PS：以下表格里的内容都是必填项，是必须要填写的。

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:

上述产品取得***（填写售卖到该质量标准认证（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）提示：必须是生产厂商的公章

Company Name(Seal)

年月日

Day/Month/Year