附件3
Declaration of Origin
I, ___________________________________________________________ being the
(print name, position, and legal name and address of enterprise)
exporter / producer / exporter and producer
(strike out those which do not apply)
hereby declare that the goods enumerated on this invoice ___________________(insert invoice number) are originating from
CHINA / PERU
(strike out that which does not apply)
in that they comply with the rules of origin requirements of the China-Peru Free Trade Agre
ement.
Signed:        __________________________________________________
Date:            __________________________________________________
Exporter’s Registration Number or Tax Identification Number: _________________
Note: This declaration must be printed and presented as a separate document accompanying the commercial invoice mentioned above. The number of items covered by this declaration should not exceed 20.
中文样本仅供参考
原产地声明
本人为__________________________________________________________
（打印姓名、职务及企业依法登记的名称、地址）
出口商/生产商/出口商及生产商
（不适用的部分请予勾销）
        兹声明发票________（填写发票号码）所列货物原产自
中国/秘鲁
（不适用的部分请予勾销）
且上述货物符合《中华人民共和国政府与秘鲁共和国政府自由贸易协定》原产地规则的要求。
签名：__________________________________________________________
日期：__________________________________________________________
出口商注册号码或纳税登记编号：export declaration___________________________
备注：该声明必须打印，并以上述商业发票随附的单独文件提交。本声明所涉货物不得超
过20项。

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