We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF or read online on Scribd
Original
1 Produets consigned from (Exporters business name, address,
country)
JIANGSU ACREL ELECTRICAL MANUFACTURING CO, . LTD.
Wo, 5, DONGMENG ROAD, NANZHN STREET, JTANGYIN
CITY, JIANGSU PROVINCE, CILINA
Re
nee No. £237673980030002
ASEAN-CHINA FREE TRADE ARE:
PREFERENTIAL TARIFF
CERTIFICATE OF ORIGIN
2, Products consigned to (Consignee's name, address, country)
PT, PETIRINDO JAYA ABADL
JL. RAYA JATL WAKMUR NO, 6D,_ RT. 06/1, O11,
JATIMAKML, KEC.PD, GEDE, KOTA’BKS, JAMA BARAT,
TNDONESIA
TD TAX 91, 492, 837. 9-147, 000
(Combined Declaration and Certificate)
FORM E
Issued in THE PEOPLE'S REPUBLIC OF CHINA
(Country)
‘See Overteat Notes
‘3. Means of transport and route (98 faras known)
Departure date APR.
20, 2023
Vessels name / Aircraft te. ZIM ASIA/HS
Port of Discharge JAKARTA, INDONESIA
"ROM SHANGIAL, CHINA TO JAKARTA, INDONESIA BY SEA
4. For Official Use
Verificationzorigin. customs. gov. en
C Preferential Treatment Given
CG Preterential Treatment Not Given (Please state coason/s
Signature of Authorised Signatory of the Importing Party
5. Item
Number
6 Marks and
numbers on | of products (incluging qua
iy wt
7. Number and type of packages, description
8. Origincntoria
(se0 Overieat
9. Gross weight ornet | 10. Number,
woightor oer quansiy| date of
jis code: 85
4.31
Appropriate ana HS number in six cigt code) | Notes) Invoices
1 pa lox (1) PALLET OF CURRENT TRANSFORNER “PE ‘2TaPIECES _f20230321001
AKlI-O.66/K K-80840 350, S00KGS G.K, APR. 13, 2023]
11. Declaration by the exporter
‘The undersigned hereby declares that the above details ang
statement are correct; that all the products wer
CHINA
produced in
te
ang mat hey comply wth te origin requirements specified for
these products in the Rules of rig forthe ACFTA for the
products exported to
INDONESIA
1 Exnivition
Third Party Invoicing
issued Retroactively
Cl Movement Cerificate
12, Certitieation
nny a
NanJi APR. 24,2023,
Place and date, signature and stamp of certifying authority
252312001538199
