CERTIFICATE OF orIGIN
Certificate No.: GE19470ZC41091001
CERTIFICATE OF orIGIN
Form for China-Georgia Free Trade Agreement
Issued in: THE PEOPLE'S REPUBLIC OF CHINA
For official use only:
Verification:origin.customs.gov.cn
1.Exporter's name,address and country: 出口商名称、地址及国家:
SHENZHEN WANLIYUAN IMP&EXP CO.,LTD
3B16 THREEFLOOR JINGZE BUILDING SHENNAN ROAD
EAST YELLOW BAY STREET LUOHU DISTRICT SHENZEHN,CHINA
2.Producer's name,address and country: 生产商名称、地址和国家:
******** WATCH COMPANY LIMITED
NO. ********************,XIAKOU COMMUNITY, DONGCHENG
STREET,DONGGUAN CITY, GUANGDONG PROVINCE, CHINA
3.Importer's name,address and country: 进口商名称、地址及国家:
******SA, S.A.
800 M SUR,******** IMC/ROTINSA
SAN RAFAEL, ALAJUELA CP# 20108 COSTA RICA.
4.Means of transport and route (if known): 运输工具及路线(如已知):
Departure date 离开日期: JUL,19,2019
Vessel/Flight/Train/Vehicle No 船/飞机/火车/汽车牌号: CAROLINE MAERSK 923S
Port of loading 启运港: DONGGUAN VIA HONG KONG
Port of discharge 目的港: SWITZERLAND
5.Remarks 备注:
********************
6.Item number 项目编号
此栏多品名按照下面从小到大，依次类推。
1.
2.
3.
........
7.Marks and numbers on packages 包装上的标志和编号
请按照提单唛头栏填写！
8.Number and kind of packages; description of goods 包装的数量和种类;货物的描述
WATCH DIALS
TOTAL：TWO(2) CTNS ONLY.
9.HS code (6-digit code) HS码(6位码)
9114.90
10.Origin criterion 原产地标准
WP
11.Gross or net weight or other quantity (e.g. Quantity Unit,litres,m3) 毛重或净重或其他数量(例如数量单位、升、立方米)
1980PCS
18.84KGS
12.Number and date of invoice 发票的编号和日期
1906186D
JUL. 17,2019
13.Declaration by the exporter or producer: 出口商或生产商声明书:
此栏不用填写，由签证公司盖章+签名！
The undersigned hereby declares that the above stated information is correct,and that all the goods are produced in China
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(Country)
and that they comply with the origin requirements specified in the Free
Trade Agreement for the goods exported to Georgia
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(Importing country)
Shenzhen, China,
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Place,date and signature of Authorized person
14.Certification: 认证
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 origin requirements of the China-Georgia Free Trade Agreement.
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Place and date,signature and stamp of the Authorized Body
