Certificate of Origin

Exporter Name and Address Blanket Period: (17/11/2023)

PORT OF SHENZHEN
Gang Wan Yi Lu Shekou Industrial Zone
Guangdong 518067 FROM: PORT OF SHENZHEN CHINA
China

Tax Identification Number: 234-19-9099 TO: PORT OF BRIDGETOWN. BARBADOS (via ABF Freight
System)
Producer Name and Address Importer Name and Address:
TITANOS GROUP PORT OF BRIDGETOWN
29 Wang Yip St W, Yuen Long University Road
Hong Kong Bridgetown, St. Michael
China Barbados
Tax Identification Number: 897-90-8654
Tax Identification Number: 234-19-9090
Description of Good(s) TARRIF PREFERENCE PRODUCER COST COUNTRY
CLASSIFICATION CREITERION (USD) OF
NUMBER ORIGIN
1.5 ton (1500 kg) powdered Titanium Dioxide 43 Wholly TITANOS 2 500 MADE IN
obtained GROUP CHINA

I CERTIFY THAT:

 Information provided in this certificate is based on facts and is accurate and I assume the responsibility for proving such
representations. I understand that I am liable for any false statement or material omission made on or in concern with this document.
 I agree to maintain and present upon request documentation necessary to support this certificate and to inform, in
writing, al persons to whom this certificate was given of any changes that would affect accuracy or validity of this
certificate.
 This certificate consists of _____ pages including all attachments

Authorized Signature: COMPANY: PORT OF SHENZHEN

Name: FENG CHOW TITLE: SHPPING PORT
Date: 22/02/2023 Ph: +88 294-3923-1384 Fax: 489146104710 Customs Form: 09-45