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：
The origin criteria on the basis of which the exporter claims that his goods qualify for Duty-Free Treatment
| Insert in Box 10
|
The good is wholly obtained or produced in the territory of the beneficiary country as set out and defined in Rule 4.
| WO
|
When the good is subject to “ad valorem percentage” no less than 40% or CTH.
| CTH or Ad Valorem Percentage （40%）
|
When the good is subject to a requirement stipulated in PSR， indicate the specified criteria.
| Criterion as specified in PSR.
|
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.
