一般原产地证明书/加工装配申请书
Application for General Certificate of Origin / Processing & Assembling
申请单位注册号：证书号：
Registry No. of the Certificate No.
Applying Corporation
申请人郑重声明：
本人被正式授权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，本人愿按《中华人民共和国出口货物产地规则》的有关规定接收处罚。现将有关情况申报如下：
I, the undersigned Applicant, hereby declare that I am the representative formally authorized by the said corporation to deal with and sign this Application and I agree that the statement herein and that in the General Certificate of Origin or the Certificate of Processing & Assembling are correct and of no mistake and I shall be sanctioned in accordance with the Regulations of the Origin for Exports of the People's Republic of China if any fraud, passing off any goods as those listed in the certificate or any unauthorized modification of the certificate exists. The items reported as follows:
|
企业名称
Name of Corp. |
发票号
Invoice No. |
|
商品名称
Prescription |
H.S.编码（六位数）
No. of H.S. |
|
商品FOB总值（以美元计）
Value（FOB）US ¥ |
最终目的地国/地区
Destination Country（District） |
续表
|
拟出运日期
Shipping Date |
转中国（地区）
Transshipment Country（district） |
|
贸易方式和企业性质（请在适用处划“√”）
Mode of Business & Nature of Corp.
(Please follow the instructions with “√”) |
|
一般贸易
Ordinary Business |
三来一补
* 3 Processings & 1 Trade |
其他贸易方式
Others |
|
国营企业 三资企业
1.State-owned
enterprise
2.Sino-foreign
joint venture；
Sino-foreign
Co-op；
Wholly foreign-owned |
国营企业 三资企业
1.State-owned
enterprise
2.Sino-foreign
joint venture；
Sino-foreign
Co-op；
Wholly foreign-owned |
国营企业 三资企业
1.State-owned
enterprise
2.Sino-foreign
joint venture；
Sino-foreign
Co-op；
Wholly foreign-owned |
|
|
|
|
|
包装数量或毛重或其他数量
Package Number，or gross weight or other quantity |
|
证书种类（划“√”）
Classification of Certificate (Please follow the instruction with“√” |
一般原产地证明书
General Certificate of Origin |
加工装配证明书
Processing & Assembling Certificate |
|
|
|
|
( * Component parts processing, component assembling, processing with customer's desings; compensation trade)
现提交中国出口货物商业发票副本一份，一般原产地证明书/加工装配证明书一正三副，以及其他副件_____份，请予审核签证。
Enclosed with one copy of the business invoice of Chinese exports, one original General Certificate of Origin/Processing & Assembling and three copies thereof, and other appendices , please have have a check before the certificate is issued.
申请单位盖章 申领人：（签名）
（for Seal） Signature of Applicant：
电话：
Tel：
日 期： 年 月 日
Date_________，20__________
