(ELECTRONIC COPY) rence No. EIC/2O21/01aUBAGSSEAODSTEDAA [7 Goadh consigned fom (Exporters business name, adress, Re county) [ASEANANDIA FREE TRADE AREA SKIPPER LIMITED PREFERENTIAL TARIFF $4, LOUDON STREET. FLOOR, KOLKATA WEST BENGAL CERTIFICATE OF ORIGIN (Combined Deciaratien and Cota! 2. Goods consigned to (Conagnes's name, address, county) : FORM At * ‘TRANSCEND TOWERS INFRASTRUCTURE (PHILIPPINES), INC. ‘00 29F ARTHALAND CENTURY PACIFIC, STH AVENUE, FORT JEONIFACIO, TAGUIG 1695, HE lM . HILIPPINES (Cou (See Notee Overt) [5 Wears of wanspor ad route (as Taras Known) For Oil Ue Departure date 20-42-2024 (2 Preferential Tari Treatment von Under ASEAN India ‘Vessare nama/Arorat ete: MTT SENARI, 0235 Free Trade Area Freer! Tait Port of Discharge: North Manila, Philippines Lt Scemmmatetereatentortme peasant reaconé) ‘Signal of Autharad Sgnairy ofthe paring Coury “The undersigned hereby decare thatthe above detae 4nd salmon are corock: ala the goods were prosuced a and that they comply wth he agin requiemeets ‘Specie for ese goods in the ASEAN-INDIA Free ‘Trade Area Prefreiial Taf or the goods exported to = am KOLKATA, 21/1802 Io [&: Ware and nombors on}. Number and ype of packagos, decerplion ol goods [B. Ongin |. Grose weight or other [f0. Nanbor and fete acttes finctuding quantty where appropriate and HS number of uanily and valu(FO8) ate of voices 4 ne importing county) Pasa Seasued Ton Sod xen, HE CODE TOUT wo" enya oorg, USS Se TOTO fistiea.t0 Be Br 14.t22001 TT Deslraton tye wiper 12, Cortcaton Back io-Back CO Itsberebycertifed, onthe basis of contol cate out thatthe deiaraion bythe expoter i comect.St fe m= — nari | come [Yotaipar— Prasases-00% Sealon 2 PEDETi tra | tt lamas lw [sibe30 lw. ¥30 Piss2 S008 6 | 16200 | 16790