《亚太贸易协定》原产地证书样本 SAMPLE CERTIFICATE OF ORIGIN Asia-Pacific Trade Agreement (Combined declaration and certificate) 1.Goods consigned from: (Exporter’s business name, 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. 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 Certifying Authority 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...
