发货人名称及地址 ＊＊＊＊＊ Name and Address of Consignor＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿_ 收货人名称及地址 ＊＊＊＊＊ Name and Address of Consignor＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿_ 品名 ＊＊＊＊＊＊ Description of Goods＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿ 报检重量 ＊＊＊＊＊＊ 产地 标记及号码 Weight Declared Place of Origin－－┤Mark & No. 包装种类及数量 ｜ Number and Type of Packages－－－－－－－－－┤ 集装箱号 （如果适用） ｜ Container No. (If applicable)－－－－－－－-┤ 铅封号 （如果适用） ｜ Seal No. (If applicable)－－－－－－－－－－－－－－－－－－－－－－ 加工厂名称、地址及编号（如果适用） Name, Address and Approval No. of the Approved Establishment (if applicable)＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿ 启运地 到达国家及地点 Place of Despatch＿＿＿＿＿＿Country and Place of Destination＿＿＿_ 运输工具 发货日期 Means of Conveyance＿＿＿＿＿Date of Despatch＿＿＿＿＿＿＿＿＿＿＿_ 本签字兽医官证明 I，the undersigned official veterinarian, certify that: １．该产品来自ＣＩＱ注册的企业 The products were from establishment approved by CIQ. ２．该产品是在ＣＩＱ监督之下生产加工的 The products were produced and processed under the supervision of CIQ. ３．该产品经ＣＩＱ检验，未发现韩国规定的有害病菌、有毒有害物质和金属异物 The products have been inspected by CIQ and did not find pathogenic bacteria, harmful substances and foreign metal regulated in Republic of Korea. ４．该产品符合兽医卫生要求，适合人类食用 The Products meet veterinary sanitary requirements and fit for human consumption. ＊＊＊＊＊＊＊＊
签订地点Place of Issue＿＿＿签订日期Date of Issue＿＿＿_印章 Official Stamp 官方兽医Official Veterinarian＿＿签名Signature＿＿＿＿＿ ＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿中华人民共和国出入境检验检疫机关及其官或代表不承担签发本证书的任何财经责任。No financial liability with respect to this certificate shall attach to the entry-exit inspection and quarantine authorities of the P.R.& China or to any of its officers or representatives.
