出口医疗物资声明（中英文）.docx

附件 2 出口医疗物资声明 Export Declaration of Medical Supplies 兹声明，本次报关出口医疗物资信息如下： We hereby declare as follows the export information of medical supplies for this customs declaration: 产品名称 (含规格、型号) Product Name (including specifications and model) 产品 数量 Product Quantity 国外质量 标准名称 The Name of Quality Standards of the Foreign Country 国外质量标 准要求 Quality Requirements of the Foreign Country 进口国 （地区） Importing Country/ Region 生产 厂商 Producer 上述产品取得***质量标准认证（注册），符合**国（地区）相 关质量标准和安全要求。我公司对以上内容承担如实申报之责任。 The above products are certified or registered by ***quality standards and compliant with relevant quality standards and safety requirements of *** country/region. Our company is responsible for the truthful declaration of the above information. 特此声明。 公司名称（盖章） Company Name(Seal) 年 月 日 Day/Month/Year