COPY
a
T. Goods consigned from (Exporters busines name, address, country)
Reference No. KO01-25-0212529,
Reference Code, Sba5-705
KOREA-ASEAN FREE TRADE AREA.
PREFERENTIAL TARIFF
CERTIFICATE OF ORIGIN
Goods consigned to (Consigness name, address, county)
MIXSEAL VIETNAM COMPANY LIMITED
INO 63, KHUAT DUY TIEN ROAD, THANK XUAN BAC HARD, THANK
XUAN DISTRICT, HA NOI CITY, VIETNAM
(Combined Declaration and Certificate)
FORM AK
‘THE REPUBLIC OF KOREA,
(Country)
Issued in
See Notes Overleat
[3 Means of transport and route (as Taras known)
Departure date 24 MAR, 2023,
‘Vessel's name/Aireraft ete. STAR EXPLORER 23068,
Port of Discharge HAIPHONG PORT, VIETNAM
For official use
G_Proferentiat Treatment Given Under KOREA-ASEAN,
ree Trade Area Preferential TarifT
Preferential Treatment Not Given (Please state
reason/s)
Signature of Authorized Signatory ofthe Importing Country
tem "6 Marks and 7, Numer and pe of packages, desepion of -Ovig —0-Grows weigh] 10° Namba
number | "numbers on | goods (including quantity where approprite criterion | orother quantity, | and date of
packages nd HS number ofthe importing county) Geena | and Vala(FOR | invoices
overea fon when RVC
rite suse)
1 [HS CODE : 3909.50] 1/ KP-PUTOOT A CTH 1,920 KG KC 2303-1
111110111101 \pocvoRes, PURE TYPE 2029-09-21
SHELF LIFE: 12 MONTHS: ELLE
coLoR: LiGiT BLUE (RAL 5004)
cus. icari ow: 2o0Ks
AL TTT CUT
End OF Page
TH. Declaration byte pore 12, Cenifcation
The undsged herby declares that he above eis nd statements Is ey ceria te asf contol ae ou ha the
ars core thal he goods wee poiced in Aslan by te expo icoret
THE REPUBLIC OF KOREA
‘County
2d tha thy comply with hori eguicmens specif ese
sod in the KOREA-ASEAN Free Trade Area Preferential Tail
forte goods exponed io ,
THE SOOIALIST SEPUBL Io oF ETH
‘m ININDUSTRIES COMPANY
Vn situ ge
sau. woes 70 agp ume Lo SU-HEE OH
Pac and date signe of Rear Pa | estes abuse eee ee aga
13. Third Couy invoicing 1 Exhititon 7 Backeto-Back C10OVERLEAF NOTES
Parties which accept his frm forthe purpose of preferential anf under the KOREA-ASEAN Free Trade Agreement (KART)
BRUNE DARUSSALL CAMBODIA TDONESIA
REPUBLIC: GE Ko Laos MALAYSIA
var PUILIPPINES SINGAPORE
THAILAND VIERA
CONDITIONS: ‘To enjoy preferential tariff under the KAFTA, goods sett any Pats sted ove:
(sus all within a description of goods cligible for concessions in the country of destination
(i) sus comply with the consignment conditions in accordance with Rae 9 of Annex 3 (Rules of Origin) ofthe KATA; and
(ii) mst comply with the origin ertria in Annex 3 (Rules of Origin) ofthe KAFTA.
ORIGIN CRITERIA: Fo goods hat eet the origin itera, the expt andr producer must indicate inbox 8 ofthis For the origin ei
amet, inthe
‘anne shown in he following abe
[Circumstances of production or manufacture inthe ist county named in bow 1 ofthis form [Insert n box 8
a) Goods wholly obtained or produced in the tenitry ofthe exporting Pay Fwor
PCT or
co) Goods satisfying Re 4.1 of Annex 3 (Rules of Origin) ofthe KAFTA seve
(5 Gods aTyng he Product Spec Rules
= Change in Tarif Clasieation cre!
= Wholly Obtained or Produce in the teitry of any Party wo-AK™
Regional Value Content RVC" that neds tobe met forthe good to
quality as originating; cg "RVC 4S
= Resional Value Content + Change in Tariff Classification The combination rule that needs tobe met for god to
suai as originating; eg. "CTH + RVC 40%
= Spite Processes Specific Processes"
a) Goods satisfying Rue 6 Rute 6"
EACH ARTICLE MUST QUALIFY: It should be noted that al the gods in a consignment must qusliy separately in their own ight. This is of particular
‘elevance when similar arcles of diffrent sizes or spare parts are sen,
DESCRIPTION OF GOODS: The description of goods must he sufficiently dete o enable the goods tobe done by the Customs Offices examining
‘hem. Any trade mak shal also be specified,
FREE-ON-BOARD (FOB) VALUE: The FOB value in Box 9 sal be rflected only when the Regional Valu Content ctiteion is applied in determining
the origin of goods. The CO (Form AK) ised to and from Cambodia and Myanmar shall refet the FOR vale, rgarles of the origin criteria used, for
‘he next vo (2) yous upon te implementation ofthis new arangerent.
HARMONIZED SYSTEM NUMBER: The Harmonized System number sal be tht ofthe importing Paty
EXPORTER: The erm "Exporte” inbox 11 may include the manufacture or the producer
FOR OFFICIAL USE: The Customs Authority ofthe importing Paty must indicat (\) nthe relevant boxes in column 4 whether or not preferential tis
accorded
‘THIRD COUNTRY INVOICING: In cases where invoies are issued by ahd county, "he Thind County Invoicing” box shouldbe ticked (9) and such
informations as name and county ofthe company issuing the invoice shal be indeated inbox 7
[EXIIIBITIONS: In cases where goods ae sent fom the tettry of the exporting Pasty for exhibition in anther county and sold during or ater the
exhibition for importation into the teitory ofa Party, in accordance with Rule 20 ofthe Operational Cerieation Procedures,
‘be eke (\) andthe name and adress ofthe exibition indicated inbox 2
BACK-TO-BACK CERTIFICATE OF ORIGIN: In cases of Bak-to-Back CO, in accordance with Rule 7 (2) ofthe Operational Cetiication Proceducs,
the "Backto-Back CO” box should be ticked (Y)1 porter (Name, adress, out)
Reference No. KO01-23-0228838
Reference Code
CERTIFICATE OF ORIGIN
issued by
‘THE KOREA CHAMBER OF COMMERCE & INDUSTRY
Seok, Repl of Keres
0172-abed
7. Consignee (Name, adress, county)
EXSEAL VIET COWPAKY LIMITED
NO 63. KHUAT OUY TIEN OAD, THAN XUAN AG MRD, THAME XU
DISTRICT. HA NOI CITY, Vier NAM
3. County of Origin
THE REPUBLIC OF KOREA
3 Renae
Invoice nunber & date
Koi2903-1 & 2023-03-21
“Tepe deals
FOU: cue ORT, i EA
fo rer Por, VIER
BY = STAR EXPLORER 23085,
ON: 24 MAR 2028 2
“XP-puroo1 6
POLYUREA. PURE TYPE
SHELF LIFE: 12 MONTHS
FGOLOR: LIGHT BLUE (RAL 5024)
STQUALIF CATION: 200KG
SPRILERPAVELU ILLITE YET
PELLET LTB
End Of Page.
8. Declantion by he Expo
‘The urges an uhriz sir, herhy dels ht the sbove>
Ietoned gods wee padicd or unacaetthecomty sowm bon 3.
KOREA PETROLEUM INDUSTRIES COMPANY
(Signature) un ti ho
DIRECTOR ILHO JUN
(tame)
DIRECTOR JUN ILHO
9, Covication
‘The wadersigned autor hey erties tint he goods ei sve oii
Inthe ounryshowa in box oth best oft knowlege and bee
EUN-SUK HAN
viCERTIFICATE OF QUALITY AND quant
(ISSUED BY THE MANUFACTURER KOREA PETROLEUM INDUSTRIES COMPANY)
WE, KOREA PETROLEUM INDUSTRIES COMPANY, ARE HEREON CERTIFYING THAT KP-PU1001 8 SET ARE
MANUFACTURED BY KOREA PETROLEUM INDUSTRIES COMPANY THE QUALITY OF THE GOODS
CORRESPOND TO THE SALES CONTRACT NO. O5/MIXSEAL-KPI DATED 08 MAR 2023.
1. SALE CONTRACT NO. OS/MIXSEAL-KPI DATED 08 MAR 2023
2, Buyer : MIXSEAL VIETNAM COMPANY LIMITED
NO 63, KHUAT DUY TIEN ROAD, THANH XUAN BAC WARD, THANH XUAN DISTRICT, HA NOI CITY,
VIET NAM
3. Seller
4, Manufacturer : KOREA PETROLEUM INDUSTRIES COMPANY
5. Item & Description
COMMODITY 1/ KP-PU1001 A 8 DRUM
POLYUREA, PURE TYPE
QUALIFICATION: 220KG
‘SHELF LIFE: 12 MONTHS, COLOR: LIGHT BLUE (RAL 5024)
LOT NO: C10A2303BAA - 8 DRUM
21 KP-PU1001 B 8 DRUM
POLYUREA, PURE TYPE
QUALIFICATION: 200KG
‘SHELF LIFE: 12 MONTHS, COLOR: LIGHT BLUE (RAL 5024)
LOT NO. €1082303BZA~ 8 DRUM
TRADE TERM : CIF HAIPHONG PORT, VIETNAM (INCOTERMS 2010)
COUNTRY OF ORIGIN: SOUTH KOREA
OTHER DETAILS AS PER CONTRACT NO, OS/MIXSEAL-KPI DATED 08 MAR 2023,
PACKING: EXPORT STANDARD
6. Date : 2023.03.24.
KOREA PETROLEUM INDUSTRIES COMPANY
Zu w Liha
DIRECTOR ILHO JUN
Korea Petroleum Industries CompanyCOPY
CERTIFICATE OF ANALYSIS.
Customer : MIXSEAL VIETNAM COMPANY LIMITED
PRODUCT: KP-PU1001 (LIGHT BLUE)
QUANTITY: 8 SET (PART A: 220KG/DRUM, PART B: 200KG/DRUM)
INVOICE NO. & DATE: KC12303-1 (21.MAR,2023)
RESULT
vestivems | unit] sPEC tie)
chimes
‘stoke
Tensile strength | Nini | 2545 2
Elongation rate of .
ay % | ao0s100 405
Tear strength | Nim | 80420 91
Hardness(Type A) | - 9585 2
WE CERTIFY THE ABOVE STATEMENT OF QUALITY TO BE TRUE AND CORRECT.
KOREA PETROLEUM INDUSTRIES COMPANY QUALITY ASSURANCE DEPARTMENT
KOREA PETROLEUM INDUSTRIES COMPANY
Jun Lihe
DIRECTOR ILHO JUNPACKING LIST
Teter hrc or ae
05/MIXSEAL-KPI (08.MAR, 2023)
cuneate
KCI2303-1 (21.MAR, 2023)
cana oat te,
MIXSEAL VIETNAM COMPANY LIMITED
esa INo 63, KHUAT DUY TIEN ROAD, THANH XUAN BAC WARD,
|THANA XUAN DISTRICT, HA NOI CITY, VIET NAM
toto TEL: +8424 6293 2538
BUSAN PORT, SOUTH KOREA aX CODE: 0107473471
Pte Pty ten
HAIPHONG PORT, VIETNAM SAME AS ABOVE
ae
STAR EXPLORER 22068
Saag oer aba
24-Mar-23
ataut ttt ar
28-Mar-23
‘ertst
Ween =a a nana pashan a
COMMODITY: 1/ KP-PUL001 A 8 DRUM 1,760 1,920
POLYUREA, PURE TYPE
SHELF LIFE: 12 MONTHS, COLOR: LIGHT BLUE (RAL 5024)
QUALIFICATION: 220KG
2/ KP-PULO01 B @ DRUM 1,600 1,760
POLYUREA, PURE TYPE
SHELF LIFE: 12 MONTHS, COLOR: LIGHT BLUE (RAL 5024)
QUALIFICATION: 200KG
COUNTRY OF ORIGIN: SOUTH KOREA
OTHER DETAILS AS PER CONTRACT NO. 0S/MIXSHAL-KPI DATED 08 MAR 2023
PACKING: EXPORT STANDARD
‘Sub Total Weight 3,360 3,680
Total Weight 3,360 3,680
MALTA LLL LLL TLL
4 PALLETS : clay mvierny if
CIF HAIBHONG PORT, VIETNAM (INCOTERMS 2020) KOREA PETROLEUM INDUSTRIES CONAN
Tralo Toms
Lihe
HO JUN
signed byPans ana spe
eR
is
MIXSEAL VIETNAM COMPANY LIMITED
No 63, KHUAT DUY TIEN ROAD, THANH YUAN BAC WARD. THANH XL
COMBINED TRANSPORT
BILL OF LADING
PHP 866
DISTRICT, HA NOI CIT
TEL: #8424 6293 2538
TAX COE: 0107473471
NOTE
SAME AS: ABOVE
GREEN GLOBE LINE CO.,LTD
IT TO CORTICT FOR CARGO RELERSE
(CP WORLD CO.,LTD ~ HAI PHONG BRANCH
BHOG-25, Vinhones Imoeria Urban Area
Thuong Ly Ward, Hong Bang District
Hai Phong ity, Viet Nam
Tel : 84,0225 3979236 / 232
FREE OF CEPT FORT OF TOAD Tax Code : 0304629167
BUSAN, KOREA BUSAN, KOREA,
SEVERE VOR
SSTAR_EXPLORER 23068
FORTOF DRCHORGE ACEO OBER? FR BESTRATION FORTHE ERS ANTSREPERENCE GREY
HAIPHONG PORT. VIETNAM HAIPHONG PORT, VIETNAM
S10 TO CONTAIN #9,680,000Kes | 5. sono
COMMODITY: 1/ KP-PUI001 A : i
POLYUREA, PURE TYPE i i
SHELF LIFE: 12 NONTHS, COLOR: LIGHT BLUE (AL 5024) I
FSU?704406/KSB105703 QUALIFICATION: 22046 ' |
2) KP-PU1001 8 ' t
POLYUREA, PURE TYPE i i
SHELF LIFE: 12 MONTHS, COLOR: LIGHT BLUE (RAL 5024)
QUAL IFICATION: 20046 : |
i 1s coe: 9909.$0/2807.29 ; COPY
t H NON-NEGOTIABLE
CrS/CFS
SURRENDERED
“FREIGHT PREPAID"
TOTAL SER OF COMTANERS ROTTER
PACKAGES OR UNS RECENED BY
‘GREEN GLOBE UNE COLTON WORDS
SAY = FOUR (4) PALLETS ONLY.
FREGIT INO GARGS
RVR ETOS
FREIGHT PREPAID AS! ARRANGED
FATE Fer "RECEIVED in appara good order and condioneicept ae ofaran nated tha wt nomber ot
Containers or aver packages runs shown below) for rarapotatin from the place of recip or
th pot of oan tote plac of Gatry eth pst of lcharge eject oth tm oreo
‘One ofthe gal ba of Lacing must be Sueded Gay endoreed in wechange lx te Goods
or Dalry Orde.
nercoving Bit Lacing, Maran (sired by Cn 1 on bck we) guns
PREFAS
on Baha of Green Glob Line, has signed the number of
‘ot tis tanor and dal, one ot which being accomplished, the
BCHNGE RTE —PREPROAT
SEQUL,_ KOREA
RSE TS ORE OF SSE
SEOUL, KOREA _MAR.24,2023,
TAC PREPRIS WHAT. CURAEROT
eRO(O) GREEN GLOBE LINE CO.,LTD
AS CARRIER,
LADEN ON BOARD THE VESSEL
conve MAR. 24,2023,
| NnTURE ey
"SEE CONDITIONS OF CHANGE AND OTHER CONDTTIONS OW REVERSE