附件2

原产地声明

DECLARATION OF ORIGIN

China-Australia Free Trade Agreement

 

I_______________________________________________________________________ _________________________________________________________________

(print name, position and address)

being the

EXPORTER / PRODUCER / EXPORTER AND PRODUCER

(strike out that which does not apply)

hereby declare that the goods described below are originating from

AUSTRALIA/ CHINA

(strike out that which does not apply)

in that they comply with the rules of origin requirements of the China-Australia Free Trade Agreement.

I am legally responsible for the truthfulness and authenticity of what is declared above.

 

Item No.	Description of goods	Harmonised system code six (6) digits	Number and date of invoice	Reference number of Advance ruling	Origin-conferring criteria

 

 

Signed: ________________________________________________

 

Date:__________________________________________________

 

Note: This declaration must be printed and presented as a separate document accompanying the commercial invoice. The maximum number of items covered by this declaration should not exceed 20.

 

原产地声明（中文样本供参考）

《中华人民共和国政府和澳大利亚政府自由贸易协定》

 

 

谨代表

________________________________________________________

 

________________________________________________________

（工整填写出口商或生产商的名称和地址）

作为出口商/生产商/出口商兼生产商

（划去不适用选项）

本人特此声明下述货物的原产地为 澳大利亚/中国

（划去不适用选项）

符合《中华人民共和国政府和澳大利亚政府自由贸易协定》关于货物原产地的相关规定。

本人对本声明内容的真实性承担法律责任。

商品 项号	商品描述	HS编码 （6位）	发票 （编号和日期）	预裁定 编号	原产地 标准

 

签名： ________________________________________________

 

姓名：_________________________________________________

 

职位：_________________________________________________

 

日期：_________________________________________________

注意事项：本声明必须工整填写，并作为一份独立文件与商业发票一并提交。本声明涉及商品应不超过20项。

 

附件1

原产地证书

 

1.  Exporter’s name, address, country:			Certificate No.:  CERTIFICATE OF ORIGIN Form for China-AustraliaFree Trade Agreement   Issued in
2. Producer’s name and address (if known):
3. Importer’s name, address, country (if known):			For Official Use Only:
4. Means of transport and route (if known) Departure Date: Vessel /Flight/Train/Vehicle No.:   Port of loading:   Port of discharge:			5. Remarks:
6. Item number (Max. 20)	7. Marks and Numbers on packages (Optional)	8. Number and kind of packages; Description of goods	9. HS code (6digit code)	10. Origin criterion	11.Gross or net weight or other quantity (e.g. Quantity Unit, litres, m3.)	12. Number, date of invoices
13.  Declaration by the exporter The undersigned hereby declares that the above stated information is correctand that the goods exported to   ___________________________________ (Importing Party)   comply with the origin requirements specified in the China-Australia Free Trade Agreement.                 Place, date and signature of authorised person			14.  Certification On the basis of the control carried out, it is hereby certified that the information herein is correct and that the described goods comply with the origin requirements of the China-Australia Free Trade Agreement.             Place and date, signature and stamp of the Authorised Body   Tel:                            Fax: Address:

Overleaf Instruction

Box 1:State the full legal name and address of the exporter in Australia or China.

Box 2:State the full legal name, and address (including country) of the producer, if known. If more than one producer’s good is included in the certificate, list the additional producers, including name, address (including country). If the exporter or the producer wish the information to be confidential, it is acceptable to state “Available to the competent authority or authorised body upon request”. If the producer and the exporter are the same, please complete the box with “SAME”. If the producer is unknown, it is acceptable to state "UNKNOWN".

Box 3:State the full legal name and address of the importer in Australia or China, if known.

Box 4:Complete the means of transport and route and specify the departure date, transport vehicle No., port of loading and discharge, as far as known.

Box 5:Customer’s Order Number, Letter of Credit Number, among others, may be included.If the invoice is issued by a non-Party operator, the information such as name, address and country of the operator issuing the invoiceshall be indicated herein.

Box 6:State the item number; item number shall not exceed 20.

Box 7:State the shipping marks and numbers on packages, when such marks and numbers exist.

Box 8:Number and kind of packages shall be specified. Provide a full description of each good. The description should be sufficiently detailed to enable the products to be identified by the Customs Officers examining them and relate it to the invoice description and to the HS description of the good. If goods are not packed, state “in bulk”. When the description of the goods is finished, add “***” (three stars) or “ \ ” (finishing slash).

Box 9:For each good described in Box 8, identify the HS tariff classification to 6 digit code.

Box 10: For each good described in Box 8, state which criterion is applicable, according to the following instructions. The rules of origin are contained in Chapter X(Rules of Origin) and Annex X (Product Specific Rules of Origin).

Origin Criterion	Insert in Box 10
The good is “wholly obtained” in the territory of a Party, as referred to in Article X (Wholly Obtained Goods) or required so in Annex X (PSR).	WO
The good is produced entirely in the territory of a Party, exclusively from materials whose origin conforms to the provisions of Chapter X (Rules of Origin).	WP
The good is produced in the territory of one Party, using non-originating materials that comply with the Product Specific Rules and other applicable provisions of Chapter X (Rules of Origin).	PSR

Box 11:State gross or net weight in kilograms or other units of measurement for each good described in Box 8. Other units of measurement e.g. volume or number of items which would indicate exact quantities may be used when customary.

Box 12:The number and date of invoice should be shown here.

Box 13:The box must be completed by the exporter. Insert the place date and signature of authorised person.

Box 14:The box must be completed, signed, dated and stamped by the authorised person of the authorised body. The telephone number, fax and address of the authorised body should be given.
原产地证书（中文样本供参考）

 

1. 出口商名称，地址，国家：			证书号码 No.:   中国—澳大利亚自由贸易协定 原产地证书   签发于：
2. 生产商名称，地址（如已知）：
3. 进口商名称，地址，国家（如已知）：			仅供官方使用：
4. 运输方式及路线（如已知） 离港日期： 船只/飞机/火车/运输工具编号：   装货口岸：   卸货口岸：			5. 备注：
6. 项目号 （最多20项）	7.包装上唛头 及编号（可选）	8.包装数量及种类；商品描述	9. HS 编码 （6位）	10.原产地 标准	11. 毛重/净重 或其他计量单位 （如公升，立方米）	12. 发票 编号及日期
13. 出口商或生产商申明 兹申明上述填报资料正确无误，该货物出口至   ___________________________________ （进口方）   符合中国-澳大利亚自由贸易协定原产地规则的 相关规定           地点、日期及授权人签名			14. 证明 根据所实施的监管，兹证明所列信息正确无误，所述 货物符合中国-澳大利亚自由贸易协定原产地规则的 相关规定。           地点、日期、签名及授权机构印章 电话号码:    传真号码: 地址:

 

 

 

 

 

背页说明

 

 

第1栏：注明中国或澳大利亚出口商详细的依法登记的名称和地址。

第2栏：注明生产商（如已知）详细的依法登记的名称和地址（包括国家）。如证书中包含不止一个生产商的货物，应列出其他生产商的详细名称和地址（包括国家）。如出口商或生产商希望其信息保密，可注明“应主管部门或授权机构要求可提供”。如生产商即为出口商，请在栏中填写“同上”字样。如生产商未知，可在栏中注明“未知”。

第3栏：注明中国或澳大利亚进口商（如已知）详细的依法登记的名称和地址。

第4栏：填写运输方式及路线（如已知），详细说明离港日期、运输工具编号以及装货和卸货口岸。

第5栏：本栏可填写客户订单编号或者信用证编号，以及其他可能涉及的事项。如发票由非缔约方经营者开具，应在本栏注明开具发票的经营者名称、地址及国家等信息。

第6栏：注明商品项号，项号应不超过20项。

第7栏：如有唛头及编号，则注明包装上的唛头及编号。

第8栏：详细列明包装数量及种类。详列每种货物的货品名称，以便于海关关员查验时加以识别。货品名称应与发票上的描述及货物的协调制度描述相符。如果是散装货，应注明“散装”。当商品描述结束时，加上“***”（三颗星）或“＼”（结束斜线符号）。

第9栏：对应第8 栏中的每种货物，填写协调制度税则归类编码（6位）。

第10栏：对应第8栏中的每种货物，根据下表的指示填写其适用的原产地标准。有关原产地标准在《中华人民共和国政府和澳大利亚政府自由贸易协定》第三章（原产地规则和实施程序）及其附件二（产品特定原产地规则）中予以规定。

原产地标准	填入第10栏
该货物根据第三章三条（完全获得货物）在缔约一方“完全获得”。	WO
该货物完全在缔约一方或双方领土内由符合第三章（原产地规则和实施程序）规定的原产材料生产。	WP
该货物在缔约一方或双方领土内使用符合产品特定原产地规则及第三章（原产地规则和实施程序）其他有关要求的非原产材料生产。	PSR

第11栏：对应第8栏中的每种货物，以千克为单位或者以其他计量单位分别注明其毛重或净重。可依照惯例采用其他计量单位（例如体积、件数等）来精确地反映数量。

第12栏：本栏应填写发票的编号和日期。

第13栏：本栏必须由出口商或生产商填写，填写内容为地点、日期以及出口商或生产商授权人员的签名。

第14栏：本栏必须填写授权机构授权人员的签名、印章和日期。授权机构的电话、传真和地址应当注

续页

 

Continuation Sheet

Certificate of Origin – Form for China-Australia Free Trade Agreement

Certificate No.:

6. Item number (Max. 20)	7. Marks and Numbers on packages (Optional)	8. Number and kind of packages; Description of goods	9. HS code (6digit code)	10. Origincriterion	11.Gross or net weight or other quantity (e.g. Quantity Unit, litres, m3.)	12. Number, date of invoice
13.  Declaration by the exporter The undersigned hereby declares that the above stated information is correct and that the goods exported to   ___________________________________ (Importing Party)   comply with the origin requirements specified in the China-Australia Free Trade Agreement.             Place, date and signature of authorised person			14.  Certification On the basis of the control carried out, it is hereby certified that the information herein is correct and that the described goods comply with the origin requirements of the China-Australia Free Trade Agreement.             Place and date, signature and stamp of the Authorised Body   Tel:                            Fax: Address:

 

续页

原产地证书 – 中国-澳大利亚自由贸易协定

（中文样本供参考）

证书号码:

6. 项目号 （最多20项）	7. 包装上唛头 及编号（可选）	8.包装数量及种类；商品描述	9. HS 编码 （6位）	10.原产地 标准	11. 毛重，净重 或其他计量单位 （如公升，立方米）	12. 发票 编号及日期
13.出口商或生产商申明 兹申明上述填报资料正确无误，该货物出口至   ___________________________________ （进口方）   符合中国-澳大利亚自由贸易协定原产地规则的 相关规定           地点、日期及授权人签名			14. 证明 根据所实施的监管，兹证明所列信息正确无误，所述 货物符合中国-澳大利亚自由贸易协定原产地规则的 相关规定。           地点、日期、签名及授权机构印章 电话号码:    传真号码: 地址:

 

附件2

《中华人民共和国政府和大韩民国政府自由贸易协定》项下进口货物原产资格申明

本人___________（姓名及职务）为进口货物收货人/进口货物收货人代理人（不适用的部分请划去，下同），兹申明（请在具体适用情形前打勾）：

□  编号为____________的报关单所列第______项货物原产自韩国，并且货物符合《中华人民共和国政府和大韩民国政府自由贸易协定》（以下简称《中韩自贸协定》）原产地规则的要求，本人申请对上述货物适用《中韩自贸协定》协定税率，并申请缴纳保证金后放行货物。本人承诺自缴纳保证金之日起6个月内或者在海关批准延长的担保期限内补交《中韩自贸协定》原产地证书。

□  编号为____________的报关单所列第______项货物原产自韩国，本人不能提交《中韩自贸协定》原产地证书，声明放弃适用《中韩自贸协定》协定税率。

□  编号为____________的报关单所列第______项货物不具备《中韩自贸协定》项下货物原产资格。

签名：____________

日期：____________

 

 

 

 

附件1

CERTIFICATE OF ORIGIN

ORIGINAL

Overleaf Instruction

Certificate No.: Serial number of Certificate of Origin assigned by the authorized body.

Box 1:State the full legal name and address (including country) of the exporter in either China or Korea.

Box 2: State the full legal name and address (including country) of the producer. If goods from more than one producer are included in the certificate, list the additional producers, including their full legal name and address (including country). If the exporter or the producer wishes to maintain this information as confidential, it is acceptable to state “AVAILABLE UPON REQUEST.” If the producer and the exporter are the same, please complete field with “SAME.”

Box 3: State the full legal name and address (including country) of the consignee resident in either Korea or China.

Box 4: Complete the means of transport and route and specify the departure date, transport vehicle No., port of loading, and port of discharge.

Box 5:     In case where a good is invoiced by a non-Party operator, the full legal name, country of the non-Party operator shall be indicated in this box. In case of issuance of certificates retroactively, should bear the words “ISSUED RETROACTIVELY”, and in case of a certified true copy, should bear the words “CERTIFIED TRUE COPY of the original Certificate of Origin number ___ dated ___”.

Box 6: State the item number, and the number of items should not exceed 20.

Box 7:     State the shipping marks and numbers on packages, when such marks and numbers exist, if the shipping marks are images or symbols, other than letter or numerical number, shall state “IMAGE OR SYMBOL (I/S)”, otherwise shall state “NO MARKS AND NUMBERS(N/M)”

Box 8: The number and kind of packages shall be specified. Provide a full description of each good. The description should be sufficiently detailed to enable the goods to be identified by the Customs Officers examining them and relate them to the invoice description and to the HS description of the good. If the goods are not packed, state “IN BULK”.

Box 9: For each good described in Box 8, identify the HS tariff classification to six-digit.

Box 10: The exporter must indicate in Box 10 the origin criteria on the basis of which he claims that the goods qualify for preferential tariff treatment, in the manner shown in the following table:

Origin Criteria	Insert in Box 10
The good is wholly obtained or produced entirely in a Party, as set out and defined in Article 3.4 (Goods Wholly Obtained or Produced) or required so in Annex 3- A (Product Specific Rules of Origin).	WO
The good is produced entirely in a Party, exclusively from materials whose origin conforms to Chapter 3 (Rules of Origin and Origin Implementation Procedures).	WP
The good is produced in a Party, using non-originating materials that conform to a change in tariff classification, a regional value content, a process requirement or other requirements specified in Annex 3-A (Product Specific Rules of Origin).	PSR
The good is subject to Article 3.3 (Treatment of Certain goods)	OP

Box 11:Gross weight in Kilos should be shown here. Other units of measurement e.g. volume or number of items which would indicate exact quantities may be used when customary.

Box 12:Invoice number and date of invoice should be shown here. In case where a good is invoiced by a non-Party operator and the number and date of the commercial invoice is unknown, the number and date of the original commercial invoice, issued in the exporting Party, shall be indicated in this box.

Box 13:  This box shall be completed, signed and, dated by the exporter.

Box 14: This box shall be completed, signed, dated, and stamped by the authorized person of the authorized body.

 

原产地证书（中文样本供参考）

正本

背页填制说明

证书号：   授权机构编制的原产地证书的序列号。

第1栏：   填写中国或韩国出口商详细的依法登记的名称、地址（包括国家）。

第2栏：   填写生产商详细的依法登记的名称、地址（包括国家）。如果证书包含一家以上生产商的商品，应列出其他生产商详细的依法登记的名称、地址（包括国家）。如果出口商或生产商希望对信息予以保密，可以填写“应要求提供”。如果生产商和出口商相同，应填写“同上”。

第3栏： 填写常驻中国或韩国的收货人详细的依法登记的名称、地址（包括国家）。

第4栏： 填写运输方式及路线，详细说明离港日期、运输工具的编号、装货口岸和到货口岸。

第5栏： 如果发票是由非缔约方经营者开具的，则应在此栏详细注明非缔约方经营者依法登记的名称和所在国家 。如果原产地证书是后补发的，则应注明“补发”字样。如果原产地证书是经核准的副本，则应注明“原产地证书正本（编号 日期 ）经核准的真实副本”字样。

第6栏： 填写项目号，但不得超过20项。

第7栏： 若存在唛头和包装号，填写唛头及包装号。如果唛头是图形或者符号而非字母或者数字，应填写“图形或符号（I/S）”。如果没有唛头及包装号，应填写“没有唛头及包装号”（N/M）。

第8栏： 详细列明包装数量及种类。详列每种货物的货品名称，以便于海关关员查验时加以识别。货品名称应与发票上的描述及货物的协调制度编码相符。如果是散装货物，应注明“散装”。

第9栏： 对应第8栏中的每种货物填写协调制度税则归类编码，以六位数编码为准。

第10栏： 出口商必须按照下表所示方式，在第10栏中标明其货物申明享受优惠关税待遇所依据的原产地标准：

原产地标准	填入第10栏
该货物根据第3.4条（完全获得或生产的货物）或者附件3-A(产品原产地特定规则)的规定，在一缔约方完全获得或生产；	WO
该货物完全由符合第3章（原产地规则和原产地实施程序）规定的原产材料在一缔约方生产；	WP
该货物在一缔约方生产，所使用的非原产材料符合附件3-A（产品特定原产地规则）所规定的税则归类改变、区域价值成分、工序要求或其他要求。	PSR
该货物适用第3.3条（特定货物处理)的规定。	OP

第11栏：毛重应填写“千克”。可依照惯例，采用其他计量单位（例如体积、件数等）来精确地反映数量。

第12栏：应填写发票号码和发票日期。如果发票是由非缔约方经营者开具且该商业发票号码和发票日期均不知晓，则出口方签发的原始商业发票的号码和发票日期应在本栏注明。

第13栏：本栏应由出口商填写、签字并填写日期。

第14栏：  本栏应由授权机构的授权人员填写、签字、注明签证日期并盖章。

 

 

 

附件3

 

《中华人民共和国海关进出口货物优惠原产地

管理规定》进口货物原产资格申明

 

本人___________（姓名及职务）为进口货物收货人/进口货物收货人代理人（不适用的部分请划去），兹声明编号为____________的报关单所列第______项货物原产自__________, 且货物符合《中华人民共和国海关进出口货物优惠原产地管理规定》以及相应优惠贸易协定项下所确定的原产地规则的要求。

本人特申请对上述货物适用相应优惠贸易协定项下协定税率/特惠税率（不适用的部分请划去），并申请缴纳保证金后放行货物。本人承诺自货物进口之日起1年内补交相应优惠贸易协定项下规定的原产地证书。

 

 

 

签名：____________

日期：____________

 

 

 

附件2

原产地声明

谨代表

__________________________________________

__________________________________________（工整填写进口货物收货人或者其代理人名称和地址）

本人特此声明下述货物的原产地为_____（具体受惠国名称）

 

符合《中华人民共和国海关最不发达国家特别优惠关税待遇

进口货物原产地管理办法》关于货物原产地的相关规定。

本人对本声明内容的真实性承担法律责任。

 

 

商品 项号	商品描述	HS编码 （6位）	发票 （编号和日期）	预裁定（预确定） 编号	原产地 标准

 

签名：______________________________________

 

日期：______________________________________

 

注意事项：本声明必须工整填写，并作为一份独立文件与商业发票一并提交。