Original 7. Products consigned from (Exporters business name, address, country) WNT YANUA BOILER IMPORT & EXPORT CO. LT. SUITE 505, CHENGKAL BUSINESS CENTER, NO. 800 YVENKTU ROAD, MUXT, JIANGSU, CHINA 2. Products consigned to (Consignee’s name, addr PT. KOKA NER. BUTLDING MATERIALS. TNDOVESIA GREENLAND INTERNATIONAL TNDUSTRIAL CENTER, KAVASAN INDUSTRI. TERPADU INDONESIA CHINA. KAVLING 21, REL. NAGASART, REC. SERANG BARU INDONESIA NPWP: 86, 088, 877, 5-113. 000 -, county) Reference No. £2366084117547062 ASEAN-CHINA FREE TRADE ARE. PREFERENTIAL TARIFF CERTIFICATE OF ORIGIN (Combined Declaration and Certificate) FORM E Issued in_THE PEOPLE'S REPUBLIC OF CHINA. (Country) 120 Overieat Notes {3 Means of transport and route (as faras known) Departure date AUG. 09, 2023 Vessel's name / Aircraftete. MSC VAIGA II] ~ HU3324 Port of Discharge JAKARTA, INDONESIA [PROM SHANGHAL, CHINA TO JAKARTA, INDONESIA BY SEA 4. For Official Use Verification:origin. customs. gov. en 1D Proferentia Treatment Given C Preterenti Treatment Not Given (Please state reason!s) ‘Signature of Authorised Signatory of the Importing Party [STEEL STRUCTURE CO. LTD. [PACKING: TOTAL 3 PALLETS ONLY ‘Stem [6 Marks and ]7. Number and type of packages, description | 8. Ongineriteria]9. Gross woightornat_ | 10. Number, Numbor] numbers on | of products (including quantity where (see Overieat | weghtor afer quaraiy| date of Packages | appropriate ang HS number in six digit code) | Not ‘rd value (FOB) only | Invoices when RVC crterion opie 1 fa [THREE (3) PALLETS OF “Pe S4166KGS 0. [YE23-0720 [STEEL STRUCTURE LIUL.” 20, 2023 ls CODE: 7308. 90 INUPACTURER:, NANJING_JTANZIIIZHENG 11, Declaration by the exporter ‘The undersigned hereby declares that the above details and statement are correct: that all the products were produced in CHINA (Country) ‘and that they comply withthe origin requirements specifi these products in the Rules of Origin forthe ACFTA for the products exported 10 INDONESIA, 12. Certiteation mg qe 1 exibition 1 Thirg Panty Invoicing 1D issued Ret 1D Movement Certificate iG. 11, 2023 Place and date, signature and stamp of certifying authority 232304008199474