1.Exporter's name, address, country:出口商
SHENZHEN PULAISIDUN TRADING CO.,LTD CHINA BUILDING S04, BUILDING 16, YUEYUN,WEN JINNA LU,LUO, LAKE DISTRICT ,SHENZHEN Certificate No.:
CERTIFICATE OF ORIGIN
Form for China-Australia Free Trade Agreement Issued in The People’s Republic of China
2 Producer's name and address, country: 生产商
3. Consignee's name, address, country: 收货商
4.Means of transport and route (as far as known)
Departure Date（超过当天即为后发）
Vessel /Flight/Train/Vehicle No.
Port of loading :
Port of discharge:
5. Remarks
6.项目编号
不能超过20项7.包装上的运输唛
头及编号:
8 Number and kind of
packages, description of
goods
货物描述
9. HS code
(Six digit code)
6位hs编码
10 Origin
Criterion
原产地标准
(WO/WP/PSR)
11. Gross weight,
quantity (Quantity Unit)
or other measures (liters,
m3, etc)
数量单位
12. Number, date
of invoice And
invoicd
发票号及发票日期
*****
13．Declaration by the exporter or producer
The undersigned hereby declares that the above- stated information is correct and that the goods exported to
AUSTRALIA
(IMPORTING PARTY)
comply with the origin requirements specified in the
China-Australia Free Trade Agreement
Place and date, signature of authorized person 14．Certification
On the basis of control carried out It is hereby certified that the information herein is correct and that the described goods comply with the orgin requirements of the China-Australia Free Trade Agreement
Place,and date*, signature and stamp of the authorised body
Tel: Fax:
Address:。