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ORIGINAL1)Goodsconsignedfrom(Exporter'sbusinessname,address,country)ReferenceNo.GENERALIZEDSYSTEMOFPREFERENCESCERTIFICATEOFORIGIN(Combineddeclarationandcertificate)FORMAIssuedinTHEPEOPLE'SREPUBLICOFCHINA(country)2)Goodsconsignedto(Consignee'sname,address,country)3)Meansoftransportandroute(asfarasknown)4)Forofficialuse5)Itemnumber6)Marksandnumbersofpackages7)Numberandkindofpackages;descriptionofgoods8)Origincriterion(seeNotesoverleaf)9)Grossweightorotherquantity11).CertificationItisherebycertified,onthebasisofcontrolcarriedout,thatthedeclarationbytheexporteriscorrect.Placeanddate,signatureandstampofauthorizedsignatory12)DeclarationbytheexporterTheundersignedherebydeclaresthattheabovedetailsandstatementsarecorrect,thatallthegoodswereproducedin(country)andthattheycomplywiththeoriginrequirementsspecifiedforthosegoodsintheGeneralizedSystemofPreferencesforgoodsexportedto(importingcountry)Placeanddate,signatureandstampofcertifyingauthority
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