给予非洲最不发达国家特别优惠关税待遇的货物原产地证格式

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附件2 原产地证书格式
er (full name, address and country)
2. CERTIFICATE NO.
DATE OF ISSUE
(VALID FOR 180 DAYS FROM THE DATE OF ISSUE)
nee (full name, address and country)


CERTIFICATE OF ORIGIN

(Combined Declaration and Certificate)





Issued in
.......................... .................................................. .................................................
(country)


See instructions overleaf

8. For official use only

SPECIAL PREFERENTIAL TARIFF PROGRAM
Granted by China

4.Manufactory(full name, address and country)
ure Date
FlightTrainVehicle No. of Loading
of Discharge
12. Container No.; No. and Kind of Packages; Description of goods (including
number & numbers quantity where appropriate and HS Code of China);
on

packages;
weight or other and date
quantity ( Quantity unit ) and of invoice
value(FOB)


select the following origin criteria where appropriate:
□Wholly Obtained
□4-digit Tariff Heading Change
□Ad Valorem Percentage (40%)
16. 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 under the SPT Program
exported to China.




17. Certification 18. Customs verification
It is hereby certified, on the basis of control carried This is to certify that the goods declared for exportation
out, that the declaration by the exporter is correct. correspond to what is stated under this certificate



















…………………………………………………………………



…………………………………………………………………
Place and date, signature and stamp of certifying authority
Place, date, signature and stamp of exporting customs authority


……………………………………………………………………
Place and date, signature of authority signatory
.




Instruction for filling in the form



1. The main conditions for admission to preference are that goods exported to the People’s Republic of China:
(a)shall fall within a description of goods eligible for preference under the Special Preferential Tariff Program; and
(b)shall comply with the origin criteria specified in the Rules of Origin.


the goods qualify under the origin criteria as stipulated in Rule 4 or Rule 6, the exporter shall indicate in Box 15
of the form.

3. A declaration on the certificate of origin form shall be performed by the exporter of the goods and submitted in
duplicate to the certifying authority of country of exportation, which will, if satisfied, certify the original copy of the
certificate of origin and return it to the exporter for transmission to the importer in China. The certifying authority
will keep the duplicate duly completed and signed by the exporters.


4. Any unused space in the certificate of origin form should be struck through in such a manner as to make any later
addition impossible. Any alternation shall be endorsed by certifying authority. The description of goods should be
sufficiently detailed to enable the goods to be identified by the customs officer examining them at port of importation.




By order of the President,




















中文文本仅供参考
1. 出口商(名称、地址及国家)
2. 证书编号
签发日期
(自签发之日起180天内有效)
3. 收货人(名称、地址及国家)



中国给予特别优惠关税待遇
原产地证书

(申报与证书合一)





....... .................................................. .................................................. .... 签发
(国家)

填制方法见背面说明
8. 供官方使用

4.生产商(名称、地址及国家)
5. 离港日期
6. 船舶飞机火车货车编号 7. 装货地
9. 卸货口岸
10项目11. 包装12. 货柜编号;包装件数及种类;货品名称(包括相应数量及中国HS编码)
13. 毛重或其他数量(数量单
14. 发票编号及日
位)及价格(FOB)
编号 唛头及编





15.请选择适用的原产地标准:
□ 完全获得
□ 4位数级品目改变
□ 从价百分比 (40%)
16. 出口商声明 17. 证明
18. 海关验核
下列签字人声明上述资料及申报正确无讹,所有根据所实施的监管,兹证明出口商所做申报正 确
兹证明申报出口的货物与此证书之描述相符。
货物产自 无讹。






……………………………………………………


(国家)


且符合出口至中国的特别优惠关税待遇货物所适


用的原产地要求。









………………………………………………………
…………………………………………………… ……………………………………………………
地点、时间、签字和出口国海关当局的印章
地点和日期,签字和签证机构印章
地点和日期,有权签字人的签字



表格填制说明


1. 准许享受优惠待遇的主要条件是:出国至中华人民共和国的货物,
1) 应在享受特别优惠关税待遇的产品范围之内;以及
2) 应符合原产地规则中规定的原产地标准。

2. 如果货物符合规则4或规则6规定的原产地标准,出口商应在表
格栏目15中加以注明。

3. 出口商负责对原产地证书上的内容进行申报,并将证书一式两份
提交给出口国签证机构。 如符合要求,签证机构将在原产地证书的正
本上予以签注并将其返还给出口商,以便将正本交给中国的进 口商。
签证机构应保留由出口商正确填制和签字的副本。

4. 所有未填空白之处 应予划去,以防事后填写。任何更正必须由签
证机构认可。货品名称必须足够详细,以使在进口口岸验货 的海关官
员可以借此识别货物。


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