COPY
T- Goods consigned fam (Exporters business name, adress, county)
2. Goods consigned wo (Consignes’s name, ddies, county)
JMIXSEAL VIETNAM COMPANY LIMITED
INO 63, KHUAT DUY TIEN ROAD, THANK XUAN BAC WARD, THANH
}KUAN DISTRICT, HA NOI CITY, VIETNAM
Reference No, KO01-23-0487528
Reference Code. 91-2611
KOREA-ASEAN FREE TRADE AREA
PREFERENTIAL TARIFF
CERTIFICATE OF ORIGIN
(Combined Declaration and Certificate)
FORM AK
iF ‘THE REPUBLIC OF KOREA
(County)
‘See Notes Overleat
[5 Means of ransport and route (as far as Frown)
Departure date 12 JUL, 2028
‘Vessels name/Aircraftetc. SENDAI TRADER 2315S
Port of Discharge }AIPHONG PORT, VIETNAM
For official use
1. Preferential Treatment Given Under KOREA-ASEAN
Free Trade Atea Preferential Tariff
1 Preferential Treatment Not Given (Please state
reasons)
Signature of Authorized Signatory of the Importing Country
5. Tiem 6 Marks and [7- Number and type of packages, eseripion oF Origin |. Gross weight 10, Number
number | “numberson | goods including quantity where appropriate criterion | or other quantity, | and date of
packages and HS numberof the importing country) eenoes | and Value(FOB | invoices
veri) ony when RVC
etitrion is sed)
1 [RS CODE = 3909-50] COMMODITY 17 WIXSEAL CTH */15.100 KG kci2306-10
AHI UHUILLLNT |POB0O 12023-0615
[POLYURETHANE 1 COMPONENT ~ NoHExPOSED HIE
ISHELFLIFE: 10 MONTHS, COLOR: BLACK
JQUAL IFICATION: 26KG/PAIL,
2 [HS CoOE : $208. 90}coMmMODITY 2/ MIXSEAL PU cmH [3.480 Ka
PRIMER:
PRIMER FOR POLYURETHANE
ISHELFLIFE: 12 MONTHS
‘To be continued page 2
IT. Declaration by the exporter
‘Te undersigned herehy doclares thatthe above detls and statements
axe comet that al the goods were produced in
THE REPUBLIC OF KOREA
(County)
snd tht they comply with the origin quirements specified for these
‘goods inthe KOREA-ASEAN Free Trae Area Preferential Taft
orth goods exported to
‘THE SOCIALIST REPUBLIC OF VIETNAM
TE, Ceniication
Tes hereby cet, onthe bass of contol cated ou, tht he
Goods satisfying Rae 4.1 of Annex 3 (Ras of Origin) ofthe KAFTA, ere
ey Gods asiyng the Product Specie Rares
Change in Tarif Casiiation sere’
- Wholly Obtained or Produced inthe tenitory of any Panty -wo-aKe
Regional Valve Content RVC that neds tobe mo forthe good 16
qualify as oviginating: ep. "RVC 48%"
Regional Value Content + Change in Tai Classifaton The combination rls that needs 10 be met for goo 0
vay as originating eg. "CTH + RVC 4096
+ Spociti Processes specific Processes"
8) Goods satisfying Rule 6 Rule 6
[EACH ARTICLE MUST QUALIFY: Itsbould be noted that al the goods ina consignment mast quslfy separately in their own ight. This sf particu
relevance when similar artle of diferent sizes or spre pat ar en
DESCRIPTION OF GOODS: The description of goods must be suicienly died 1 enable the goods to be denied by the Customs Offs exatining
‘hem, Any wade mark shal also be spoifid
[FREE-ON-BOARD (FOB) VALUE: The FOB vale in Hox 9 shall be eet only when the Regional Value Content titerion i applied in determining
‘ie origin of goots, The CO (Form AK) issued to ad fram Cambodia and Myanmar shal flee the FOB valu, regardless of he origin eter ws, or
the next wo (2) years upon the implementation ofthis new arrangement
HARMONIZED SYSTEM NUMBER: The Hamonized System number shal be hat ofthe tmporting Pan
EXPORTER: The term "Exporter" in bo 11 may ince the manufetrer othe proce.
FOR OFFICIAL USE: The Customs Authority ofthe importing Party must indicate (inthe relevant boxes in column 4 whether or not preferential if
accorded,
THIRD COUNTRY INVOICING: In cases wher invoices ae issued hy a thied county, "the Third Country lvoiing” box shouldbe ied (and such
informations s name and country ofthe company issuing the invoice shal be init in box 7
EXHIBITIONS: In eases where gods are sent fom the etry ofthe exporting Paty for exhibition n another county and old during or after he
exhibition for innportation into the teritoryof «Panty, in acordance with Rae 20 ofthe Operational Cerifaton Procedures, the "Exhibitions" box should
‘be ticked (¥) and the mame and aes ofthe exhibition indicated inbox 2
[BACK-TO-BACK CERTIFICATE OF ORIGIN: In cases of Back-to-Back CO, in accordance with Rule 72) of the Operational Crifeation Procedies
‘he "Back-to-Back CO" box shoul be vcked ()CERTIFICATE OF QUALITY AND QUANTITYORIGINAL
(ISSUED BY THE MANUFACTURER KOREA PETROLEUM INDUSTRIES COMPANY)
WE, KOREA PETROLEUM INDUSTRIES COMPANY, ARE HEREON CERTIFYING THAT MIXSEAL PUA 600 525
PAILS & MIXSEAL PU PRIMER 200 PAILS ARE MANUFACTURED BY KOREA PETROLEUM INDUSTRIES
COMPANY THE QUALITY OF THE GOODS CORRESPOND TO THE SALES CONTRACT NO. O7/MIXSEAL-KPI
DATED 14 JUN 2023.
1, SALE CONTRACT NO, O7/MIXSEAL-KPI DATED 14 JUN 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/ MIXSEAL PUSDO 525 PAILS
POLYURETHANE 1 COMPONENT - NON-EXPOSED
‘SHELFLIFE: 10 MONTHS, COLOR: BLACK
‘QUALIFICATION: 28KG/PAIL
LOT NO.: 12806290007 57 PAILS & 12307030002 231 PAILS & 12306300002 237 PAILS
COMMODITY 2/ MIXSEAL PU PRIMER 200 PAILS
PRIMER FOR POLYURETHANE
‘SHELFLIFE: 12 MONTHS
QUALIFICATION: 17KG/PAIL
LOT NO.: 23062840 135 PAILS & 23062940 65 PAILS
‘TRADE TERM : CIF HAIPHONG PORT, VIETNAM (INCOTERMS 2010)
COUNTRY OF ORIGIN: SOUTH KOREA
OTHER DETAILS AS PER CONTRACT NO. 07/MIXSEAL-KPI DATED 14 JUN 2023
PACKING: EXPORT STANDARD
6. Date : 2023.07.12,
KOREA PETROLEUM INDUSTRIES COMPANY
an Lino
DIRECTOR HO JUN
Korea Petroleum Industries CompanyCERTIFICATE OF aNALYsIs ORIGINAL
IED BY THE MANUFACTURER KOREA
a
CUSTOMER: MIXSEAL VIETNAM COMPANY
Livre.
PropucT | MIXSBAL PU6OO
QUANTITY | 525 PAILS (28KG/PAIL)
INVOICE NO, & DATE: KC12306-10 (15.JUN,2023)
URNS nanan eer ean
Hardness(Shore A) ASTM D240-04
Tensile strength “MPa 22 2 23 ASTM D 412-15a,
Elongation % 939 = 4s ASTM D 412-15a
Grek Bridn fie iee lees ASTM C130500
ape ee ale 4 S| ASTM D 7234-19,
‘Aaesive Seengh ofcoaingon | mapa | 21 22 2 ASTMD 7234-19,
Viscosity (23 °C, SP LV NO. S0imin) | mPas | 610 sist on ASTM D 219699
* Remark - Measurement condition of viscosity: Brookfield DV1 #3, |2rpm, at 25°C
WE CERTIFY THE ABOVE STATEMENT OF QUALITY TO BE TRUE AND CORRECT.
KOREA PETROLEUM INDUSTRIES COMPANY QUALITY ASSURANCE DEPARTMENT
KOREA PETROLEUM INDUSTRIES COMPANY
ar Lliho
DIRECTOR THO JUNCERTIFICATE OF ANALYSIS ORIGINA)
ISSUED BY THE MANUFACTURER KOREA PETROLEUM INDUSTR
'S COMPANY)
CUSTOMER: MIXSEAL VIETNAM COMPANY
LIMITED
PRODUCT | MIXSEAL PU PRIMER
QUANTITY | 200 PAILS,
INVOICE NO. & DATE: KC12306-10 (15.JUN,2023)
ANALYTIC RESULT
STUNTS TST)
Drying Time(Set-to-touch) min 6 6 KS M 5000 : 2014
‘Non-volatile content((105#2) °C,3h) % 35.2 353 KS MISO 3251 : 2011
Viscosity((2341) °C) mPas 32 32 [__KSM 370s : 2015,
WE CERTIFY THE ABOVE STATEMENT OF QUALITY TO BE TRUE AND CORRECT.
KOREA PETROLEUM INDUSTRIES COMPANY QUALITY ASSURANCE DEPARTMENT
KOREA PETROLEUM INDUSTRIES COMPANY
Dun Line
DIRECTOR ILHO JUN106, Ichon-ro, Yongsan-Gu, Seoul, 04427 Korea
Tel | 82-2-799-3156 Fax: 82-2-790-1001
PACKING LIST
ers
07 /MIXSEAL-KPT
catatonia
KCI2306-10 (15.JUN, 2023)
macromaut
(14.g0N, 2023)
een
tet
BUSAN PORT,
‘often
HAIPHONG PORT, VIETNAM
oxo
SENDAI TRADER 23158
‘amg ee ab
12-gul-23
‘ata ate
16-gul-23
SOUTH KOREA,
MMIXSEAL VIETNAM COMPANY LIMITED
yo 63, KHUAT DUY TIEN ROAD, THANH XUAN BAC WARD,
ITHANH XUAN DISTRICT, HA NOI CITY, VIET NAM
ren: +8424 6293 2538
0107473471
Tarte rT) no ry toe wot a)
COMMODITY 1/ MIXSEAL PU600 525 PAIL 14,700 15,100
POLYURETHANE 1 COMPONENT - NON-BXPOSED
SHELFLIFE: 10 MONTHS, COLOR: BLACK
QUALIFICATION: 28KG/PATL
COMMODITY 2/ MIXSEAL PU PRIMER 200 PAIL 3,400 3,480
PRIMER FOR POLYURETHANE
SHELFLIFE: 12 MONTHS
QUALIFICATION: 17KG/PATL
COUNTRY OF ORIGIN: SOUTH KOREA
OTHER DETAILS AS PER CONTRACT NO.07/MIXSEAL-KPI DATED 14 JUN 2023
PACKING: EXPORT STANDARD
Sub Total Weight 18,100 18,580
Total Weight 18,100 18,580,
TILIA ALLL AL LLL LALLA LLL LLL ELL
Containers
‘TradoTorms
20PT X 1 DG CONTAINER
CIF HATPHONG PORT, VIETNAM (INCOTERMS 2010)
KOREA PETROLEUM INDUSTRIES COMPANY
Dun Liha
DIRECTOR ILHO JUN
Signed bySNKO010230609715
RAMA Bit
TWEXSEAL VIETNAM COMPANY LIMITED acai =
NO 63, KHUAT DUY TIEN ROAD, THAN
‘XUAN BAC WARD, THANH XUAN DISTRICT,
nor i, iM BILL OF LADING
——— COPY
Sie 1s NON-NEGOTIABLE
ALL TERMS, CONDITIONS
AND EXCEPTIONS AS PER
ORIGINAL BILL OF LADING.
BUSAN PORT, SOUTH KOREA
SENDAI TRADER’ 2315S BUSAN PORT, SOUTH KOREA =
HAIPHONG PORT, VIEINAM HAIPHONG PORT, VIETNAM
= a a a —
725 PACKAGES SSIIPPER'S LOAD, OUNT & WEIGHT
20"KL SAID 10 CONTAIN ay ee
20" SKLU2103000 020543 COMMODITY 1/-MIXSEAL, PUSOO
POLYURETHANE. 1 = NON-EXPOSED
SHELFLIFE: 10 MONTHS,
QUAL IRICATION: 28KG/PATL.
COMMODITY 2/ MIXSEAL, PU PRIMER
TIMER FOR POLYURETHANE.
‘SHELFLIFE: 12 WONTHS.
(QUALIFICATION: “17KG/PATL
HTL: +8424 6293 2538
‘TAX Cope: 0107473471
SURRENDERED
A Timon SAY + ONE (20°C) CONTAINER ONLY. over
FREIGHT PREPAID
| SBOUL, KOREA JUL. 12.2023
7eROCO) ISINOKOR MERCHANT MARINE CO.,LTD.