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ORIGINAL
1.Exporter Certificate No.
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
INDIA
6.Marks and numbers 7.Number and kind of packages; description of 8.H.S Code 9.Quantity 10.Number
N/M goods G/W: and date of
invoices
JAN.16,2016 11.Declaration by the exporter 12.Certification
The undersigned hereby declares that the above details and statements lt is hereby certified that the declaration by the exporter is
Are correct, that all the goods were produced in china and that they correct
comply
With the rules of Origin of the People’s Republic of china.
JAN.27, 2016
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Place and date, signature and stamp of authorized signatory Place and date, signature and stamp of certifying authority
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