1、東盟-中國(guó)自由貿(mào)易區(qū)優(yōu)惠關(guān)稅原產(chǎn)地證書式樣 original 1.goods consigned from (exporters business name,address, reference no. country) asean- - china free trade area mitsui components (guangdong) limited preferential tariff sanzao ind.garden of science certificate of origin technology,jinway district, (combined declaration

2、 and certificate) zhuhai guangdong, p.r. china form e 2.goods consigned to (consignees name,address,country) mitsui siam components co.,ltd 60/8 moo 3 mabyangporn a.pluakdaeng issued in the peoples republic of china rayong thailand (country) tel: fax: see notes overleaf 3.means of transport and rout

3、e(as far as known) 4.for official use preferential treatment given under asean-china departure date free trade area preferential tariff nov.15,20 preferential treatment not given(please state vessels name /aircraft etc. reason/s wan hai 272 / s037 port of discharge laem chabang signature of authoris

4、ed signatory of the importing country 5.item 6.marks and 7.number and type of packages,description 8.origin criterion 9.gross weight 10.number and number numbers on of goods(including quantity where (see notes or other quantity date of invoices packages appropriate and hs number of the overleaf) and

5、 value(fob) importing country) 1 msc co. lever emergency b wo 1000 pcs mcg131102tf made in china one (1) cartons only usd:100.00 nov.08,20 h s. code: 8301. 60 2 lever key manual wo 800 pcs one (1) cartons only usd:104.00 h s. code: 8301. 60 3 lever open manual wo 1000 pcs one (1) cartons only usd:14

6、0.00 h s. code: 8301. 60 4 case fr keyless r wo 4500 pcs one hundred and twenty five (125) cartons only usd:1710.00 h s. code: 3926. 90 5 case fr l wo 4500 pcs one hundred and twenty five (125) cartons only usd:1710.00 h s. code: 3926. 90 6 case rr l wo 4320 pcs one hundred and twenty (120) cartons

7、only usd:1555.20 h s. code: 3926. 90 7 case rr r wo 4320 pcs one hundred and twenty (120) cartons only usd:1512.00 h s. code: 3926. 90 8 coupler wo 880 pcs four (4) cartons only usd:123.20 h s. code: 3926. 90 9 protector wo 1200 pcs thirty (30) cartons only usd:312.00 h s. code: 3926. 90 total: five

8、 hundred and twenty seven (527) cartons only * * * * * * 中文名 hs 編碼 金額 連桿 100.00 連桿 104.00 連桿 140.00 外殼 1710.00 外殼 1710.00 外殼 1555.20 外殼 1512.00 接口 123.20 外殼 312.00 11.declaration by the exporter 12.certification the undersigned hereby declares that the above details and it is hereby certified,on the

9、 basis of control carried out,that the statement are correct;that all the goods were produced in declaration by the exporter is correct china (country) and that they comply with the origin requirements specified for these goods in the asean-china free trade area preferential tariff for the goods expo