EXPORTER (Full Name & Address)
Certificate No.
CONSIGNEE (If required)
Carrier
Part of Discharge
Mark(s) & Number(1)
CERTIFICATE OF
HONG KONG ORIGIN
Port of Loading
Date of Departure".
Country of Destination
Final Destination. If on Carriage
(on or about)
Number and Type of Packages & Description of Goods
Factory Number
Quantity or Weight (in words and figures)
Brand Na
Labels fif
SPECIMEN
•
I hereby certify that the goods described above were made in Hong Kong. I further certify that the goods described above meet the origin rules of the European Economic Community.*
*The certification may be stamped on the certificate.