1, Procuats Gonaipned fom (Exporiere business parva, dees, Lisocane RUNGETAT Stes. PRODUCTS Histor RUD onL RET 26, NOC Reference No: "E5737 LH0I270015 ASEAN-CHINA FREE TRADE AREA PREFERENTIAL TARIFF | Por of o'scraroe WAL Pic Visine CERTIFICATE OF ORIGIN [ae Sea {Combined Declaration and Certificate) 2 Products consigned te (Gonsignes's name, adress, county) FORM E wind TUE ROM ES ment Once L See Overloat Notes 3. Mane of tansport and rou (as far as known) (a For Ofteal Use ‘Departure dato 5 08,2017 PRIUS EOIN ne | Vessersname (Areratete: rate PopT KELANG LOTS: i Prearentl Teetmant Not Gen (ease stale reasons). " Siqnature of Authoised Signatory ofthe importing Party 5.hem |. Marks ang tumbes| numbers on. “of products tncluding quantity wher packages | appropristo fond HS none fe importing Party) SELES TURE S450 aw tex tore HS, COUR: 7508 20 S04 en 98 re oe ge Fours: Le No-colsartoiTowar DATE OF ISSUE 170518, TE TD ‘7 rbes end pe of baclbons, eenerpton ‘NIE. (©) BUNDLES OF “COD DRAM -CDSIDACENOTH: 26 Smieke cameso00 ASSUING BUNK JOINT STOCK COMERCIAL BANK FOR POREIGI TRUCE OF VIETNAM Gh, LiNTTED ‘NO, ROOM 170 (BSE), 17F, HEN BUTLDING, 90, JABRE ROAD, ANCA, HONGKONG ‘B-Originetiters | 9, Grose weightor | 10, Number ane | Gos vocast |” omer Sne Notes) ndvae 30] wane ao. ims (WSS p:itest.ca] | otzaze-ce “wnt 38,201 14, Deearation by te export The undersigned hereby deciares tal the above detais and Ce ae re “CHINA requirements species or ign forthe ACFTA far the "#2, Caritieation ‘itis hereby corttied, on the basis ofcontrol cated out ‘ectatation By the exporters crrect.