1.Seller

CERTIFICATE OF ORIGIN

OF

THE PEOPLE’S REPUBLIC OF CHINA

2.Consignee

3.Means of transport and route

5.For certifying authority use only

4.Country / region of destination

6.Marks and numbers

7.Number and kind packages;

 description of goods

8.H.S.Code

9.Quantity

10.Number and date of invoices

11.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.

Place and date, signature and stamp of authorized signatory.

12.Certification

  It is hereby certificate that the declaration by the exporter is correct.

Place and date, signature and stamp of certifying authority.