TNAG-0164-FCO40-200-Export-of-textiles-to-Norway-and-Sweden-1969 — Page 79

請用英文填報

TO BE COMPLETED IN ENGLISH

出口商名稱及地址

Name and address of Exporting Company

123/E

附表一

Enclosure 1

出口証號碼及日期

組別

貨名

香港出口分類號碼 輸出数量(以「件數為計算单位 製造商名稱及地址

Export Licence

Group

No. and date

NO.

Full Description of Goods

H.K. Export

quantity shipped

Name and address of

Manufacturer

Classification

in pieces

Number

本人証實上列各項確實無訛

I certify that to the best of my knowledge and belief, the information rendered in this return is correct.

簽名 Signature:

商號Name of Company:

地址Address:

日期Date: