ORIGINAL 1. Exporter (full name and address) Certificate No.CERTIFICATE OF ORIGIN 2. Consignee (full name, address, country)OFTHE PEOPLE'S REPUBLIC OF CHINA 3. Means of transport and route 5. For certifying authority use only 4. Destination port 6. Marks and Numbers 7. Description of goods: number and kind of of packages packages 8. H.S. Code 9. Quantity or weight 10. Number and date ofinvoices11. Declaration by the exporter The undersigned hereby declares that the above details and statements are correct; that all the goods were produced in China and that they comply with the Rules of Origin of the People's Republic of China. 12. Certification It is hereby certified that the declaration by the exporter is correct.CHINA COUNCIL FOR THE PROMOTIONOF INTERNATIONAL TRADE（SHANGHAI）Shanghai 李远达 Place and date. signature and stamp of certifying authority Place and date. signature and stamp of certifying authorityChina Council for the Promotion of International trade is China Chamber of International Commerce.
