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1. Goods consigned from (Exporter's name, address, country) Reference No.

VN-CA 19/02/00031
POU HUNG VIETNAM COMPANY LIMITED
ROAD NO.1, CHA LA INDUSTRIAL PARK, DINH LINH
THE COMPREHENSIVE AND PROGRESSIVE
HAMLET, CHA LA VILLAGE, DUONG MINH CHAU
DISTRICT, TAY NINH PROVINCE, VIETNAM AGREEMENT FOR TRANS-PACIFIC PARTNERSHIP
CERTIFICATE OF ORIGIN
(Combined declaration and certificate)

2. Goods consigned to (Consignee's name, address, country) FORM CPTPP


Issued in Vietnam
UNDER ARMOUR CANADA ULC
169 ENTERPRISE BLVD, SUITE 500
UNIONVILLE ON L6G 0E7 CANADA 4. For official use
Non-Party Invoicing
Certified True Copy
3. Means of transport and route (as far as known)
GOODS TO BE SHIPPED BY SEA 5. Producer (name, address, country)
FROM: HOCHIMINH CITY, VIETNAM POU HUNG VIETNAM COMPANY LIMITED
TO: VANCOUVER, CANADA ROAD NO.1, CHA LA INDUSTRIAL PARK, DINH LINH
DATE: FEB 26, 2019 HAMLET, CHA LA VILLAGE, DUONG MINH CHAU
VESSEL: ST BLUE 041B DISTRICT, TAY NINH PROVINCE, VIETNAM

6. Item 7. Marks, numbers and kind of packages: description of 8. Origin criterion 9. Quantity 10. Number and
No. goods (including HS number of Importing Country) of goods date of invoices

UNDER ARMOUR FOOTWEAR

P.O.NO. STYLE NO. HS CODE


1 4201607291 3000061-102 6402.99 CTH+RVC 67.14% 3,510 PRS UA-190068
2 4201607289 3021294-001 6403.99 CTH+RVC 56.36% FEB. 18, 2019
3 4201607288 3000061-001 6402.99 CTH+RVC 67.14%

TOTAL:
SAY TOTAL THREE THOUSAND FIVE HUNDRED 3,510 PRS
AND TEN PARIS ONLY

11. Declaration by the exporter 12. Certification


The undersigned hereby declares that the above details and It is hereby certified, on the basis of control carried out, that
statements are correct; that all the goods were produced in the declaration by the exporter is corret.
VIETNAM
THƯƠNG
(Country of origin) NG
Ô
*C

PHÒNG
ẨU * BỘ C

and that they comply with the origin requirements specified


ỤC Q ẢN L

QUẢN LÝ
for these goods in the Comprehensive and Progressive XUẤT NHẬP KHẨU
U

KHU VỰC
Agreement for Trans-Pacific Partnership for the goods TP.HCM
KH

exported to
Ý
XU
ẤT NHẬP
CANADA
(Importing Country) Nguyễn Thanh Quang

HOCHIMINH CITY DATE: MAR 13, 2019 HOCHIMINH CITY DATE: MAR 13, 2019
(Place and date, signature and stamp of exporter) (Place and date, signature and stamp of certifying authority)
(ORIGINAL)
Book No.

1. Goods consigned from (Exporter's name, address, country) Reference No. AI-19/02/00031
UNDER ARMOUR CANADA ULC ASEAN-INDIA FREE TRADE AREA
169 ENTERPRISE BLVD, SUITE 500 PREFERENTIAL TARIFF
UNIONVILLE ON L6G 0E7 INDIA CERTIFICATE OF ORIGIN
(Combined declaration and certificate)

2. Goods consigned to (Consignee's name, address, country)


FORM AI
Issued in India
POU HUNG VIETNAM COMPANY LIMITED
(See Instructions Overleaf)
ROAD NO.1, CHA LA INDUSTRIAL PARK, DINH LINH
HAMLET, CHA LA VILLAGE, DUONG MINH CHAU 4. For official use
DISTRICT, TAY NINH PROVINCE, VIETNAM
Preferential Tariff Treatment Given Under
ASEAN-INDIA Free Trade Area Preferential Tariff.
3. Means of transport and route (as far as known)
Departure date: 30.09.2016 Preferential Tariff Treatment Not Given
Vessel's name/Aircraft etc (Please State reason/s)
ST. JOHN ARK V066
Port of Discharge:
HAI PHONG PORT Signature of Authorised Signatory of the Importing Country

5. Item 6. Marks and 7. Number and type of packages, 8. Origin criterion 9. Gross weight 10. Number and
No. numbers on description of goods (including quantity (See Notes or other Quantity date of invoices
packages: where apppropriate and HS number overleaf) and value (FOB)
of Importing Country)

UNDER ARMOUR FOOTWEAR

P.O.NO. STYLE NO. HS CODE


1 4201607291 3000061-102 6402.99 RVC 67.14% 3,510 PRS UA-190068
2 4201607289 3021294-001 6403.99 RVC 56.36% FEB. 18, 2019
3 4201607288 3000061-001 6402.99 RVC 67.14%

TOTAL:
SAY TOTAL THREE THOUSAND 3,510 PRS
FIVE HUNDRED
AND TEN PARIS ONLY

11. Declaration by the exporter 12. Certification


The undersigned hereby declares that the above details and It is hereby certified, on the basis of control carried out, that
statements are correct; that all the goods were produced in the declaration by the exporter is corret.
INDIA
(Country of origin)
and that they comply with the origin requirements specified
for these goods in the ASEAN-INDIA Free Trade Area
Preferential Tariff for the goods exported to
VIETNAM
(Importing Country)

COIMBATORE DT: 03.10.2016


(Place and date, signature and stamp of certifying authority)
(Place and date, signature and stamp of exporter)

13. Where appropriate please


Third Country Invoicing Exhibition Back-to-back CO Cumulation
ORIGINAL

1. Goods consigned from (Exporter's name, address, country) Certificate No. VN-AU 11/01/00273 Form: AANZ
DUY MINH JOINT STOCK COMPANY AGREEMENT ESTBALISHING THE ASEAN -
NO. 51, GROUP 18, NGHIA DO WARD, CAU GIAY AUSTRALIA - NEW ZEALAND FREE TRADE
DISTRICT, HANOI, VIETNAM AREA (AANZFTA)
CERTIFICATE OF ORIGIN
(Combined declaration and certificate)
2. Goods consigned to (Consignee's name, address, country)
Issued in VIETNAM
CBH GRAIN PTY LTD. (See Instructions Overleaf)
30 DELHI STREET, WEST PERTH,
WESTERN AUSTRALIA 6005 4. For official use
Preferential Tariff Treatment Given Under
AANZ FTA
3. Means of transport and route (as far as known)
FROM: HOCHIMINH PORT, VIETNAM Preferential Tariff Treatment Not Given
BY SEA (Please State reason/s)
MAY 02RD, 2011
EAGLE EXCELENCE EXE713
TO: AUSTRALIA Signature of Authorised Signatory of the Importing Country

5. Item 6. Marks and 7. Number and type of packages, 8. Origin criterion 9. Gross weight 10. Number and
No. numbers on description of goods (including quantity (See Notes or other Quantity date of invoices
packages: where apppropriate and HS number overleaf) and value (FOB)
of Importing Country)
HYDROUS ETHANOL
SHIPPING TERMS: CFR MELBOURNE, Gross weight: CADMI 101
AUSTRALIA; 4 X ISOTANK HYDROUS 91.04 MT DATE:
4 ISOTANKS ETHANOL AS PER APPLICANTS “WO” MAY 02RD,
PURCHASE ORDER 110584 FOB value 2011
ORIGIN VIETNAM; PACKING: IN 04 USD
ISOTANKS 24,000 LITERS 83,520.00
TOTAL NET WEIGHT: 76,80 MT
HS CODE: 2207.20.1910
(US DOLLARS EIGHTY THREE THOUSAND
FIVE HUNDRED TWENTY ONLY.)

11. Declaration by the exporter 12. Certification


The undersigned hereby declares that the above details and On the basis of control carried out, it is hereby certified that the
statements are correct; that all the goods were produced in information herein is correct and that the goods described
VIETNAM comply with the origin requirements specified in the Agreement
(Country of origin)
Establishing the ASEAN-Australia-New Zealand Free Trade Area.
and that they comply with the rules of origin, as provided THƯƠNG
NG
Ô
in Chapter 3 of the Agreement Establishing the ASEAN -
*C

PHÒNG
ẨU * BỘ C

ỤC Q ẢN L

Australia - New Zealand Free Trade Area for the goods QUẢN LÝ
XUẤT NHẬP KHẨU
exported to
U

AUSTRALIA KHU VỰC


TP.HCM
KH

Ý
(Importing Country) XU
ẤT NHẬP
HA NOI, VIETNAM, MAY 2011 Nguyễn Thanh Quang
(Place and date, signature and stamp of certifying authority)
(Place and date, signature and stamp of exporter)

13. Back-to-back Certificate of Origin Subject of third-party invoice Issued Retroactively


De minimis Accumulation
ORIGINAL
1. Goods consigned from (Exporter's name, address, country) Certificate No. VN-TH 11/01/00939
ASEAN TRADE IN GOODS AGREEMENT/
JK MINH JOINT STOCK COMPANY
NO 5L GROUP 18, NGHIA DO WARD, CAU GIAY ASEAN INDUSTRIAL COOPERATION SCHEME
DISTRICT, HANOI, VIETNAM CERTIFICATE OF ORIGIN
TEL: 84-4-3-7916042 FORM D
(Combined Declaration and Certificate)
2. Goods consigned to (Consignee's name, address, country) Issued in VIETNAM
SUMITOMO CORPORATION THAILAND
20TH, FLOOR UNIT 1, M.THAI TOWER 4. For official use
67 WIRELESS ROAD, LUMPINI, PHATUWIYAN Preferential Tariff Treatment Given Under ASEAN
BANGKOK 10330 THAILAND, TEL: 026540002 Trade in Goods Agreement

Preferential Tariff Treatment Given Under ASEAN


3. Means of transport and route (as far as known) Industrial Cooperation Scheme
Departure date MAR 13TH, 2011
Vessel’s name/Aircraft etc. SINAK BANDUNG V.2508 Preferential Tariff Treatment Not Given
(Please State reason/s)
Port of discharge PORT IN BANGKOK, THAILAND
FROM: DA NANG PORT, VIETNAM Signature of Authorised Signatory of the Importing Country

5. Item 6. Marks and 7. Number and type of packages, description 8. Origin 9. Gross weight or 10. Number and
No. numbers on of goods (including quantity where apppropriate criterion other Quantity and date of invoices
packages: and HS number of Importing Country) (See Notes value (FOB only
overleaf) when RVC is used)
DENATURED ETHANOL MIN 99.5 PCT “WO” Gross weight UNDM1101
WITH BITREX 10PPM 45.64 MT DATE
2 ISOTANK 38.40 MT (+/-5PCT): DENATURED FOB VALUE MAR
ETHANOL MIN 99.5 TPT WITH 10PPM BITREX 38,001.60 13TH, 2011
COUNTRY OF ORIGIN: VIETNAM USD
UNIT PRICE AT USD: 1.099 PER MT
CIF ANY PORT IN BANGKOK THAILAND
DETAIL AS PEK PROFORMA INVOICE SAYS: US DOLLARS THIRTY EIGHT
NO.UNDM1101 DD.11/02/2011 THOUSAND AND ONE AND CENTES
TOTAL NET WEIGHT: 38.40 MT SIXTY ONLY.
(02 ISOTANK)
HS CODE: 2207.20.1910
11. Declaration by the exporter 12. Certification
The undersigned hereby declares that the above details and It is hereby certified, on the basis of control carried out, that the
statements are correct; that all the goods were produced in declaration by the exporter is correct.
VIETNAM THƯƠNG
(Country) NG
Ô
*C

PHÒNG
and that they comply with the origin requirements specified
ẨU * BỘ C

ỤC Q ẢN L

QUẢN LÝ
for these goods in the ASEAN Trade in Goods Agreement XUẤT NHẬP KHẨU
for the goods exported to
U

KHU VỰC
TP.HCM
KH

THAILAND
Ý
XU
ẤT NHẬP
(Importing Country)
Nguyễn Thanh Quang
DANANG, VIETNAM, 15 MAR 2011
(Place and date, signature and stamp of certifying authority)
(Place and date, signature and stamp of exporter)

13. Back-to-back Certificate of Origin Subject of third-party invoice Issued Retroactively


De minimis Accumulation Partial Cumulation
TRIPLICATE

1. Goods consigned from (Exporter's name, address, country) Certificate No.


THE AGREEMENT ON COMPREHENSIVE ECONOMIC
PARTNERSHIP AMONG MEMBER STATES OF THE
ASSOCIATION OF SOUTHEAST ASIAN NATIONS AND JAPAN
(AJCEP AGREEMENT)
CERTIFICATE OF ORIGIN
2. Goods consigned to (Consignee's name, address, country)
FORM AJ
Issued in ____________
(See Notes Overleaf)

4. For official use


Preferential Tariff Treatment Given Under AJCEP
3. Means of transport and route (as far as known) Agreement
Shipment date
Preferential Tariff Treatment Not Given
Vessel’s name/Aircraft etc. (Please State reason/s)
Port of discharge
Signature of Authorised Signatory of the Importing Country

5. Item 6. Marks and 7. Number and type of packages, 8. Origin criterion 9. Gross weight or 10. Number and
No. numbers on description of goods (including quantity (See Notes other Quantity and date of invoices
packages: where apppropriate and HS number overleaf) value (FOB only
of Importing Country) when RVC is used)

11. Declaration by the exporter 12. Certification


The undersigned hereby declares that the above details and It is hereby certified, on the basis of control carried out, that the
statements are correct; that all the goods were produced in declaration by the exporter is correct.

(Country)
and that they comply with the requirements specified for these
goods in the AJCEP Agreement for the goods exported to

(Importing Country)

(Place and date, signature and stamp of certifying authority)


(Place and date, signature and stamp of exporter)

13. Back-to-back Certificate of Origin Subject of third-party invoice Issued Retroactively


De minimis Accumulation
ORIGINAL

1. Goods consigned from (Exporter's name, address, country) Certificate No. VN-KR 18/01/02827
FOOD AND NUTRITION DEVELOPMENT CONSULTING JSC VIETNAM - KOREA FREE TRADE AGREEMENT
NO 43 LANE 2, TAY TRA STREET, TRAN PHU WARD PREFERENTIAL TARIFF
HOANG MAI DISTRICT, HANOI, VIETNAM
CERTIFICATE OF ORIGIN
FORM AJ
2. Goods consigned to (Consignee's name, address, country) (Combined Declaration and Certificate)
KYFOOD CO.,LTD Issued in VIETNAM
72-9 DEOKPYEONG-GIL BUJEOK-MYEON NONSAN SITY (See Notes Overleaf)
CHUNGCHEONGNAM-DO 320-862 REPUBLIC OF KOREA
TEL: 82-55-710-6026 4. For official use
Preferential Tariff Treatment Given Under
3. Means of transport and route (as far as known) Vietnam-Korea Free Trade Agreement
BY SEA FROM HAI PHONG PORT - VIETNAM
Departure date 10-FEB-2018 Preferential Tariff Treatment Not Given
(Please State reason/s)
Vessel’s name/Aircraft etc. DOLPHIN STRAIT 1803E

Port of discharge INCHEON, KOREA Signature of Authorised Signatory of the Importing Country

5. Item 6. Marks and 7. Number and type of packages, 8. Origin criterion 9. Gross weight or 10. Number and
No. numbers on description of goods (including quantity (See Notes other Quantity and date of invoices
packages: where apppropriate and HS number overleaf) value (FOB only
of Importing Country) when RVC is used)

THE LINH DAN SOLO BLACK GARLIC 100GR GW: 132.00 KGS NO. 01
6-FEB-2018
HS CODE: 20029990 “WO”

11. Declaration by the exporter 12. Certification


The undersigned hereby declares that the above details and It is hereby certified, on the basis of control carried out, that the
statements are correct; that all the goods were produced in declaration by the exporter is correct.
VIETNAM
(Country)
THƯƠNG
and that they comply with the origin requirements specified NG
Ô
*C

PHÒNG
for these goods in the Vietnam-Korea Free Trade Agreement
ẨU * BỘ C

ỤC Q ẢN L

QUẢN LÝ
for the goods exported to XUẤT NHẬP KHẨU
U

KHU VỰC
KOREA TP.HCM
KH

Ý
XU
(Importing Country) ẤT NHẬP
Nguyễn Thanh Quang
HANOI, VIETNAM 07-FEB-2018
(Place and date, signature and stamp of certifying authority)
(Place and date, signature and stamp of exporter)

13. Back-to-back Certificate of Origin Subject of third-party invoice Issued Retroactively


De minimis Accumulation
ORIGINAL
1. Goods consigned from (Exporter's name, address, country) Certificate No. 001-16-0044068
Certificate Code. 90el-cal8
DOW CORNING KOREA LTD.
24 GWANGHYEWON DANSAN-GIL, GWANGHYEWON-MYEON, KOREA-ASEAN FREE TRADE AREA
JINCHEON-GUN, CHUNGCHEONGBUK-DO SOUTH KOREA PREFERENTIAL TARIFF

CERTIFICATE OF ORIGIN
2. Goods consigned to (Consignee's name, address, country) FORM AK
QUOC HUY ANH INTERNATIONAL INVESTMENT CORPORATION (Combined Declaration and Certificate)
20 LE QUY DON STREET, WARD 6, DISTRICT 3, Issued in THE REPUBLIC OF KOREA
70500, HO CHI MINH CITY, VIETNAM
4. For official use
Preferential Tariff Treatment Given Under KOREA-
3. Means of transport and route (as far as known) ASEAN Free Trade Area Preferential Tariff
Departure date 17-JAN-2016
Vessel’s name/Aircraft etc. STARSHIP URSA 0050S Preferential Tariff Treatment Not Given
(Please State reason/s)
Port of loading BUSAN PORT, KOREA
Port of discharge HO CHI MINH CITY, VIETNAM Signature of Authorised Signatory of the Importing Country

5. Item 6. Marks and 7. Number and type of packages, description 8. Origin 9. Gross weight or 10. Number and
No. numbers on of goods (including quantity where apppropriate criterion other Quantity and date of invoices
packages: and HS number of Importing Country) (See Notes value (FOB only
overleaf) when RVC is used)
1 S/O NO. [HS CODE: 3214.10] CTH 16,200.00 KGS 1992365923
7250022 72 DRUMS OF XIAMETER(R) SLT-5160 SEALANT 2016-01-15
7249962 ACETOXY WHITE, 205 KG DRUM
2 P/O NO. [HS CODE: 3214.10] CTH 16,200.00 KGS 1992365925
QHA0201-16/S-DC 72 DRUMS OF XIAMETER(R) SLT-5160 SEALANT 2016-01-15
QHA0201-16/S-DC ACETOXY WHITE, 205 KG DRUM
3 D/N NO. [HS CODE: 3214.10] CTH 17,460.00 KGS 1992365927
8611124689 60 DRUMS OF XIAMETER(R) SLT-7560 SEALANT 2016-01-15
8611124692 OXIME EXTENDED, 270 KG DRUM

11. Declaration by the exporter 12. Certification


The undersigned hereby declares that the above details and It is hereby certified, on the basis of control carried out, that the
statements are correct; that all the goods were produced in declaration by the exporter is correct.
THE REPUBLIC OF KOREA
(Country)
and that they comply with the origin requirements specified
for these goods in the KOREA-ASEAN Free Trade Area
Preferential Tariff for the goods exported to
THE SOCIALIST REPUBLIC OF VIETNAM
(Importing Country)

SEOUL KOREA 20 JAN 2016


(Place and date, signature and stamp of certifying authority)
(Place and date, signature and stamp of exporter)

13. Back-to-back Certificate of Origin Subject of third-party invoice Issued Retroactively


De minimis Accumulation
ORIGINAL
1. Goods consigned from (Exporter's name, address, country) Certificate No. 001-16-0044068
DOW CORNING KOREA LTD. ASEAN-CHINA FREE TRADE AREA
FUJIAN PROVINCE, CHINA PREFERENTIAL TARIFF

CERTIFICATE OF ORIGIN
FORM E
2. Goods consigned to (Consignee's name, address, country)
(Combined Declaration and Certificate)
QUOC HUY ANH INTERNATIONAL INVESTMENT CORPORATION Issued in THE PEOPLE’S REPUBLIC OF CHINA
20 LE QUY DON STREET, WARD 6, DISTRICT 3,
70500, HO CHI MINH CITY, VIETNAM
4. For official use
Preferential Tariff Treatment Given Under CHINA -
3. Means of transport and route (as far as known) ASEAN Free Trade Area Preferential Tariff
Departure date AUG 24, 2018
Vessel’s name/Aircraft etc. STARSHIP URSA 0050S Preferential Tariff Treatment Not Given
(Please State reason/s)
Port of discharge HO CHI MINH CITY, VIETNAM
FROM NINGEO, CHINA TO HOCHIMINH, VIETNAM BY SEA Signature of Authorised Signatory of the Importing Country

5. Item 6. Marks and 7. Number and type of packages, description 8. Origin 9. Gross weight or 10. Number and
No. numbers on of goods (including quantity where apppropriate criterion other Quantity and date of invoices
packages: and HS number of Importing Country) (See Notes value (FOB only
overleaf) when RVC is used)
1 N/M [HS CODE: 0904.10] “WO” 55,800 KGS G.W. 1992365923
THREE THOUSAND SIX HUNDRED (3600) USD: 20,500 AUG. 10, 2018
CARTONS OF PEPPER POWDER

11. Declaration by the exporter 12. Certification


The undersigned hereby declares that the above details and It is hereby certified, on the basis of control carried out, that the
statements are correct; that all the goods were produced in declaration by the exporter is correct.
CHINA
(Country)
and that they comply with the origin requirements specified
for these goods in the CHINA - ASEAN Free Trade Area
Preferential Tariff for the goods exported to
THE SOCIALIST REPUBLIC OF VIETNAM
(Importing Country)

FUZHOU, CHINA AUG. 24, 2018


(Place and date, signature and stamp of certifying authority)
(Place and date, signature and stamp of exporter)

13. Back-to-back Certificate of Origin Subject of third-party invoice Issued Retroactively


De minimis Accumulation

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