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1、申请书+一般原产地证实+FORM A原产地证明书申请书 申请单位及注册号码： 证书号： 申请人郑重声明： 本人是被正式授权代表单位申请办理原产地证明书和签署本申请书的。 本人所提供原产地证明书及所付单据内容正确无误，如发现弄虚作假，冒充证书所列货物，擅改证书，自愿接受签证机关的处罚及负法律责任。现将有关情况申报如下： 生产单位 中文品名 商业发票号 一般贸易 中转国/地区 H.S编码 灵活贸易 数量 FOB值 产品进口成份* 生产单位联系人电话 商品FOB总值 零售贸易 最终销售国 展卖贸易 拟出口日期 其他贸易方式 贸易方式 申请证书类型： 1.普惠制原产地证明书； 2.曼谷协定优惠原产地证
2、明书； 3.中国-东盟自由贸易区优惠原产地证明书； 4.中国与巴基斯坦优惠贸易安排优惠原产地证明书； 5.输欧盟农产品原产地证明书； 6.烟草真实性证书； 7.中华人民共和国出口货物原产地证明书 8.加工装配证明书； 9.转口证明书； 10.原产地异地调查结果单； 11.其他原产地证明书 备注： 申报员(签名)： 电话(手机)： 日期： 年 月 日 现提交出口商业发票副本一份，原产地证书一套，以及其他附件 份，请予审核签证。 *注：“产品进口成分”栏是指产品含进口成分的情况，如果该产品不含进口成份，则填0%，若含进口成份，则此栏填进口成分占产品出厂价的百分比。 普惠制原产地证明书 ORIGIN
3、AL 1. Goods consigned from (Exporters business Refer GENERALIZED SYSTEM OF PREFERENCES CERTIFICATE OF ORIGIN (Combined declaration and certificate) 2. Goods consigned to (Consignees name, sFORM A ITHE PEOPLES REPUBLIC See Notes overleaf OF CHINA (country) 3 Means of transport and route (as far as 4.
4、 For official use 5. Item num- ber 6. Marks and numbers of packages 7. Number and kind of packages; 8. Origin description of goods criterion (see Notes overleaf) 9. Gross weight or other quantity 10. Number and date of invoices 11. Certification 12. Declaration by the exporter It is hereby certified
5、, on the basis of control The undersigned hereby declares that the above details and carried out, that the declaration by the exporter statements are correct, that all the goods were is correct. p ro(country) dand that they comply with the origin requirements specified for those goods in the General
6、ized System of Preferences for goods exported to CHINA - Place and date, signature and stamp of certifying authority - Place and date, signature and stamp of authorized signatory 示样6-12 产品成本明细单 产品成本明细单 (每张表填一种商品，附上原材料发票复印件) 申请单位注册编号： 填写人： 填写日期： 年 月 日 申请单位 生产企业 联系人 联系人 联系 电话 联系 电话 品名 产品型号 产品所用原辅料、零部件
7、名称 H.S编码 H.S编码 产品计算单位 原料计算单位 货币单位 原料价值 国产 原料原产地 原料单位用料 进口 填不下请加附页 原料价值合计 加工费 成本价 进口及来源地不明的 原料价值占成品出厂价的百分比 成品出厂价 加工工序 注：三资企业的成品出厂价按合同上的出厂价填写；三来一补企业的成品出厂价等于原料价值+加工费。 例：茄克衫原辅料:面料、里料、松紧带、拉链、商标。面料的原料价值=单价50元X每件用料1.3米=65元 示样6-13 从日本进口原料证明书 Annex to Certificate of Origin Ref. No. CERTIFICATE OF MATERIALS I
8、MPORTED FROM JAPAN WHICH WERE USED FOR MANUFACTURE OF THE GOODS DESCRIBED IN THE CERTIFICATE OF ORIGIN (Ref. No._) Issued in The PEOPLES REPUBLIC OF CHINA (country) Export Goods Description Quantity Materials imported from Japan Description Quantity Certification it is hereby certified, on the basis
9、 of control carried out, that the declaration by the exporter is correct place and date, signature and stamp of certifying authority Declaration by the exporter The undersigned hereby declares that the above details are correct Place and date, signature of authorized signatory 示样6-14 贸促会一般原产地证书申请书 示
10、样6-15 一般原产地证书 ORIGINAL 1.Exporter Certificate No. CERTIFICATE OF ORIGIN 2.Consignee OF THE PEOPLES REPUBLIC OF CHINA 3.Means of transport and route 5.For certifying authority use only 4.Country / region of destination 6.Marks and numbers 7.Number and kind of packages; description of goods 8.H.S.Code
11、 9.Quantity 10.Number and date of invoices 11.Declaration by the exporter 12.Certification The undersigned hereby declares that the above details and It is hereby certified that the declaration by the exporter is correct. statements are correct, that all the goods were produced in China and that they comply with the Rules of Origin of the Peoples Republic of China. - - Place and date, signature and stamp of authorized signatory Place and date, signature and stamp of certifying authority 示样6-16原产地证样本 示样6-17 加工装配证明书样本 示样6-18 转口证明书样本
