1.       Exporter(full name and address)

Certificate No.

CERTIFICATE OF ORIGIN

OF

THE PEOPLEE’S REPUBLIC OF CHINA

2.Consignee( full name and address)

3.Means of transport and route

5.For certifying authority use only

4.Destination port

6.Marks and numbers of packages

7.Description of goods; Number and kind of packages

8.H.S.Code

9.Quantity or weight

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 Original of the People’s Republic of China.

Place and date, signature and stamp of authorized signatory

12..Certification

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

Place and date, signature and stamp of authorized signatory.