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普惠制原产地证样本

发布时间：2013-12-22 来源：文档文库

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1. Goods consigned from (Exporter's business name, Reference No.
address, country GENERALIZED SYSTEM OF PREFERENCES
SHANGHAI JINHAI IMP.&EXP.GROUP GARMENTS BRANCH NO.50 LANE 424 YAOHUA DOAD SHANGHAI CHINA CERTIFICATE OF ORIGIN (Combined declaration and certificate 2. Goods consigned to (Consignee's name, address, country ANTAK DEVELOPMENT PTE
LTD 101 KIT CHENER ROAD JALAN PLA 2A SINGAPORE Issued in
FORM A
THE PEOPLE'S REPUBLIC OF CHINA
(country See Notes overleaf
3 Means of transport and route (as far as known FROM SHANGHAI CHINA PORT TO SINGAPORE BY VESSEL 4. For official use

5.Item 6. Marks and 7. Number and kind of packages; description 8. Origin 9. Gross num- numbers of of goods criterion weight ber packages (see Notes
or other K.K.G.T. MEN COTTON WOVEN LABOURER SHIRTS overleaf quantity 1 73178

HS编码 MEN COTTON WOVEN SHIRTS 2 SINGAPORE

3
NO.1~190 NO.1123456 15 APR.2004 BANK OF CHINA SINGAPORE BRANCH61179 0039 MEN COTTON WOVEN SHIRTS
P G.W111KGS N.W105KGS
10. Number and date of invoices

SHGM7056 10 MAY 2004 ONE HUNDRED AND NINETY CARTONS
******************************************** Certification
11.

12. Declaration by the exporter

It is hereby certified, on the basis of control carried out, that the declaration by the exporter is correct.
The undersigned hereby declares that the above details and statements are correct, that all the goods were Producedin

Produced in china

and that they comply with the origin requirements specified for those goods in the Generalized System of Preferences for goods exported to

SINGAPORE
SHANGHAI
11 MAY 2004 出入境检验检疫局

Place and date, signature and stamp of certifying authority

(importing country SHANGHAI 11 MAY2004 ANTAK DEVELOPMENT PTE
LTD Place and date, signature and stamp of authorized signatory
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