一般原产地证书模板.doc

一般原产地证书模板.doc

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1.Exporter

CertificateNo.

CERTIFICATEOFORIGIN

OF

AUSTRALIA

NORTHERNENERGYCORPORATIONLIMITED

2.Consignee

DATONGCOALMINEGROUPCO.LTD

3.Meansoftransportandroute

5.Forcertifyingauthorityuseonly

BYSEA

FROMBRISBANETOQINHUANGDAO

4.Country/regionofdestination

6.Mrksandnumbers

DATONGCOALCO

SC-529

RRRI-601225

QINHUANGDAO

7.Numberandkindofpackages,descriptionofgoods

STEAMCOAL

GROSSCALORIFICVALUEATMIN6300-6100KCAL/KG（ADB）

INBULK

8.H.S.Code

2702100000

9.Quantity

2000MT

10.Number

anddateof

invoices

7966616

NOVEMBER202013

11.Declarationbytheexporter

Theundersignedherebydeclaresthattheabovedetailsandstatements

Arecorrect,thatallthegoodswereproducedinchinaandthattheycomply

WiththerulesofOriginofthePeople’sRepublicofchina.

-------------------------------------------------------------------------------

No.166CampbellStreetQLD4401Australia

JAN.03.2014

Signed

12.Certification

Itisherebycertifiedthatthedeclarationbytheexporteriscorrect

--------------------------------------------------------------------

No.158CampbellStreetQLD4401Australia

JAN.04.2014

Signed

ORIGINAL