办理产地证订单表

办理产地证订单表 ANEXO 4 Certificate of Origin ORIGINAL Certificate No.: 1. Exporter’s name, address, country: CERTIFICATE OF ORIGIN Form F for China-Chile FTA Issued in ____________ 2. Producer’s name and address, if known: (see Instruction overleaf) 3. Consignee’s name, address, country: 5. For Official Use Only 4.Means of transport and route (as far as known) Preferential Tariff Treatment Given Under _______ Preferential Treatment Not Given (Please state reasons) Departure Date …...………………………………………… Signature of Authorized Signatory of the Importing Country Vessel /Flight/Train/Vehicle No. Port of loading 6. Remarks Port of discharge 7.Item 8. Marks and numbers on 9. Number and kind of 10. HS code 11. 12. Gross 13. Number, date number packages packages; description of (Six digit code) Origin weight, quantity of invoice and (Max 20) goods criterion (Quantity Unit) invoiced value or other measures 3 (liters,m,etc) 14,Declaration by the exporter 15,Certification The undersigned hereby declares that the above It is hereby certified, on the basis of control carried details and statement are correct, that all the goods out, that the declaration of the exporter is correct. *were produced in Place and date , signature and stamp of certifying authority ,Country, CHINA Certifying authority and that they comply with the origin requirements Tel: Fax: specified in the FTA for the goods exported to Address: ,Importing country,CHILE Place and date, signature of authorized signatory A Certificate of Origin under China-Chile Free Trade Agreement shall be valid for one year from the date of issue in the exporting coun