Certificate N°: 22123000EA

Page N°: 1/ 2

REF No: 279572

Ho Chi Minh City, 28 Dec., 2022

CERTIFICATE OF FUMIGATION
The consignment designated by client as:
Vessel’s name: MV. HAI AU STAR
Goods described as: Vietnam Long Grain White Rice
Port of Loading: Ho Chi Minh Port, Vietnam
Port of Discharge: Boom Baru (Palembang), Indonesia
Shipper: Vietnam Northern Food Corporation (Vinafood 1)
6 Ngo Quyen Street, Hoan Kiem District,
Hanoi, Vietnam
Consignee: To The Order Of Pt Bank Negara Indonesia (Persero) Tbk
Tebet Branch, Jl Prof Dr Soepomo No.25, Jakarta, Indonesia
(Tax Id No.01.001.606.1-093.000)
Notify Party: Perum Bulog Jl.Jenderal Gatot
Subroto Kav 49, Jakarta 12950, Indonesia
(Tax Id No.01.003.148.2-051.000)
Plus Address Perum Bulog Jl.Jenderal Gatot
Subroto Kav 49, Jakarta 12950, Indonesia
(Tax Id No.01.003.148.2-051.000)
Bill Of Lading No.: 01 Date: 28 Dec., 2022
Quantity: Net Weight: 4,800.00 MTS
Gross Weight: 4,812.48 MTS
Number Of Bags: 96,000 Bags
LC NUMBER: ILTEB08478S22 DATED 221202
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We certify that in pursuance of an order received from: SHIPPER, we fumigated the said shipment. We
report as follows:

Bag Marking: As Buyer’s Marking

Packing: In New Single Polyprophylene Bags Of 50 Kgs Net Each, Double-Stitched At Mouth, With
Respective Tare Of Empty Bag Of 130 Grams, And In Accordance With The Standard Export Packing, And
Suitable For Sea And Land Transportation

This document is issued by the Company under its General Conditions for Fumigation and Pest
Control Service accessible at http://www.sgs.com/en/Terms-and-Conditions.aspx. Attention is
SGS Vietnam Ltd. drawn to the limitation of liability, indemnification and jurisdiction issues defined therein. This
document is to be treated as an original within the meaning of UCP 600. Any holder of this
198 Nguyen Thi Minh Khai Street document is advised that information contained hereon reflects the Company’s findings at the
Vo Thi Sau Ward, District 3. time of its intervention only and within the limits of Client’s instructions, if any. The Company’s
sole responsibility is to its Client and this document does not exonerate parties to a transaction
Ho Chi Minh City - Vietnam from exercising all their rights and obligations under the transaction documents. Any
t: +84 28 3935 1920 unauthorized alteration, forgery or falsification of the content or appearance of this document is
unlawful and offenders may be prosecuted to the fullest extent of the law.
f: +84 28 3935 1921
Certificate N°: 22123000EA
Page N°: 2/ 2

The Fumigation has been carried out on board the vessel after completion of loading.
Type of Fumigant : Methyl Bromide
Dosage : 3 lbs/1,000 Cubic feet
Place of fumigation : On board of MV. HAI AU STAR
Date of fumigation : 28 Dec., 2022
Duration of exposure : 48 hours
Ministry of Agriculture & Rural Development
(Licence No: 19/PPD – Plant Protection Department)
SGS Vietnam Ltd.
Nguyen Tan Thoi

This document is issued by the Company under its General Conditions for Fumigation and Pest
Control Service accessible at http://www.sgs.com/en/Terms-and-Conditions.aspx. Attention is
SGS Vietnam Ltd. drawn to the limitation of liability, indemnification and jurisdiction issues defined therein. This
document is to be treated as an original within the meaning of UCP 600. Any holder of this
198 Nguyen Thi Minh Khai Street document is advised that information contained hereon reflects the Company’s findings at the
Vo Thi Sau Ward, District 3. time of its intervention only and within the limits of Client’s instructions, if any. The Company’s
sole responsibility is to its Client and this document does not exonerate parties to a transaction
Ho Chi Minh City - Vietnam from exercising all their rights and obligations under the transaction documents. Any
t: +84 28 3935 1920 unauthorized alteration, forgery or falsification of the content or appearance of this document is
unlawful and offenders may be prosecuted to the fullest extent of the law.
f: +84 28 3935 1921