CUTB Form A - CERTIFICATE OF ORIGIN
1. Goods consigned from (Exporter's business name, address, Reference No.: COC- 4500220936
country)
ClydeUnion Technology (Beijing) Co., Ltd
Unit B2, 22/F Tower A, Gateway Plaza, No 18, Xiaguangli
East 3rd Ring North Road, Chaoyang District CERTIFICATE OF ORIGIN
Beijing, 100027, P.R. China (General declaration and certificate)
2. Goods consigned to (Consignee's name, address, country)
ClydeUnion Ltd.
149 Newlands Road, Cathcart, Glasgow, G44 4EX, UK
3. Means of transport and route (as far as known) 4. For official use
Sea freight, from Shanghai to Felixstowe
5. Item 6. Marks and 7. Number and kind of packages: 8. Origin criterion 9. Gross weight 10. Number and
number numbers of description of goods (See instructions) or other date of invoices.
packages quantity
11. Certification 12. Declaration by the exporter
It is hereby certified, on the basis of control carried The undersigned hereby delcares that the above details and
out, that the declaration by the exporter is correct. statements are correct: that all the goods were produced in
..................................................................
(country)
and that they comply with the original requirements specified
for those goods in the Generalized System of Preferences for
goods exported to
..................................................................
(importing country)
...................................................................................... ................................................................................................
Place and date, signature and stamp of certifying authority. Place and date, signature of authorized signatory