? ??? ?? ??? ???(ENTRY-EXIT INSPECTION AND QUARANTINE OF THE PEOPLE’S REPUBLIC OF CHINA)? ??? ?? ??????.?? ??? ??? ????:

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1.??? ??:???? ??(No.)? ??? ? ??? ??? ???????.

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2.??? ??:

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(1) ??? ??(Consignee):???? ??? ???? ?????.

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(2) ???? ??(Address) :H ??? ??? 535?,????,????? 91101,??.

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3.?? ??:

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(1) ???(?? ??) :??? ???? ??? ?? ? ??? ??? ???????.

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(2) ?? ? ??(Mark & No.):??? ?? ? ??? ??? ? ??? ??? ???????.

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4,?? ?? ??:

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??? ??/??(??? ??/??):??? ?? ??? ??? ???? ??? ??? ? ??? ??? ??? ????.

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5.?? ??:

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?? ?? ? ??(???? ?? ??):??? ??? ??? ??? ? ??? ??? ???????.

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6.????:

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????(Means of Conveyance):??? ?? ??? ??? ??? ? ??? ??? ???????.

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7.?? ??:

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?? ??(Result of Inspection):???? ???? ??? ??? ? ??? ??? ???????.

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8.?? ??:

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(1) ??(Official Stamp) :??? ? ? ??? ??? ???????.

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(2) ?? ???(Authorized Officer):?? ??? ??? ? ??? ??? ???????.

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(3) ??(Signature) :??? ?? ??? ??? ????.

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(4) ?? ?? ??(Place of Issue) :?? ??? ??? ? ??? ??? ???????.

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(5) ?? ?? ??(Date of Issue):???? ??? ? ??? ??? ??? ????.

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9.??? ??:

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??? ???? [??] ??? ???,?? ???? ??? ?? ??? ??? ?? ??? ? ????.

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