《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 spe