附表2
原产地证书格式
ORIGINAL
┌────────────────┬────────────────────────────┐
│1.Exporter’s name, address, │Certificate No.: │
│ country: │ │
│ │CERTIFICATE OF ORIGIN │
├────────────────┤ │
│2. Producer’s name and addr │Form F for China-Chile │
│ess, │ FTA │
│ if known: │ │
├────────────────┤Issued in ____________ │
│3.Consignee’s name, address │(see Instruction │
│, country: │ overleaf) │
├────────────────┼────────────────────────────┤
│4.Means of transport and │5. For Official Use Only │
│route │ Preferential │
│ (as far as known) │ Tariff Treatment Given Under _______ │
│ │ │
│ Departure Date │ │
│ │ Preferential Treatment Not Given (Please state │
│ Vessel │reasons) │
│ /Flight/Train/Vehicle No. │…...………………………………………… │
│ │Signature of Authorized │
│ Port of loading │ Signatory of the Importing Country │
│ │ │
│Port of discharge ├────────────────────────────┤
│ │6. Remarks │
│ │ │
├───┬────┼───────┼───────────┬────┬─────┬─────┤
│7.It │8. Mar │9. Number and │10. HS code │11. Orig│12. Gross │13. Number│
│em │ks and │kind of packag│(Six digit code) │in crite│weight, qu│, date of │
│number│numbers │es; │ │rion │antity │invoice │
│(Max │on │ description │ │ │(Quantity │and │
│ 20) │packages│of goods │ │ │Unit) or │invoiced │
│ │ │ │ │ │other mea │value │
│ │ │ │ │ │sures (lit│ │
│ │ │ │ │ │ers,m3,etc│ │
│ │ │ │ │ │) │ │
├───┴────┴───────┴─────┬─────┴────┴─────┴─────┤
│14．Declaration by the exporter │15．Certification │
│The undersigned hereby declares │It is hereby │
│ that the above details and statement a │ certified, on the basis of control carri │
│re correct, that all the goods were │ed out, that the declaration of the │
│ produced in │ exporter is correct. │
│ │ │
│ │ │
│ （Country） │ │
│and that they comply with the │ │
│ origin requirements specified in the F │Place and date*, signature and stamp of ce │
│TA for the goods exported to │rtifying authority │
│ │ │
│ │ │
│ │Certifying authority │
│ （Importing country） │Tel: │
│ │ Fax: │
│ │Address: │
│Place and date, signature of │ │
│ authorized signatory │ │
└──────────────────────┴──────────────────────┘
