附件3
房产地证书格式
┌───────────────────────────────┬───────────────────────┐
│1.Exporter (full name, address and country) │2.CERTIFICATE NO. │
│ │ DATE OF ISSUE │
│ │ VALID UP TO │
├───────────────────────────────┼───────────────────────┤
│3.Consignee (full name, address and country) │ SPECIAL PREFERENTIAL TARIFF TREATMENT │
│ │ FOR LDC AFRICA │
│ │ CERTIFICATE OF ORIGIN │
│ │ (Combined Declaration and Certificate) │
│ │ AFRICA SPT PROGRAM │
│ │ │
│ │ Issued in │
├───────────────────────────────┤ │
│4.Manufactory (full name, address and country) │..............................................│
│ │ (country) │
├───────────────────────────────┤ │
│5.Departure date │ See instructions overleaf │
├────────────────────┬──────────┼───────────────────────┤
│6.Vessel/Flight/Train/Vehicle No. │7.Place of loading │8.For official use by China Customs │
│ │ │ │
├────────────────────┴──────────┤ │
│9.Port of discharge │ │
├────┬─────┬────────────────────┴──┬───────────┬────────┤
│10.Item │11.Marks &│12.Container No.; No. and Kind of Packages; │13.Gross weight or │14.Number and │
│number │numbers on│Description of goods (including quantity where│other quantity ( │date of invoice │
│ │packages; │appropriate and HS Code of China); │Quantity unit) and │ │
│ │ │ │value (FOB) │ │
│ │ ├───────────────────────┤ │ │
│ │ │15.Please select the following origin criteria│ │ │
│ │ │where appropriate: │ │ │
│ │ │□Wholly obtained □CTH □Value Added │ │ │
├────┴─────┴──────┬────────────────┴─┬─────────┴────────┤
│16.Declaration by the exporter │17.Certification │18.Customs verification │
│The undersigned hereby declares │It is hereby certified,on the basis │This is to certify that the goods │
│that the above details and │of control carried out, that the │declared for exportation correspond │
│statements are correct, that all │declaration by the exporter is │to what is stated under this │
│the goods were produced in │correct. │certificate │
│ │ │ │
│..................................│ │ │
│ (country) │ │ │
│and that they comply with the │ │ │
│origin requirements specified for │ │ │
│these goods under the Africa SPT │ │ │
│Program exported in China. │ │ │
│ │ │....................................│
│ │ │Place, date, signature and stamp of │
│ │....................................│exporting customs authority. │
│ │Place and date, signature and stamp │ │
│..................................│of certifying authority │ │
│Place and date, signature of │ │ │
│authority signatory │ │ │
└─────────────────┴──────────────────┴──────────────────┘
