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深圳市盈益丰进出口有限公司
SHENZHEN GREAT FORTUNE IMPORT & EXPORT CO., LTD
 

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    Asia Pacific Certificate of Origin FORM B
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    1. Goods consigned from:(Exporter's business name, address, country)
    SHENZHEN GREAT FORTUNE IMPORT & EXPORT CO., LTD.
    ROOM 203, FLOOR 2, BUILDING 2, CHENGXI INDUSTRIAL
    PARK HEXI,XIXIANG, BAOAN, SHENZHEN,CHINA    		 Reference No.      
     

    CERTIFICATE OF ORIGIN

    Asia-Pacific Trade Agreement
    (Combined Declaration and Certificate)
     
      Issued in   THE PEOPLE’S REPUBLIC OF CHINA·
                 (Country)
     
    2. Goods consigned to:(Consignee's name, address, country)
      
     
     
     
     
     
         		 3. For Official use
     
       
     
    4. Means of transport and route:
      
     
    .
     
     
     
     
    5. Tariff
    item
    number:
     



         		 6. Marks and
    number  of
    Packages:
     



         		 7. Number and kind of packages / description of goods:
      
     
     

     

         		 8. Origin
    criterion
    (see notes
    overleaf)

     


         		 9. Gross weight
    or other quantity:
     
     
     
     
         		 10. Number and
    date of invoices:
     
     
     
     
     
    11. 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 in the Asia-Pacific Trade Agreement for goods exported to 
     
    ······················
    (Importing Country) 
     
     
    ······························································
    Place and date, signature of authorized Signatory    		 12. Certificate
     
    It is hereby certified on the basis of control carried out, that the declaration by the exporter is correct.
     
     
     
     
     
     
     
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    Place and date, signature and Stamp of Certifying Authority
     

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