原产地证书格式以及填制

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1、附件：原产地证书格式以及填制说明OriginalCertificate No.:1. Exporter (full name, address and country):CERTIFICATE OF ORIGIN2. Producers name and address, if known:DUTY-FREE TREATMENT Granted by China (Combined Declaration and Certificate)3. Consignee (full name, address and country):Issued in(See Instruction Overlea

2、f )For official use only:4. Means of transport and route (as far as known)Departure dateVessel /Flight/Train/Vhicle No.Port of loadingPort of discharge5.Remarks6.Itemnumber7.Marks and numbers on packages8.Number and kind of packages;Description of goods9. HS Code 10. Origin11. Gross weight,(6-digit)

3、Criterionquantity (quantityunit) or other measures (litres, metc)12. Number, date of invoice and invoiced value14.CertificationIt is hereby certified, on the basis of control carried out, that the declaration by the15. Customs verificationThis is to certify that the goods declared for exportation co

4、rrespond to what is stated under this certificatePlace and date, signature of authority signatory.Place and date, signature and stamp of issuing body.Place, date, signature and stamp of exporting customs authority.13. Declaration by the exporterThe undersigned hereby declares that the above details

5、and statements are correct, that all the goods were produced in exporteris correct.(country)and that they comply with the origin requirements specified for these goods under the Duty-Free Treatment exported to China.Certificate No:6.Itemnumber7.Marks and numbers on packages8.Number and kind of packa

6、ges;Description of goods9. HS Code (6-digit)10. OriginCriterion11. Gross12. Number,weight,date ofquantityinvoice and(quantity unit) or othermeasures(litres, m,etc)invoiced value13. Declaration by the exporterThe undersigned hereby declares that the above details and statements are correct, that all

7、the14.CertificationIt is hereby certified, on the basis of control carried out,goods were produced inthat the declaration by the exporteris correct. (country)and that they comply with the origin requirementsspecified for these goods under the Duty-Free15. Customs verificationThis is to certify that

8、the goods declared for exportation correspond to what is stated under this certificateTreatment exported to China.Place and date, signature of authority signatoryPlace and date, signature and stamp of issuing authority Place, date, signature and stamp of exporting customs authority.Overleaf Instruct

9、ionCertificate No.: Serial number of Certificate of Origin assigned by the issuing body.Box 1: State the full legal name, address (including country) of the exporter and the exporter should be in the beneficiary country.Box 2: State the full legal name, address (including country) of the producer an

10、d the producer should be in the beneficial country. If more than one producers good is included in the certificate, list the additional producers, including name, address (including country). If the exporter or the producer wishes the information to be confidential, it is acceptable to state “Availa

11、ble to the authorized body upon request”. If the producer and the exporter are the same, please complete field with SAME”. If the producer is unknown, it is acceptable to state UNKNOWN.Box 3: State the full legal name, address (including country) of the consignee, and the consignee should be in the

12、customs territory of China.Box 4: Complete the means of transport and route and specify the departure date, transport vehicle No., port of loading and discharge.Box 5: Any additional information such as Customers Order Number, Letter of Credit Number, etc. may be included.Box 6: State the item numbe

13、r.Box 7: State the shipping marks and numbers on the packages.Box 8: Number and kind of package shall be specified. Provide a full description of each good. The description should be sufficiently detailed to enable the products to be identified by the Customs Officers examining them and relate it to

14、 the invoice description and to the HS descriptioif the good. If goods are not packed, state “in bulk”. When the description of the goods is finished, add “*” (three stars) or “ (finishing slash).Box 9: For each good described in Box 9, identify the HS tariff classification of China to six digits.Bo

15、x 10: If the goods qualify under the Rules of Origin, the exporter must indicate in Box 10 of this form the origin criteria on the basis of which he claims that his goods qualify for preferential tariff treatment, in the manner shown in the following table:The origin criteria on the basis of which t

16、he exporter claims that his goods qualify fo Duty-Free Treatment Insert in Box 10The good is wholly obtained or produced in the territory of the beneficiary country as set out and defined in Rule 4.;WOWhen the good is subject to “ad valorem percentage” no less than 40% or CTH.CTH or Ad valorem Perce

17、ntage(40%)When the good is subject to a requirement stipulated in PSR, indicate the specified criteria.Criterion as specified in PSR.Box 11: Gross weight in kilograms should be shown here. Other units of measurement e.g. volume or number of items which would indicate exact quantities may be used whe

18、n customary.Box 12: Invoice number, date of invoices and invoiced value should be shown here.Box 13: The field must be completed, signed and dated by the exporter for exports from the beneficiary country.Box 14: The field must be completed, signed, dated and stamped by the issuing body.Box 15: The f

19、ield must be completed, signed, dated and stamped by the Customs authority of the beneficiary country.In case where there is not enough space on the first page of a Certificate of Origin for multiple lines of goods, additional pages can be used. The Certificate number will be the same as that shown

20、on the first page. The main characteristics including box 6 to box 15 will be presented, together with the stamp of the issuing body and the Customs authority of the beneficiary country.中文参考:正本1.出口商的名称、地址:证书编号:2.生产商的名称、地址（在已知情况下）：中国给予特别优惠关税待遇原产地证书3.收货人的名称、地址:（申报与证书合一）签发国（填制方法详见证书背页说明供官方使用:4.运输方式及路线离

21、港日期船舶/飞机/火车/车辆编号装货口岸卸货口岸7.唛头及包: 装号；6.项目号8.包装数量及种类；商品描述9. HS编码（6位数编 码）13.出口商声明下列签字人声明上述资料及申报正确无讹所有货物产自5.备注:10.原产地标准11.毛重、数量（数量单 位）或其它计 量单位（升、 立方米等）12.发票号码、发票日期及发票价格14.证明根据所实施的监管，兹证明 出口商所做申报正确无讹。15.海关验核兹证明申报出口的货物与此证 书之描述相符。（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。地点和日期，有权签字人的签字地点、日期和签证机构印章 地点、时间和出口国海关当局的印章6.

22、项目号7.唛头及包 装号；8.包装数量及种类；商品描述9. HS编码（6位数中 国编码）10.原产地标准11.毛重、数量（数量单 位）或其它计 量单位（升、 立方米等）12.发票号码、发票日期及发票价格13.出口商声明下列签字人声明上述资料及申报正确无讹所有货物产自14.证明根据所实施的监管，兹证明 出口商所做申报正确无讹。15.海关验核兹证明申报出口的货物与此证 书之描述相符。（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。地点和日期，有权签字人的签字地点、日期和签证机构印章 地点、时间和出口国海关当局的印章背页填制说明证书编号：授权签证机构签发原产地证书的序列号。第1栏

23、：填写受惠国出口商的名称、地址（包括国家）第2栏：在知道实际生产商的情况下，填写受惠国生产商的名称、地址（包括国家如果出口 货物由一家以上生产商生产，仅填写最后实际性加工生产的生产商的名称、地址（包括国家） 如果生产商和出口商相同，应填写同上”。如果不知道生产商，可填写不知道”。第3栏：填写中国关境收货人的名称、地址。第4栏：填写运输方式及路线、离港日期、运输工具编号、装货港口和卸货港口。第5栏：可以填写顾客订货单号码，信用证号码等其他信息。第6栏：填写货物项目号。第7栏：填写唛头及包装号。第8栏：填写货品名称、包装数量及种类。如果是散装货，应注暇装”。在商品描述末尾加上“*”（三颗星）或V

24、（结束斜线符号）第9栏：填写货物对应的协调制度六位数编码。第10栏：若货物符合原产地规则，出口商必须按照下表所示方式，在本证书第栏中申明其 货物享受优惠待遇所依据的原产地标准:原产地标准填入第10栏该货物是根据第四条（完全获得货物）的相关规定，在受 惠国境内完全获得或生产；七WO货物适用从价百分比40%或者四位数税号改变规则。CTH or RVC40%货物适用产品特定原产地规则所规定的标准，应具体注明 适用的标准。I Criterion as specified in PSR第11栏：毛重应填写，千克”，数量应填写数量单位，体积可填写升或立方米等第12栏：应填写发票号码、开发票日期以及发票价格。第13栏：本栏目必须由出口商填写、签名并填写日期。第14栏：本栏必须由授权签证机构的授权人员填写地点、签证日期并盖章。第15栏：本栏必须由受惠国海关当局的授权人员填写地点、签证日期并盖章。当原产地证书一页填制不下多项商品时，可以附页填制。第二页应列出原产地证书第一页所列 的第6至15栏内容，并标注原产地证书号码，该号码与第一页证书号码相同，同时必须有签证 机构的印章和出口国海关印章。证书编号: