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[null,null,"                    出境货物报检单"]
["报检单位（加盖公章）：",{"$nulls":5},"　*编   号:"]
["报检单位登记号：",null,null," 联系人：","　   电话：",null,"报检日期:","     年    月   日"]
["发货人","(中文）"]
[null,"（外文）"]
["收货人","(中文）"]
[null,"（外文）"]
["    货物名称(中/外文)",null,"           H.S.编码",null,"产地","数量/重量","货物总值","包 装 种 类 及 数 量"]
{"$rows_empty":9}
["运输工具名称号码",{"$nulls":3},"贸易方式",null,"货物存放地点"]
["合同号",{"$nulls":3},"信用证号",null,"用途"]
["发货日期",null,"               输往国家（地区）",null,null,"                许可证/审批号"]
["启运地",null,"                  到达口岸",null,null,"             生产单位注册号"]
["集装箱规格、数量及号码"]
["合同订立的特殊条款",null,null,"标记及号码",null,null,"随附单据（划“√”或补填）"]
["      以及其他要求"]
[{"$nulls":6},"      □合同","    □  包装性能结果单"]
[{"$nulls":6},"     □ 信用证","      □   许可/审批文件"]
[{"$nulls":6},"     □ 发票","     □ "]
[{"$nulls":6},"      □ 换证凭单","     □ "]
[{"$nulls":6},"     □装箱单","     □ "]
[{"$nulls":6},"      □厂检单","     □ "]
["需要单证名称（划“√”或补填）",{"$nulls":5},"检验检疫费"]
["        □品质证书",null,"    正  副","        □植物检疫证书",null,"    正  副","总金额"]
["        □重量证书",null,"    正  副","        □熏蒸/消毒证书",null,"    正  副","（人民币元）"]
["        □数量证书",null,"    正  副","        □出境货物换证凭单",null,null,"计费人"]
["        □兽医卫生证书",null,"    正  副","        □通关单"]
["        □健康证书",null,"    正  副","        □"]
["        □卫生证书",null,"    正  副","        □",null,null,"收费人"]
["        □动物卫生证书",null,"    正  副","        □"]
["报检人郑重声明：",{"$nulls":5},"领取证单"]
["       1.本人被授权报检。",{"$nulls":5},"日期"]
["       2.上列填写内容正确属实，货物无伪造或冒用他人的厂名、"]
["标志、认证标志、并承担货物质量责任。",{"$nulls":5},"签名"]
[{"$nulls":3},"签名："]
[]
["注：有*号拦由出入境检验检疫机关填写"]

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