篇一：原产地证明书样本及申请书
一般原产地证明书/加工装配证明书
申请书
证书号
:
申请人郑重声明：
本人被正式代表本企业办理和签署本申请书。
本申请书及一般原产地证明书，加工装配证明书所列内容正确无误，如发现 弄虚作假，冒充证书所列货物，擅改证书，自愿接受签证机关的处罚并负法律
篇二：一般原产地证书模板
ORIGINAL
篇三：产地证明书样本
产地证明书样本
2008年10月17日 14:05 来源:中华人民共和国深圳海关
原产地证书是证明货物的生产或制造地的文件，简称原产地证，原产地证书在国际贸易中往
往被进口国用来作为实行区别关税待遇和实施国别贸易政策管理的重要依据，例如最惠国待
遇、政府采购、保障措施的正确实施等等，因此具有待定的法律效力和经济作用。下面是亚
太贸易协定的原产地证明书，供大家参考。
SAMPLE CERTIFICATE OF ORIGIN
Asia-Pacific Trade Agreement
(Combined declaration and certificate)
1.Goods consigned from:
(Exporter’s business name, address, country)
Reference No.
Issued in ?????.
(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 ofpackages/
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.
?????????????
Place and date, signature and Stamp of
Certifying Authority
Notes for completing Certificate of Origin
I.General Conditions:
To qualify for preference, products must:
a) fall within a description of products eligible for preference in the list of concessions of an Asia-Pacific Trade Agreement country of destination;
b)comply with Asia-Pacific Trade Agreement rules of origin. Each article in a consignment must qualify separately in its own right; and
c)comply with the consignment conditions specified by the Asia-Pacific Trade Agreement rules of origin. In general, products must be consigned directly within the meaning of Rule 5 hereof from the country of exportation to the country of destination.
II.Entries to be made in the boxes
Box1Goods Consigned from
Type the name, address and country of the exporter. The name must be the same as the exporter described in the invoice.
Box2Goods Consigned to
Type the name, address and country of the importer. The name must be the same as the importer described in the invoice. For third party trade, the words “To Order” may be typed.
Box3For Official Use
Reserved for use by certifying authority.
Box4Means of Transport and Route
State in detail the means of transport and route for the products exported. If the L/C terms etc. do not require such details, type “By Air” or “By Sea”. If the products are transported through a third country this can be indicated as follows:e.g. “By Air”“Laos to India via Bangkok”
Box5Tariff Item Number
Type the 4-digit HS heading of the individual items.
Box6Marks and Numbers of Packages
Type the marks and numbers of the packages covered by the Certificate. This information should be identical to the marks and numbers on the packages.
Box 7 Number and Kind of Packages; Description of Goods
Type clearly the description of the products exported. This should be identical to the description of the products contained in the invoice. An accurate description will help the Customs Authority of the country of destination to clear the products quickly.
Box8Origin Criterion
Preference products must be wholly produced or obtained in the exporting Participating State in accordance with Rule 2 of the Asia-Pacific Trade Agreement Rules of Origin, or where not wholly produced or obtained in the exporting Participating State must be eligible under Rule 3 or Rule 4.
a) Products wholly produced or obtained: enter the letter “A” in Box 8.
b)Products not wholly produced or obtained: the entry in Box 8 should be as follows:
1.Enter letter “B” in Box 8, for products which meet the origin criteria according to Rule 3. Entry of letter “B” would be followed by the sum of the value of materials, parts or produce originating from non-Participating States, or undetermined origin used, expressed as a percentage of the f.o.b. value of the products; (example “B” 50 per cent);
2.Enter letter “C” in Box 8 for products which meet the origin criteria according to Rule 4. Entry of letter “C” would be followed by the sum of the aggregate content originating in the territory of the exporting Participating State expressed as a percentage of the f.o.b. value of the exported product; (example “C” 60 per cent);
3.Enter letter “D” in Box 8 for products which meet the special origin criteria according to Rule 10.
Box 9 Gross Weight or Other Quantity
Type the gross weight or other quantity (such as pieces, kg) of the products covered by the Certificate.
Box 10 Number and Date of Invoices
《原产地证明书样本》出自：百味书屋
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