeanddate,signatureandstampof ertifingauthorit notesforpletingertifiateoforigin i.generalonditions: toqualifforpreferene,produtsmust: a)fallithinadesriptionofprodutseligibleforprefereneinthel istofonessionsofanasia-paifitradeagreementountrofdestination;

原产地证书格式(中英)

附表2 原产地证书格式 * A Certificate of Origin under China-Chile Free Trade Agreement shall be valid for one year from the date of issue in the exporting country. 4

Overleaf Instruction Box 1:State the full legal name, address (including country) of the exporter. Box 2: State the full legal name, address (including country) of the producer. If more than one producer’s good is included in the certificate, list the additional producers, including name, address (including country). If the exporter or the producer wishes the information to be confidential, it is acceptable to state “Available to the competent governmental authority upon request”. If the producer and the exporter are the same, please complete field with “SAME”. If the producer is unknown, it is acceptable to state "UNKNOWN". Box 3: State the full legal name, address (including country) of the consignee. Box 4: Complete the means of transport and route and specify the departure date, transport vehicle No., port of loading and discharge. Box 5: The customs authorities of the importing country must indicate (√) in the relevant boxes whether or not preferential tariff treatment is accorded. Box 6: Customer’s Order Number, Letter of Credit Number, and etc. may be included if required. If the invoice is issued by a non-Party operator, the name, address of the producer in the originating Party shall be stated herein. Box 7: State the item number, and item number should not exceed 20. Box 8: State the shipping marks and numbers on the packages. Box 9: Number and kind of package shall be specified. Provide a full description of each good. The description should be sufficiently detailed to enable the products to be identified by the Customs Officers examining them and relate it to the invoice description and to the HS description of the good. If goods are not packed, state “in bulk”. When the description of the goods is finished, add “***” (three stars) or “ \ ” (finishing slash). Box 10: For each good described in Box 9, identify the HS tariff classification to six digits. Box 11: If the goods qualify under the Rules of Origin, the exporter must indicate in Box 11 of this form the origin criteria on the basis of which he claims that his goods qualify for preferential tariff treatment, in the manner shown in the following table: Insert in Box 11 The origin criteria on the basis of which the exporter claims that his goods qualify for preferential tariff treatment Goods wholly obtained P General rule as ≥ 40% regional value content RVC Products specific rules PSR Box 12: Gross weight in Kilos should be shown here. Other units of measurement e.g. volume or number of items which would indicate exact quantities may be used when customary. Box 13: Invoice number, date of invoices and invoiced value should be shown here. Box 14: The field must be completed, signed and dated by the exporter. Insert the place, date of signature. Box 15: The field must be completed, signed, dated and stamped by the authorized person of the certifying authority. The telephone number, fax and address of the certifying authority shall be given. 5

各类原产地证证书填制规范

普惠制原产地证书格式 A （FORM A）填制规范普惠制原产地证书采用联合国贸发会统一规定的证书格式，一正二副。正本为绿色，印有扭索图案底纹，第一副本为白色，第二副本为黄色。证书用英文或法文填制，证书共有12栏，各栏填制要求如下：标题栏（右上角），填上检验检疫机构编定的证书号。在证书横线上方填上 “中华人民共和国”。国名必须填打英文全称，不得简化。 Issued in THE PEOPLE'S REPUBLIC OF CHINA （国内证书已将此印上，无需再填打。) 第1栏：出口商名称、地址、国家此栏带有强制性，应填明详细地址，包括街道名、门牌号码等。例： ZHEJIANG TEXTILES IMPORT AND EXPORT GROUP CO., LTD. NO.165 ZHONGHE ZHONG ROAD, HANGZHOU, CHINA （杭中国地名的英文译音应采用汉语拼音。如ZHEJIANG（浙江）、HANGZHOU （温州）等等。州）、WENZHOU 第2栏：收货人的名称、地址、国家此栏应填给惠国最终收货人名称(即信用证上规定的提单通知人或特别声明的收货人)，如最终收货人不明确，可填发票抬头人。但不可填中间转口商的名称。欧盟、挪威、瑞士对此栏非强制性要求，如果货物直接运往上述给惠国，且进口商要求将此栏留空，则可不填详细地址，但须填：TO ORDER。第3栏：运输方式及路线（就所知而言）一般应填装货、到货地点（始运港、目的港）及运输方式（如海运、陆运、空运），该栏还要填明预定自中国出口的日期，例： ON/AFTER JUN.26, 2012 FROM HANGZHOU TO LONDON, U.K. BY AIR. 转运商品应加上转运港，例ON/AFTER JUN.26,2013 FROM SHANGHAI, CHINA BY SEA V IA HONG KONG, THEN IN TRANSIT TO S WITZERLAND. TO H AMBURG, GERMANY 第4栏：供官方使用（官方声明）此栏由签证当局填写，正常情况下此栏空白。特殊情况下，签证当局在此栏加注，如：（1）货物已出口，签证日期迟于出货日期，签发“补发”证书时，

原产地证明书样本模板(精选多篇)

原产地证明书样本(精选多篇) 第一篇：原产地证明书样本原产地证明书样本原产地证书是证明货物的生产或制造地的文件，简称原产地证，原产地证书在国际贸易中往往被进口国用来作为实行区别关税待遇和实施国别贸易政策管理的重要依据，例如最惠国待遇、政府采购、保障措施的正确实施等等，因此具有待定的法律效力和经济作用。下面是亚太贸易协定的原产地证明书，供大家参考。 samplecertificateoforigin asia-pacifictradeagreement (combineddeclarationandcertificate) 1.goodsconsignedfrom: (exporter’sbusinename,address,country) referenceno. issuedin……………. (country) 2.goodsconsignedto: (consignee’sname,address,country) 3.forofficialuse 4.meansoftransportandroute:

5.tariffitemnumber: 6.marksandnumberofpackages: 7.number andkindofpackages/ description ofgoods: 8.origin criterion (seenotes overleaf)9.gross weight orother quantity:10.numberanddateofinvoices: 11.declaratio(本文来自)nbytheexporter: theundersignedherebydeclaresthattheabovedetailsandstateme ntsarecorrect:thatallthegoodswereproducedin ………………………………. (country) andthattheycomplywiththeoriginrequirementsspecifiedforthe segoodsintheasia-pacifictradeagreementforgoodsexportedto ………………………………. (importingcountry)

原产地证明样本

原产地证明样本 SAMPLE CERTIFICATE OF ORIGIN Asia-Pacific Trade Agreement (Combined declaration and certificate) consigned from: (Exporter’s businename, address, country) Reference No. Issued in ……………. (Country) 2. Goods consigned to: (Consignee’s name, address, country) Official use 4. Means of transport and route: item number:6. Marks and number 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. 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 these goods in the Asia-Pacific Trade Agreement for goods exported to ………………………………. (Importing Country) ………………………………. Place and date, signature of authorized Signatory 12. Certificate 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

(新)原产地证明书样本(DOC)

原产地证明书样本(DOC) 原产地证明书样本原产地证书是证明货物的生产或制造地的文件，简称原产地证，原产地证书在国际贸易中往往被进口国用来作为实行区别关税待遇和实施国别贸易政策管理的重要依据，例如最惠国待遇、政府采购、保障措施的正确实施等等，因此具有待定的法律效力和经济作用。下面是亚太贸易协定的原产地证明书，供大家参考。 SAMPLE CERTIFICATE OF ORIGIN Asia-Pacific Trade Agreement (Combined declaration and certificate) 1.Goods consigned from: (Exporter’s businename, address, country) Reference No. Issued in ……………. (Country) 2. Goods consigned to: (Consignee’s name, address, country) 3.For Official use 4. Means of transport and route: 5.Tariff item number: 6. Marks and number of Packages: 7. Numberand 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. Declaration by the exporter : The undersigned hereby declares that the above details and statementsare correct: that all the goods were produced in ………………………………. (Country) and that they comply with the origin requirements specified for thesegoods in the Asia-Pacific Trade Agreement for goods exported to………………………………. (Importing Country) ………………………………. Place and date, signature of authorized Signatory 12. Certificate It is hereby certified on the basis of control carried out, that thedeclaration by the exporter is correct. ………………………………… Place and date, signature and Stamp of Certifying Authority

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原产地证明书模板原产地证明书模板第一篇：原产地证明书模板原产地证明书模板来了四个月了，没有接到一个单子，老板忙着接单子、出货，忙的一团糟，心情不好，我们跟着后面心情不好。终于办公室的单证姐姐也走了，老板忙啊，以后单证就让你们做了，反正你们以后都是要做的，现在先学学怎么做的。没有接到单子，心理本来就是不好受，讲话都没有底气，终于有事做了，恩，就当是学习了，以前在学校的时候学的是理论，但是和实地操作还是有差距的。终于，有机会让我来上场了，哈哈哈。有两票是到叙利亚的，需要做原产地认证和发票认证，先前发票认证可从来没有听说过埃不知道是啥玩意，只有听老板说是怎么回事了，最后也还是没明白老板说的是啥，硬着头皮先做原产地认证了，网上申报，是由同事完成的，我只扫了两眼，但是还是需要我和同事去跑了，唉，原产地认证是做好了，eas。发票认证让我一个人去了，去之前老板和我说，发票金额和报关金额不一样，你和他们说说好话，让他们帮忙办一下。我也不知道是啥回事，就跑贸促会去了，把东西拿给办认证的同志，说了很多客气的话，那个同志说发票金额和报关金额不一致，不行，必须要一致，要么改单价要么改重量。没办法，跑回来了，临走时，还是不忘说一些客气话。屁颠屁颠的回到办公室了，老板说不行，不能改，单价和重量怎么能改呢!!!非常肯定!!!

我很无语，人贸促会的人是这么说的，就是不给办，怎么搞!!!然后老板无语了，你和他们说说好话，让他们给办一下，我无语，过了一会子，过来一句，你配一下，把金额配好了。就这样，我就灰头土脸的跑回来配啊配，怎么配都是差0.00几美元，我神奇般地发现，只要改一下重量，一切就ok了，哈哈哈，老板一眼，又忙她的去了，过了一会子，恩，就这样吧。我在网上改啊改，终于又是硬着头皮，去了贸促会，结果网上没有改好，后来又不知道是啥问题，现在都忘了原因，又跑了第三趟，终于第四趟发票认证弄好了，第五趟，去拿认证好的发票了。一个发票认证和原产地认证，跑了五趟。更奇妙的事情还是来了，第二次叙利亚发票认证。有了第一次的经验以后，我信心十足，单据都做好了以后，老板说小羊你已经出师了，当时心里高兴啊，结果跑贸促会了以后，原产地认证就碰钉子了，“先前做的原产地证书呢“?”啊?我们已经寄给客户了氨“那怎么行，要重新做原产地认证，必须拿旧证换新证”，“一票货物只能做一次认证”，赶紧打电话问老板是怎么回事啊，老板也不知道是咋了，只有灰溜溜的回来了，老板还郁闷了呢，怎么还是没有搞定。弄了半天，还是发票号的问题，原来发票号是不一样的，所以做了两次认证，当时在网上申报的时候，我和同事问了老板好几次，是不是上次的发票号，老板嗯嗯嗯的是，这会子不对了，在电话里面的讲话的口气真是来势凶猛，让我避而不及，当时感觉很委屈啊，和同事说了，外面将近40度，我在外面跑，两胳膊晒的黑黑的，结果招来这样的训斥。我招谁惹谁了我，当时心里郁闷埃老板就是老板埃第二天，我屁颠屁颠的弄好了发票，重新申报了，弄好了单据，结果把公司的章盖错地方了，盖到了贸促会的盖章的地方了，当时明

原产地证明书样本

原产地证明书样本 SAMPLE CERTIFICATE OF ORIGIN Asia-Pacific Trade Agreement (Combined declaration and certificate) consigned from: (Exporter’s businename, address, country) Reference No. Issued in ……………. (Country) 2. Goods consigned to: (Consignee’s name, address, country) Official use 4. Means of transport and route: item number:6. Marks and number of Packages: 7. Number and kind of packages/ description of goods: 8. Origin criterion (see notes overleaf)9. Gross

中智自贸区原产地证书样品及填制说明

中国—智利自由贸易区原产地证书样本及其填制说明 Certificate of Origin * A Certificate of Origin under China-Chile Free Trade Agreement shall be valid for one year from the date of issue in the exporting country. — 1 —

Overleaf Instruction Box 1: State the full legal name, address (including country) of the exporter. Box 2: State the full legal name, address (including country) of the producer. If more than one producer’s good is included in the certificate, list the additional producers, including name, address (including country). If the exporter or the producer wishes the information to be confidential, it is acceptable to state “A vailable to the competent governmental authority upon request”. If the producer and the exporter are the same, please complete field with “SAME”. If the produ cer is unknown, it is acceptable to state "UNKNOWN". Box 3: State the full legal name, address (including country) of the consignee. Box 4: Complete the means of transport and route and specify the departure date, transport vehicle No., port of loading and discharge. Box 5: The customs authorities of the importing country must indicate (√ ) in the relevant boxes whether or not preferential tariff treatment is accorded. Box 6: Customer’s Order Number, Letter of Credit Number, and etc. may be included if required. If the invoice is issued by a non-Party operator, the name, address of the producer in the originating Party shall be stated herein. Box 7: State the item number, and item number should not exceed 20. Box 8: State the shipping marks and numbers on the packages. Box 9: Number and kind of package shall be specified. Provide a full description of each good. The description should be sufficiently detailed to enable the products to be identified by the Customs Officers examining them and relate it to the invoice description and to the HS description of the good. If goods are not packed, state “in bulk”. When the description of the goods is finishe d, add “***” (three stars) or “ \ ” (finishing slash). Box 10: For each good described in Box 9, identify the HS tariff classification to six digits. Box 11: If the goods qualify under the Rules of Origin, the exporter must indicate in Box 11 of this form the origin criteria on the basis of which he claims that his goods qualify for preferential tariff treatment, in the manner shown in the following table: Box 12: Gross weight in Kilos should be shown here. Other units of measurement e.g. volume or number of items which would indicate exact quantities may be used when customary. Box 13: Invoice number, date of invoices and invoiced value should be shown here. Box 14: The field must be completed, signed and dated by the exporter. Insert the place, date of signature. Box 15: The field must be completed, signed, dated and stamped by the authorized person of the certifying authority. The telephone number, fax and address of the certifying authority shall be given. — 2 —

6-附件：原产地证书格式以及填制说明 Original

附件：原产地证书格式以及填制说明Original

Page 2 of

Overleaf Instruction Certificate No.: Serial number of Certificate of Origin assigned by the issuing body. Box 1: State the full legal name, address (including country) of the exporter and the exporter should be in the beneficiary country. Box 2: State the full legal name, address (including country) of the producer and the producer should be in the beneficial country. If more than one producer’s good is included in the certificate, list the additional producers, including name, address (including country). If the exporter or the producer wishes the information to be confidential, it is acceptable to state “Available to the authorized body upon request”. If the producer and the exporter are the same, please complete field with “SAME”. If the producer is unknown, it is acceptable to state "UNKNOWN". Box 3: State the full legal name, address (including country) of the consignee, and the consignee should be in the customs territory of China. Box 4: Complete the means of transport and route and specify the departure date, transport vehicle No., port of loading and discharge. Box 5: Any additional information such as Customer’s Order Number, Letter of Credit Number, etc. may be included. Box 6: State the item number. Box 7: State the shipping marks and numbers on the packages. Box 8: Number and kind of package shall be specified. Provide a full description of each good. The description should be sufficiently detailed to enable the products to be identified by the Customs Officers examining them and relate it to the invoice description and to the HS description of the good. If goods are not packed, state “in bulk”. When the description of the goods is finished, add “***” (three stars) or “ \ ” (finishing slash). Box 9: For each good described in Box 9, identify the HS tariff classification of China to six digits. Box 10: If the goods qualify under the Rules of Origin, the exporter must indicate in Box 10 of this form the origin criteria on the basis of which he claims that his goods qualify for preferential tariff treatment, in the manner shown in the following table: Box 11: Gross weight in kilograms should be shown here. Other units of measurement e.g. volume or number of items which would indicate exact quantities may be used when customary. Box 12: Invoice number, date of invoices and invoiced value should be shown here. Box 13: The field must be completed, signed and dated by the exporter for exports from the beneficiary country. Box 14: The field must be completed, signed, dated and stamped by the issuing body. Box 15: The field must be completed, signed, dated and stamped by the Customs authority of the beneficiary country. In case where there is not enough space on the first page of a Certificate of Origin for multiple lines of goods, additional pages can be used. The Certificate number will be the same as that shown on the first page. The main characteristics including box 6 to box 15 will be presented, together with the stamp of the issuing body and the Customs authority of the beneficiary country.

亚太贸易协定原产地证书样本

附表 SAMPLE CERTIFICATE OF ORIGIN Asia-Pacific Trade Agreement 1

Notes for completing Certificate of Origin I. General Conditions: To qualify for preference, products must: a)fall within a description of products eligible for preference in the list of concessions of an Asia-Pacific Trade Agreement country of destination; b)comply with Asia-Pacific Trade Agreement rules of origin. Each article in a consignment must qualify separately in its own right; and c)comply with the consignment conditions specified by the Asia-Pacific Trade Agreement rules of origin. In general, products must be consigned directly within the meaning of Rule 5 hereof from the country of exportation to the country of destination. II. Entries to be made in the boxes Box 1 Goods Consigned from Type the name, address and country of the exporter. The name must be the same as the exporter described in the invoice. Box 2 Goods Consigned to Type the name, address and country of the importer. The name must be the same as the importer described in the invoice. For third party tra de, the words “To Order” may be typed. Box 3 For Official Use Reserved for use by certifying authority. Box 4 Means of Transport and Route State in detail the means of transport and route for the products exported. If the L/C terms etc. do not require such details, type “By Air” or “By Sea”. If the products are transported through a third country this can be indicated as follows: e.g. “By Air”“Laos to India via Bangkok” Box 5 Tariff Item Number Type the 4-digit HS heading of the individual items. Box 6 Marks and Numbers of Packages Type the marks and numbers of the packages covered by the Certificate. This information should be identical to the marks and numbers on the packages. Box 7 Number and Kind of Packages; Description of Goods Type clearly the description of the products exported. This should be identical to the description of the products contained in the invoice. An accurate description will help the Customs Authority of the country of destination to clear the products quickly. Box 8 Origin Criterion Preference products must be wholly produced or obtained in the exporting Participating State in accordance with Rule 2 of the Asia-Pacific Trade Agreement Rules of Origin, or where not wholly produced or obtained in the exporting Participating State must be eligible under Rule 3 or Rule 4. a)Products wholly produced or obtained: enter the letter “A” in Box 8. b)Products not wholly produced or obtained: the entry in Box 8 should be as follows: 1.Enter letter “B” in Box 8, for products which m eet the origin criteria according to Rule 3. Entry of letter “B” would be followed by the sum of the value of materials, parts or produce originating from non-Participating States, or undetermined origin used, expressed as a percentage of the f.o.b. value of the products; (example “B” 50 per cent); 2.Enter letter “C” in Box 8 for products which meet the origin criteria according to Rule 4. Entry of letter “C” would be followed by the sum of the aggregate content originating in the territory of the exporting Participating State expressed as a percentage of the f.o.b. value of the exported product; (example “C” 60 per cent); 3.Enter letter “D” in Box 8 for products which meet the special origin criteria according to Rule 10. Box 9 Gross Weight or Other Quantity Type the gross weight or other quantity (such as pieces, kg) of the products covered by the Certificate. Box 10 Number and Date of Invoices State number and date of the invoice in question. The date of the invoice attached to the Application should not be later than the date of approval on the Certificate. Box 11 Declaration by the Exporter The term “Exporter” refers to the shipper who can either be a trader or a manufacturer. Type the name of the producing country and the importing country and the place and date when the declaration is made. This box must be signed by the Company’s authorized signatory. Box 12 Certification 2