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le at 日期 上海 中國人民保險(xiǎn)公司上海分公司 DateShanghai THE PEOPLE’S INSURANCE CO. OF CHINA 地址:中國上海中山東一路23號 SHANGHAI BRANCH Address: 23 Zhongshan Dong Yi Lu Shanghai, China. Cables:42001 Shanghai. Telex: 33128 PICCS CN General Manager式樣15—6 一般原產(chǎn)地證書ORIGINAL(full name and address)CERTIFICATE NO CERTIFICATE OF ORIGINOF THE PEOPLE’S REPUBLIC OF CHINA(full name,address, country) of transport and route certifying authority use only / region of destination and numbers and kind of packages description of goods。 and date of nvoices by the exporter The undersigned hereby declares that the above details and statement are correct。that all the goods were produced in China and that they ply with the Rules of Origin of the People’s Republic of China. it is hereby certified that the declaration by the exporter is correct.Place and date, signature and stamp of certifying authorityPlace and date, signature and stamp of authorized signatory式樣15—7 普惠制原產(chǎn)地證書申請書普惠制產(chǎn)地證明書申請書申請人單位(蓋章): 證書號: 申請人鄭重聲明: 注冊號: 本人是被正式授權(quán)代表出口單位辦理和簽署本申請書的。本申請書及普惠制產(chǎn)地證格式A所列內(nèi)容正確無誤,如發(fā)現(xiàn)弄虛作假,冒充格式A所列貨物,擅改證書,自愿接收簽證機(jī)關(guān)的處罰及負(fù)法律責(zé)任?,F(xiàn)將有關(guān)情況申報(bào)如下:生產(chǎn)單位生產(chǎn)單位聯(lián)系人電話商品名稱(中英文)(以六位數(shù)碼計(jì))商品(FOB)總值(以美元記)發(fā)票號最終銷售國證書種類劃“\/”加急證書普通證書貨物擬出運(yùn)日期貿(mào)易方式和企業(yè)性質(zhì)(請?jiān)谶m用處劃“\/”)正常貿(mào)易C來進(jìn)料加工補(bǔ)償貿(mào)易B中外合資H中外合作Z外商獨(dú)資D零 售Y展 賣ML包裝數(shù)量或毛重或其他數(shù)量原產(chǎn)地標(biāo)準(zhǔn):本項(xiàng)商品系在中國生產(chǎn),完全符合該給惠國給惠方案規(guī)定,其原產(chǎn)地情況符合以下第 條;(1)“P”(完全國產(chǎn),未使用任何進(jìn)口原材料)(2)“W”……………………(含進(jìn)口成份)(3)“F”(對加拿大出口產(chǎn)品,其進(jìn)口成份不超過產(chǎn)品出廠價(jià)值的40%)本批產(chǎn)品系: 1. 直接運(yùn)輸從………………到…………………… 2. 轉(zhuǎn)口運(yùn)輸從………………中轉(zhuǎn)國(地區(qū))……………到………… 申請人說明 領(lǐng)證人(簽名) 電 話: 日期 年 月 日現(xiàn)提交中國出口商業(yè)發(fā)票副本一份,普惠制產(chǎn)地證明書格式A(FORM A)一正二副,以及其他附件 份,請予審核簽證。注:凡含有進(jìn)口成份的商品,必須按要求提交《含進(jìn)口成份受惠商品成本明細(xì)單》。商 檢 局 聯(lián) 系 記 錄式樣15—8 普惠制原產(chǎn)地證書ORIGINAL consigned from (Exporter’s business name, address, country)Reference No:GENERALIZED SYSTEM OF PREFERENCES CERTIFICATE OF ORIGIN(Combined declaration and certificate) FORM AIssued in THE PEOPLE’S REPUBLIC OF CHINA(country) See Notes, overleaf consigned to(Consignee’s name, address, country) of transport and route(as far as known) official usenumber and numbers of packages and kind o