Original

1.Products consigned from(Exporter’s business name,address, Reference No. E221903402089179

country)
ZHONGSHAN FOODSTUFFS IMP. & EXP. CO., LTD. OF
GUANGDONG
ASEAN-CHINA FREE TRADE AREA
NO.17, ZHONGSHAN 2 ROAD, ZHONGSHAN CITY, GUANGDONG,
CHINA PREFERENTIAL TARIFF
CERTIFICATE OF ORIGIN
2.Products consigned to (Consignee's name,address,country) (Combined Declaration and Certificate)
PERNIAGAAN VISI ASIA JAYA SDN. BHD (1423879-M)
LOT 2008, JALAN MASJID INDIA,
FORM E
50100 KUALA LUMPUR W.P. KUALA LUMPUR MALAYSIA 非有效证书
EMAIL : PVISIASIA.CS@GMAIL.COM Issued in THE PEOPLE'S REPUBLIC OF CHINA
TEL : 0172739519 (Country)
See Overleaf Notes
3.Means of transport and route (as far as known) 4.For Original use
Verification:origin.customs.gov.cn
Departure date NOV. 23,2022 □ Preferential Treatment Given

Vessel's name/Aircraft etc. HUI XIN HUI 283 221123

Port of Discharge PORT KLANG NORTH,MALAYSIA

□ Preferential Treatment Not Given(Please state reason/s)

FROM ZHONGSHAN (WAIMAO), CHINA TO PORT KLANG

NORTH,MALAYSIA BY SEA
--------------------------------------------------------
Signature of Authorised Signatory of the Importing Party
5.item 6.Marks and 7.Number and type of packages, description 8.Origin criteria 9.Gross weight or net 10.Number,
number numbers on of products (including quantity where (see Overleaf weight or other quantity, date of
packages appropriate and HS number in six digit code) Notes) and value (FOB) only lnvoices
when RVC criterion is
applied
1 N/M LIGHTING ACCESSORIES "PE" 18810KGS G.W. FA20221123+FA20
HS CODE: 940599 221124
2CTRS (1621CTN(S)) NOV. 23,2022
668CTNS
953CTNS

TOTAL: ONE THOUSAND SIX HUNDRED AND

TWENTY ONE (1621) CARTON(S) ONLY
*** *** *** *** ***

11.Declaration by the exporter 12.Certification

The undersigned hereby declares that the above details
it is hereby certified on the basis of control carried out,that the
and Statement are correct,that all the products were produced in
declaration by the exporter is correct
CHINA
-------------------------------------------------
(Country)
and that they comply with the origin requirements specified for
these products in the Rules of Origin for the ACFTA for the
products exported to

MALAYSIA
---------------------------------------------
(Importing Country)

Gongbei, China,NOV. 29,2022

---------------------------------------------
Place and date，signature of authorised signatory
13.
□ Issued Retroactively □Exhibition ---------------------------------------------------------
□ Movement Certificate □ Third Party Invoicing Place and date,signature and stamp of certifying authority