Original
1. Products consigned from (Exporiars business ame adres,
county)
SIMON MIMLONG TITERATIONL, RIDE ca LAD.
Skcaicoraez,LoomANE DISTRICT, LINE
rry, avon, cua, teL+86 160 S627 Yoo?
2. Products consigned to (Conslanew’s ame, county
Reference No. GawnciNB10018
ASEAN-CHINA FREE TRADE AREA
PREFERENTIAL TARIFF
CERTIFICATE OF ORIGIN
(Combined Declaration and Certificate)
FORM E
\ssvodin_THE PEOPLE'S REPUBLIC OF CHINA
(Country)
‘S00 Overoat Notes
8, Means of anspor ana rut ae fara Brown)
Departure sate way ce, 2028
Vossot ame /Aeratete. 45 PALA 0588
Port of Dlcheree in ca MLM, VIETNAM
RON RIZO, CHINA TO HD GH MINA, VIET BY SA
For Ofc Use
Vorification:origin eustant.eo.en
1 roforemia Treatment Given
1 Proterortal Westmont Not Given (Piase state ates
‘Signature of Authorced Signatory ofthe Importing Party
fe Marks ana
7-Wurber ana ype of patagan doveripon |B crs weit rat
Number|” numboreen |" ot produce (losing eontty ware wogher eer uc
rages" | appropiate ane HS munber in tx tg coda) Sea 00 ony
mend
1 hi finery six Gs) PacLens oF ForLa Pure | stoooncs Gv. | mz2080
= LD May 04,2024
his cove: saz sa
pegucea in
ects op QS RD
1 tseues Rotroatvaly
1 Movement Ceticate
1D Exntion
1 Third Party voting
"2, Contcaon|
ts netehy carted, onthe bai of control cari out, tate
2031138940