1. Goods consigned from(Exporter's business name, address,country) 发货人
2. Goods consignee to (Cousignee's name, address,country) 收货人名称及地址
3. Means of transport and route(as far as known) Departure Date 开船日期
Vessel /Flight/Train/Vehicle No.船名船次/快递可填写单号
Port of discharge 目的港,目的国
4.For official use
5.ItemnumBer项号无限制20项为一份
6.Mrks and num ber of packages
唛头与包装编号（填写证书所载货物的包装唛头及编号，应与货物包装上的唛头及编号一致。）
如无可填：N/M
7. Numberand type of packages,description of products(including quantity where appropriate and HS number in six digit code)
品名、海关编码HS、每一个品名金额(美元)、总箱数
8.Origin criterion原产地标准
9.Gross weight or net weight or other quantity,and value(FOB) only ,when RVC criterion is applied
数量
10.Number,date of Invoices发票号及发票日期
适用国家：文莱、柬埔寨、印尼、老挝、马来西亚、缅甸、菲律宾、新加坡、泰国、越南
