Cee eee 1. Exporter’s business name, address, country ‘4. Reference No, PK-2016-MCFTA-25-00001 page, 7 fee rn opel itl SePSa i ALAN BERS TAM ro Tad ae KAWASAN PERINDUSTRIAN BERCHAM 31400 IPOH PERAK 5 a wean BENEFICIARY FAX 605-5482726. ACCOUNT 383.084936-001 (MCFTA FORM) ava Cone) ‘Spe Overleat Notes 2, Coneignes's namo, address, country KUPKER HERMANOS S A LIRERTAD 58 SANTIAGO, CHILE, For Official Use Preferential Treatment Given Under MOFTA Preferential Troatment Not Gvon undor MCFTA [Proaso state reason(s) Signature of Authorised Signatory of the Impasting County 83. Means of transport and route [as far as known) Departure date 1S February 2016 by MARITIME TRANSPORT. Vessel’ namevAirerat, 8c JING HE V.£009 FEEDER VESSEL NAME : MOL. DOMINANCE V.0045N Pt of Discharge SAN ANTONIO, CHILE Vv | Issued Retroactvaly Non-Party Invoicing Duplicate Exhbition ‘Namo of tho Place of Exhibition )nsert (inthe appropriate box 6.tm | 7. Marks and | @, Number and type of packages, description of goods | @.Orgin | 10. Gross | 11, Number number | numbers of | (including HS code) eritoson | weight or |” and date of packages cquantiy | invcices 1 feowtaver | 1acarton 8 tect exy20603 NO. 1,440 PAIRS OF NITRILE OLOVES (RNFIS 8) SD 100800 | osw2.2016 weisu2izass9 | IMPORTING COUNTRY HS CODE 4015 19.190 EXPORTING COUNTRY HS CODE 401519190 2 | 59 CARTON B seer yy 20603 §5 496 PAIRS OF NITRILE GLOVES (RNFIS-M) Usb 594720 | osw2016 IMPORTING COUNTRY HS CODE 4015.19.190 EXPORTING COUNTRY 8S CODE 401919190 12, Dectaation by the exporter |. the undersigned, deciare thatthe etove detals and statements are true and accurale, and the goodis) described ‘above meet the condition(s) raqured for the issuance of this cerita, lace and Date ‘baie Wel BARBIE ‘Signatre 7 eZ? Nelaysia Perak, 03 March 2016 NORFAZILA SHAHARUDDIN Pace and date, signature and stamp of Competont AutryExporter’ business rane, address, Oumy “F Roferonso No. PK.2016MCFTA-25.00001¢Page aren MALAYSIA-CHILE [RUDBEREX (i) SDN. BERHAD (&1107-Y) roe Trade Agreement Por 58201 OFF 3/4 MILE JALAN BERCHAM we eo Ong coe ASAN PERINDUSTRIAN BERCHAM 31400 IPOH PERAK MALAYSIA MA ICIARY FAX 605-5482726. ACCOUNT 382-084836-001 (MCFTA FORM) MALAYSIA tesved in (County) ‘See Overloat Notes, 2, Consignes’s name, address, county For Oficial Use UPPER HERMANOS $A Preterenia Trtment Given Under MCFTA LIBERTAD 58 SANTIAGO, CAE, ee eeeeeeeeee a arTTeSSeSTETEETEEEE EEE preferential Treatment Not Given undsr MOFTA jPloase slate reason(sll oo ignatura of Authorised Signatory of he Importing County “3, Moan of wareport and route (as far as known) 5. Depanure date Issued Retroacivaly 5 ebruaty 2016 by MARITIME TRANS 1s Febeany 2016 by MARITIME TRANSPORT een Veesors namoiAieratt, of O00 Douplcate NG HE V-2000 ENCORE VESSEL NAME : MOL. DOMINANCE V.00455 Evhiion ort of Discharge SAN ANTONIO, CRILE ame of the Place of xhibion (inset (in the appropriate Ox atom | 7-Mares ana |. Number and iype of packages, estinion of seode e.0%in|70.Gross | 11, Number rempor | nutnbers ot | (netuding HS code) Grienon | weightor | and date of packages quantity | ivoloes Bee 43 CARTON 8 143 C7, vos ‘oyso2 PAIRS OF NITRILE GLOVES (RNFLS-) USD 1441440 | osn22016 IMPORTING COUNTRY HS CODE. 4015.19.190 EXPORTING COUNTRY HS CODE 401519190 a | 21 CARTON B w INV20608. ats6¢ PAIRS OF RUBBER GLOVES (RFL-S) USD Gs02.40 | osin22016 IMPORTING COUNTRY HS CODE 4015.19.00 12, Declacation by the exporter: |. te undersignad, dedare that the above details and ye nant ae tue and accurate, and the goo) deserved bow mest the conaiton(s) required fort Isuance of this cortinte an Barcham, am, NOREAZILA. SHAHABUS 0. Place and date, signature and star of ee Tet: 69% ea ‘Competont Autholy Pee eee ete eeeeee eee 1. Exporter's business name, address, country +4, Reference No, PK-2016-MCFTA-25-00001 6p agg, 3,7 unnenex SON senaAD 11RD) uence ro sor GHP Ms ALAN BERGA Rr KAWASAN PERINDUSTRIAN BERCHAM 31400 IPOH PERAK a ae — i eee eee (cera ron satay aa Caney see Ora ores Sees naeen For Of Use / eee Preferential Treatment Given Under MCFTA peer Senin, prefrontal Trsent Not Gon under MCFTA [Please state roason(s}), | | Sato ured Say fhe ring oumny j eee 5 Departure date Vv |. tssved Retroactively | sary 6by MARITIME TRANSPORT ere estas nanafieah, ae Diptte None vue FRSIE YEE. wae: wor, DomNance vanes orf Decks aaa san aNTOND, CHE Tar ft Fa of ailon | €) rae 6 he eprias boe / ere ee eee etree ae baie eee daa teen Seascapes eer ee es 1,000 PAIRS OF INDUSTRIAL GLOVES (TT300-8) ‘USD 700.00 05/02/2016 eee na PATONG COUNTY 8 CODE S100 ce ae ae vis 3,200 PAIRS OF INDUSTRIAL GLOVES (T7300-M)_ ‘USD 2240.00 05/02/2016 ca eee eas ee — 12, Dereon ty he oer: 18 congg AOSTA ie unre dele tthe dor deta ar wifey rte, on be conte pve eee eee raeer ge Safes atte soso Show meat e sons tayo be atone o Hel elated this certiicate, te ee RUBBER RR AM), SO BEHAD @ we op (UEBER RRR AM, ODMrBEBHAD cert07-vp < Place 9nd Delo ries NOLSGOSTI IP SAL TRNOS Malaya tot 138 it, Jalan Borcharm, ean Kawosan NORFAZILA SHAHARUDDIN _ =: Pace ae teste ad anp a : ‘Signature ‘Competent Authority ao1. Exporters business name, adress, country [RUBBEREX (M SDN, BERHAD (81107-V) LOT 138201 OFF 5/4 MILE. 1ALAN BERCHAM KAWASAN PERINDUSTRIAN BERCHAM 31400 IPOH PERAK, MALAYSIA BENEFICIARY FAX 60S-5482726, ACCOUNT 383-084936-001 4. Relerence No, PK-2036 MCFTA-25.00001 Page a7 MALAYSIA-CHILE Free Trade Agreement Corticate of Origin (MCFTA FORM) (MALAYSIA (County) See Ovetloa Notes ‘sgued in 2. Consignee's name, adds, country KUPFER HERMANOS S A LIBERTAD 58 SANTIAGO, CHILE For Official Use Preferential Treatment Given Under MCFTA PraterentiatToatment Not Given undésr MCFTA [Pease state reasonis}] ‘Signature of Authorised Signatory of the porting County ‘9, Means of transport and route (es far as kno) Departure dato 15 February 2016 by MARITIME TRANSPORT Vessels nametAicralt, ee. NG HE v.09 FEEDER VESSEL NAME : MOL DOMINANCE V.0015N Prt of Discharge SAN ANTONIO, CHIE vy |. 'ssued Retroaetively Nom Party lvoleing Duplicate Exnibtien Namo of the Place of Exhibition (*) Insert (9) in the appropiate box. éattom — | 7. Marks and | 8. Number and ype of packages, description of goods | 8. Origin | 10, Gross | 11. Number ‘numbor | numbers ot | {ineluding HS code) citeon | weight or | and date of packages quanity | fnvoloos mals IS CARTON B ier myy20608 1,500 PAIRS OF INDUSTRIAL GLOVES (NEO400.M) USD 1800.00 | os122016 IMPORTING COUNTRY HS CODE 4015.19.190, EXPORTING COUNTRY HS CODE 401319190 ae 38CARTON B 3gcr, ev20603 5.800 PAIRS OF INDUSTRIAL GLOVES (TT30041) USD 2660.00 | gs0272016 IMPORTING COUNTRY HS CODE 4015.19.190, 12, Declaration bythe exporter: |. the undersigned, daclare that the above details and Sialements are tus and accurate, andthe goods) deserved ‘above meet the condition(s) requead for tho issuance of this eortticate Plaoe and Date ‘Signature NOREAZILA. A SHAMARUDDIN Place and cate, signature and stamp of ‘CompatentAuthoctyORIGINAL 1 Exporters business name, acress, country [RURREREX (Mp SDN. BERHIAD (1107-¥) LOT 138201 OPF 3/4 MILE JALAN BERCHAM KAWASAN PERINDUSTRIAN BERCHAM 31400 IPOH PERAK MALAYSIA, [BENEFICIARY FAX 60S.S482726. ACCOUNT 383-084936-001 7. Reference No, PRROIGMCFTATS-O000Page 3, 7 MALAYSIA-CHILE Free Trade Agreement Certificate of Origin (MCFTA FORM) MALAYSIA, Isaued In (County) ‘See Overleat Notes 2, Consignes's name, address, county [KUPSER HERMANOS 8 4 CIDERTAD 58 SANTIAGO, CHE For Oficial Use Preferential Treatment Given Under MCFTA Pretetential Treatment Not Given under MGFTA L__} Please state reasons} Signature of Authotised Signatory ofthe Importing County 8. Means of transport and route (as far a8 known) Departure date 15 February 2016 ty MARITIME TRANSPORT Vossol's name/nieraft, ot JING HE V.E009 FEEDER VESSEL. NAME : MOL DOMINANCE V.N045N Port of Discharge ‘SAN ANTONIO, CUILE vy | issued Retroacivey Now Party Invoicing Duplicate | exten Tian of the Place af Extibiton (Insert (9) in the appropiate box. o.tam — | 7. Maris and | 8, Number and type of packages, description of goods | 9. Origen | 10. Gross | 11, Number rumiver | numbers of | (including HS code) citeron | weight or | and date of packages quantty | invoices a |e 1OCARTON » rocr v20503, 12 CARTON 1,000 PAIRS OF INDUSTRIAL GLOVES (NE400-L) IMPORTING COUNIRY HS CODE 4018.19.190, EXPORTING COUNTRY HS CODE 401519190 1,300 PAIRS OF INDUSTRIAL GLOVES (TT300-XL) Usp 910 0510272016 IMPORTING COUNTRY HS CODE 4015.19.190 USD 1200.00 | psw22016 B rer ay20503 12, Decleration by the exporter |. te undersigned, decare thatthe above dotals and statements are ue and accurate, and the good) described ‘bova met the consibon(s} required forthe issuance this cortionte RUBBERE ue ae Place and Dato Signature att on toc) that the declratoh By NORFAZILA. Si ace ABLIDOIN.. nd date, signature and stamp of Competent AuthorityORIGINAL 1 Exporters business name, address, country “4. Reference No, R2D1GMCFTA-25-00001 page oT [RUBBEREX (M) SDN. BERHAD (81107-V) MALAYSIA-CHRLE ‘LOT 13820] OFF 374 MILE JALAN BERCHAM ied peel KAWASAN PERINDUSTRIAN BERCHAM 31400 IPOH PERAK rin MALAYSIA [BENEFICIARY FAX 605.582726, ACCOUNT 383.084936.001 (CFTA FORM) MALAYSIA Issued in (Country) ‘See Overleat Notes 2. Gonsignse's name, adcress, county For Official vse [KUPFER HERMANOS S A IBERTAD 58 SANTIAGO, CHE Preferential Trstment Given Under MOFTA Proterenia!Toatment Not Givon under MOFTA, {Please state reason(s) Signature of Authorised Signatory ofthe Importing Country {Moone of anspor an route (afer a known) Departure date 15 Ferny 206 by MARITIME TRANSPORT Vossore namolAKerat, oo. JNO HE V.E008 FERDFR VESSEL NAME: MOL DOMINANCE V.0045N Port of Discharge SAN ANTONIO, CHILE vy | tssved Retroactive Non-Party Invoicing Duplicate Ewnivon amo of Bi Plage of Exhibition (*) Insert (in the appropriate box 6.tem — | 7 Marks and | 8. Number and type of packages, description of goods | 9.Orign | 10. Gross | 11, Number umber | numbers of | (neluding HS code) citeon | weight or | and date of pockagos quantty Invoices 1 , canton 8 oct ry20603, |360 PAIRS OF LONG CUBR GLOVES (RNU2 usb sst00 | osizi2016 IMPORTING COUNTRY HS CODE 4015.19.190 EXPORTING COUNTRY HS CODE 401519190 mf locanton B ocr yv20603 360 PAIRS OF LONG CUEF GLOVES (RNUD2-18-82 10) USD | gSRINI6 12, Declaration by tho exporter |, the undersigned, deciare thatthe above dotals and statements are tue end accurate, and the goods) described ‘above meet bie Gondion(s) fequred or the ksuance of this ceriioate ot mues ns oue Cor no. BA cated, of cut, that te doce a Plage and data, signature and stamp 272) Competent Autavity SignatureORIGINAL 1. Exporters business namo, address, country 4. Reference No, FK2016-MCFTA-25.000014Pago 77 MALAYSIA-CHILE [RUBBEREX (M) SDN, BERHAD (81107-V) Free Trade Agreement LOT 138201 OFF 38 MILE JALAN BERCHAM. ‘5 KAWASAN PERINDUSTRIAN BERCHAM 31400 IPOH PERAK Corticato of Origin MALAYSIA a BENEFICIARY FAX 605-5482726, ACCOUNT 383-084936.001 le MALAYSIA taoued in Ee (County) Soe Overieat Notes 2, Consignoe's namo, address, county For Oficial se TKUPFER HERMANOS S.A Pretorental Treatment Given Undor MCFTA EIRERTAD St SANTIAGO, CHILE retarentiat Treatment Not Given under MCETA [Please slate reason(s) Signatur of Authorised Signatory of the Importing Country 3. Meane of wansport and route (as far as known) 5 Departure date vy | loved Retrosetvely 1S Febraney 2016 by MARITIME TRANSPORT. Now Party voicing Vessats namo/Alerat, ete SS Duplicate JING HE V.E009 asseel FEEDER VESSEL NAME : MOL DOMINANCE V.0045N | | exibition Port of Discharge asia SAN ANTONIO, CHILE Nam ofthe Placa of Bibiton {°) inset (9) inthe appropriate box 6.tem | 7.Marks and | 8. Number and typo of packages, description of goods | 8. Origen | 10. Gross} 11. Number number | “numbers of |" Gnctuding HS code) cntanon | woigntor | and date of packages quantity | Sovoioos ‘THE NUMBER OF THIS LC K845280 461912,00 PAIRS OF GLOVES DETAILED AS PER PROFORMA NRO. PI 15-0905 DATED 18-11-2018 QUOTATION FoR IMPORTING COUNTRY HS CODE 401519190 EXPORTING COUNTRY HS CODE 401519190 12. Declaration by tho exporter |, tho undersignod, deciare thatthe above dotails anc statements ave rue and accurate, and the good|s) described sbove meet the conaiion(s) required for the fsuanoe of tiscerleate UEBEREK AD ete ue macan __SUEERR i Disrtery 7ot cf 34 tle, ln rch, ; rem fiery NORFAZILA, SHAHARUDDIN BOE MISO, ng Prac te doe sing and staal Signture a Sol ‘Competent Authoriy