Form E申请表 draft(1)

更新时间:2023-08-02 12:34:53 阅读: 评论:0

1.Goods consigned from (Exporter’s business name,address,
  country)
JiangYin Zhongdi Air Cooling Equipment Co., Ltd.
No. 588, JinShan Road, JiangYin, JiangsSu,CHINA
Reference No.
                   
        GENERALIZED SYSTEM OF PREFERENCES
                CERTIFICATE OF ORIGIH
          (Combined declaration and certificate)
                FORM E
Lssued in THE PEOPLE’S REPUBLIC OF CHINA
                (counrry)
  See Notes overlea
※请仔细填写蓝字体部分后回传 谢谢!
2.Goods consigned to (Consignee’s name, untry)
Indorama Polyester Industries PCL
75/92 Ocean Tower 2, 35th Floor, Soi Sukhumvit 19( Wattana)Asoke Road, Klongtoey Nua, Wattana, Bangkok, 10110, Thailand
3.Means of transport and oute (as far known)
Departure date: 2015/4/1
Vesl's name/Aircraft etc: by a
Port of discharge:      BANGKOK
4.For official use
Preferential Treatment Guveb Under ASEAN-CHINA
    Free Trade Area Preferential Tariff
treate 给老婆的一封信 Preferential Treatment Not given(Plea state
    Reason/s)
5.ltem
塞下曲林暗草惊风 num-
ber
6.Marks and
numbers of
packages
唛头
BUYER:Indorama
ORDER NO:
PO/4315/6
GOODS' NAME:
Bearing Bracket,
Pulley and Impeller;
安装假牙ORIGIN:
重整申请China
7.Number and kind of packages;description
of goods (including quantity where
appropriate and HS number of the
importing country)
(产品描述 ,材质 ,箱数 6位海关编码)
1. Bearing bracket with shaft asmbly
Carbon Steel / HS Code: 84832000
2. Pulley with taper bush for fan side
  Carbon Steel/ HS Code:  84835000
3. Pulley with taper bush for motor side
  Carbon Steel/ HS Code: 84835000
4. Impeller with 4 FRP blades
  Fiber Reinforced Plastic/ 84145930
Total packages: 2 wooden cas
8.Origin criterion
(See Notes
Overleaf)
9.Gross weight
or other quantity
and value(FOB)
毛重 其它数量
货值
1. 80kg
2. 20kg
3. 5kg
4. 300kg
10.Number
and date of
invoices
发票号及发票
日期
JYZD20150325 
2015/03/25
11.Declaration by the exporter
  The undersigned hereby declares that the above details and state-
  Ments are correct;that all the goods were produced in
                    CHINA
(country)
仁德王后
  and that they comply with the origin requirements specified for
走出梨花村
  tho goods in the Generalized System of Preferences for goods ex-
  ported to
                  Thailand
花束搭配                (importing country)
Place and date,signature of authorized signatory
JiangYin 25-3-2015
12.Certification
  It is hereby vertified,on the basis of control carried out.that
  The declaration by the exporter is correct
Place and date,signature and stam of certifiying authority
                    SHENZHEN Mar,25,2015

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