2023年6月27日发(作者：)

1. Exporter (full name andaddress)

CERTIFICATE OF ORIGIN 2. Consignee (full name,address, country)OFTHE PEOPLE'SREPUBLIC OF 3. Means of transport androute 5. For certifyingauthority use only 4. Country / Region ofDestination 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 anddate of invoice

11. Declaration by the The undersigned and statements are produced in China and of Origin of the 12. It is hereby is correct. Place and date. signatureChina Council for thePromotion of Place and date.