8．经过各成员国同意并适用于各成员国的标准原产地证书为本协议的附表。
附表：原产地证书样本
附表
SAMPLE CERTIFICATE OF ORIGIN
Asia-Pacific Trade Agreement
（Combined declaration and certificate）
┌─────────────────────────┬────────────────────┐
│1.Goods consigned from: │ Reference No. │
│ (Exporter’s business name, address, country) │ │
│ │ Issued in ……………. │
│ │ (Country) │
├─────────────────────────┼────────────────────┤
│2. Goods consigned to: │3.For Official use │
│ (Consignee’s name, address, country) │ │
│ │ │
├─────────────────────────┴────────────────────┤
│ 4. Means of transport and route: │
│ │
├────────┬───────┬────────┬─────┬─────┬────────┤
│5.Tariff item nu│6. Marks and n│ 7. Number │8. Origin │9. Gross │10. Number and d│
│mber: │umber of Packa│and kind │criterion │weight │ate of invoices:│
│ │ges: │ of │(see notes│or other │ │
│ │ │ │overleaf) │quantity: │ │
│ │ │ │ │ │ │
│ │ │ │ │ │ │
│ │ │ │ │ │ │
│ │ │ packages/ │ │ │ │
│ │ │description │ │ │ │
│ │ │of goods: │ │ │ │
│ │ │ │ │ │ │
│ │ │ │ │ │ │
│ │ │ │ │ │ │
├────────┴───────┴────────┼─────┴─────┴────────┤
│ 11. Declaration by the exporter : │ 12.Certificate │
│The undersigned hereby declares that the above │ It is hereby certified on the basis o│
│ details and statements are correct: that all the│f │
│ goods were produced in │ control carried out, that the declarat│
│ │ion by the exporter is correct. │
│………………………………. │ │
│ (Country) │ │
│and that they comply with the origin requirements │ │
│ specified for these goods in the Asia-Pacific Tr│ │
│ade Agreement for goods │ │
│ exported to │ │
│ │ │
│ ………………………………. │………………………………… │
│ (Importing Country) │ Place and date, signature and │
│ │ Stamp of │
│ │ Certifying Authority │
│ ………………………………. │ │
│ Place and date, signature of │ │
│ authorized │ │
│ Signatory │ │
└─────────────────────────┴────────────────────┘
