Certificate Of Origin
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1
2Certificate of Origin
Certificate No.:
1. Exporter’s name, address, country:
CERTIFICATE OF ORIGIN
2. Producer’s name and address, if known:
Form F for China-Chile FTA
CHILE
Issued in
(see Instruction overleaf)
3. Consignee’s name, address, country:
5. For Official Use Only
Preferential Tariff Treatment Given Under _______
Preferential Treatment Not Given (Please state reasons)
4. Means of transport and route (as far as known)
Departure Date
Signature of Authorized Signatory of the Importing Country
Vessel /Flight/Train/Vehicle No.
6. Remarks
Port of loading
Port of discharge
7. Item
8. Marks and
9. Number and kind of packages; description of goods
10. HS code
11. Origin
12. Gross weight,
13. Number,
number
numbers
(Six digit code)
criterion
quantity (Quantity
date of invoice
(Max. 20)
on packages
Unit) or other
and invoiced
measures (liters, m3,
value
etc)
14. Declaration by the exporter
15. Certification
The undersigned hereby declares that the above details and statement are
It is hereby certified, on the basis of control carried out, that the declaration of the exporter is correct.
correct, that all the goods were produced in
CHILE
(Country)
and that they comply with the origin requirements specified in the FTA for the
*
Place and date
, signature and stamp of certifying authority
goods exported to
CHINA
Certifying authority
( Importing country)
Tel:
Fax:
Address:
Place and date, signature of authorized signatory
*
A Certificate of Origin under China-Chile Free Trade Agreement shall be valid for one year from the date of issue in the exporting country.
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