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aks: 09-7651178
Fil; veterinar@kelantan.gov my
KELANTAN DARUL NAIM
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Tarikhy +28 Mei 2023 / 08 Zulkaedah L444H1
CERTIFICATE OF ORIGIN
DEPARMENT OF VETERINARY SERVICES
STATE OF KELANTAN, MALAYSIA.
1 COUNTRY OF ORIGIN
2 EXPORTER AND ADDRESS
3. IMPORTER AND ADDRESS
4 EXPORTER FARM
ADDRESS,
5 QUANTITY OF SALTED
RAW HIDES.
6 DATE OF SHIPMENT
7 CONSIGNOR AND
CONTACT NUMBER
KELANTAN, MALAYSIA
MINA TERNAK ENTERPRISE
LOT 1942, KG. GUAL MUSA, GUAL PERIOK
17000, PASIR MAS, KELANTAN, MALAYSIA
CV. MAHESSA ANUGERAH
JL KARYA GG WAKAF NO 83,
KEI. SEI, AGUL, KEC. MEDAN BARAT
KOTA MEDAN, PROP. SUMATERA UTARA,
SUMATERA INDONESIA.
LOT 1942, KG. GUAL MESA. GUAL PERIOK
47000, PASIR MAS, KELANTAN, MALAYSIA
25000 KG
03° JUN 2023
MOHD NOR AZMI BIN MOHD NOR
019-9052635
Department of Veterinary Services, State of Kelantan, Malaysia certifies that the salted raw
hides stated above are from state of Kelantan, Malaysia origin
Signature 4
Stamp
OR. KHAIRUN AISA BT MAT YAZID_
MVE NO. 2030
vm Um
Name of OfficialDispatched Consignment |
Part I: Detal
DEPARTMENT OF VETERINARY SERVICES
MINISTRY OF AGRICULTURE AND AGRO-BASED INDUSTRY
MALAYSIA
VETERINARY HEALTH CERTIFICATE
COUNTRY: MALAYSIA
141 Consignor
Name
Address
La Consignee
Name:
Address
15 Country of Origin
17 Zone or Compartment of Origin: »:29)=5
18 Place of Origin
Name
Address:
19 Place of Loading a
111 Mose of Transport
entitication:
|4 Kdentificaton of Container! Seal Number
146 Type of Packaging
Approval Number
Ere NUE reament|
oF Estbishmes Tae
Nature of Commoaiy
12 Certiticate Reference Number:
13 Veterinary Authority:
15 Country of Destination
1.10 Date of Export: 05/06/202
12 Entry Poi
119 CITES Permit No,
118 Temperature of Product
47 Commodities Intended for Use As:
Nem Production Date
No. of Packages
Cunt
Teta 1
Porto 2DEPARTMENT OF VETERINARY SERVICES
MINISTRY OF AGRICULTURE AND AGRO-BASED INDUSTRY
MALAYSIA
VETERINARY HEALTH CERTIFICATE
COUNTRY: MALAYSIA
2, Certificate Reference Numberziv5/=200566
"The undersigres Otical Vetennarian certifies that the products described above satisty(ies) the fllowing requirements
z s ected by A on the day
Issued at | DEPARTMENT OF VETERINARY SERVICES, KELANTAN
Name of Oficial Veterinarian: DR KHATRON ANISA BINTE MAT YAZID
Offcial Position: verERINARY OFFrCER Official Stamp:
Date: 28/08/2023 :
Signature:
a Peet Page ot 2JABATAN PERKHIDMATAN VETERINAR Page tof 1
% capt; ( DEPARTMENT OF VETERINARY SERVICES.
cays MALAYSIA
(Haiwan 25) BORANG A/FORM A DVSiE2023966839
AKTA BINATANG, 1953
ANIMAL ACT, 1953
(Seksyen 6/Seksyen 14/Section 6/Section 14)
LESEN BAG! MENGEKSPORT
BINATANG-BINATANG
LICENSE TO EXPORT ANIMALS
Encik
Mr.
yang beralamat di
of
adalah dengan in dibenarkan mengeksport ke
is hereby authorised to export to
dari Negeri CLANTA 8) binatang-binatang yang diperihalkan di bawah ini melalui
from the State of the animal descnbed below through a prescribed
RTH)
tempat mengaratikeluar yang ditetapkan iaitu 2%
lanaing/toading place namely
bagi maksud tertakluk kepada poruntukan-peruntukan
for the purpose of subject to the provisions of the
Akon tho Ragdah-keedan yang dibuat ci bawahnya dan kepada syaratsyarat yang dicatatkan di dalamnya
Act and the Rules made thereunder and to the conditions endorsed hercon
Binatang-binatang yang dibenarkan untuk di eksport
Animals authorised to be exported
: Kcn]salted
f No. | Bilangan / Number Perihal binalang-binatang / Description of animale
Catatan
Remarks
Bayaran dibayar
Fee paid: Ringgit Malaysia
Tanikh y, 2023 un Anisa binté Mat Yazid :
Dated Pegawai Veterinar Negeri Siato Veterinary Oificer
[-esen in adalah sah bagi tempoh tidah lebih daripada 30 hari sahaja dav larKh la dkewarkan. la mostiah
This license is vale for a period not exceeding 30 days only from the date of issue. I must be
JGikemukekan dl tempat masuk ke/eksport dari Persokututan yang dinyatakan di atas pada masa binatang-binatang
[Produced at the place of entry intorexport from the Federation specie above at the lime of
itu dibawa masuk/keluar
lentry/oxit of the animal
This is @ computer-gonerated form and no signature is requiredDEPARTMENT OF VETERINARY SERVICES
MALAYSIA
JABATAN PERKHIDMATAN VETERINAR Page 1 of 1
*
a ;
(Hawan 29) BORANG E/FORM E Dvsiez023966839
ASAL AKTA BINATANG, 1953
ORIGINAL ANIMAL ACT, 1953
(Seksyen 83/Section 3)
PERAKUAN NEGERI BEBAS DARIPADA PENYAKIT
CERTIFICATE OF FREEDOM OF STATE FROM DISEASE
Ini adalah memperakui bahawa Negeri KELANTAN ‘adalah pade tarikh ini bebas
This is to certty that the State of is at the date hereof free
Fanhece epa-apa penyakit yang merebak atau berjangkil yang diketahui menyerang jens binatang-binaieng
from any infections or contagious alsease known to affect the folowing class of anise
atau barang-barang yang berikut
or goods
No Bilangan / Number Perihal / Description
000.000 Kau] Salted Gow Hides
Catatan
Romarks
Bayaran dibayar [a 200]
Fee paid. Ringgit Malaysia
De Anisa binti Mat Yazid
Tarik Yazid
Dated Pegawai Veierinar Negeri Siaie Vetermar Officer
“""This is a computer-generated form and no signature is required