Preference products must be wholly produced or obtained in the exporting Participating State in accordance with Rule 2 of the Asia-Pacific Trade Agreement Rules of Origin， or where not wholly produced or obtained in the exporting Participating State must be eligible under Rule 3 or Rule 4.
a）Products wholly produced or obtained： enter the letter “A” in Box 8.
b）Products not wholly produced or obtained： the entry in Box 8 should be as follows：
1.Enter letter “B” in Box 8， for products which meet the origin criteria according to Rule 3. Entry of letter “B” would be followed by the sum of the value of materials， parts or produce originating from non-Participating States， or undetermined origin used， expressed as a percentage of the f.o.b. value of the products； （example “B” 50 per cent）；
2.Enter letter “C” in Box 8 for products which meet the origin criteria according to Rule 4. Entry of letter “C” would be followed by the sum of the aggregate content originating in the territory of the exporting Participating State expressed as a percentage of the f.o.b. value of the exported product； （example “C” 60 per cent）；
3.Enter letter “D” in Box 8 for products which meet the special origin criteria according to Rule 10.
Box 9 Gross Weight or Other Quantity
Type the gross weight or other quantity （such as pieces， kg） of the products covered by the Certificate.
Box 10 Number and Date of Invoices
State number and date of the invoice in question. The date of the invoice attached to the Application should not be later than the date of approval on the Certificate.
Box 11 Declaration by the Exporter
The term “Exporter” refers to the shipper who can either be a trader or a manufacturer. Type the name of the producing country and the importing country and the place and date when the declaration is made. This box must be signed by the Company’s authorized signatory.
Box 12 Certification
The certifying authority will certify in this Box.
原产地证书样本 亚太贸易协定（中文文本仅供参考）
（申报和证书合一）
┌──────────────────────┬──────────────────────────┐
│1.货物运自(出口人名称、地址、国家)： │ 编号： │
│ │……………. …. …. …. ….签发 │
│ │（国家） │
├──────────────────────┼──────────────────────────┤
│2.货物运至（收货人名称、地址、国家）： │3.官方使用 │
├──────────────────────┴──────────────────────────┤
│ 4.运输工具及路线 │
│ │
├─────┬───────┬────────┬────────┬────────┬────────┤
│5.税则号列│6.包装唛头及编│ 7.包装件数及种 │8.原产地标准（见│9.毛重或者其他数│10.发票编号及日 │
│ │号 │类；货物名称 │背页说明） │量 │期 │
│ │ │ │ │ │ │
│ │ │ │ │ │ │
│ │ │ │ │ │ │
│ │ │ │ │ │ │
│ │ │ │ │ │ │
│ │ │ │ │ │ │
│ │ │ │ │ │ │
│ │ │ │ │ │ │
├─────┴───────┴────────┼────────┴────────┴────────┤
│ 11.出口人声明 │ 12.证明 │
│ 下列签字人证明上述资料及申明正确无讹，所 │根据所实施的监管，兹证明上述出口商的申报正确 │
│有货物产自 │ │
│………………………………. │ │
│ （国家） │ │
│ 且符合亚太贸易协定原产地规则的相关规定，该 │ │
│货物出口至 │ │
│ ………………………………. │ │
│ （进口国） │………………………………… │
│ ……………………………. │地点和日期，签字和签证机构印章 │
│ 申报地点、日期及授权签字人的签字 │ │
└──────────────────────┴──────────────────────────┘
