Bank Import Permit

Foreign Exchange

TIN 0080355380 App. Ref. No. 0080355380/23/8

License No. AA/ADISM/14/673/4226404/2015 (BL) Reference Date 17/05/2023

Name BAMU PHARMACEUTICALS P L C App. No. WGB/23/4004

LPCO Ref. No. WGB/23/4004/BI1

ADDIS ABABA BOLE NO WOREDA-144 WOREDA 14, HA-
Address
B07/SN/107

Reference No. 0080355380/23/4 Approval No. WGB/23/3894/FC1

L/C No. 080SCIL231430001 Permit Date 23/05/2023

Payment Full Payment

Permit No. WGBCPU01013982023

Authorized on 23/05/2023 Valid Until 20/09/2023

Supplier Name Medicamen Biotech Ltd., Country India

Address 1506,Chiranjiv Tower

Bank Wegagen Bank Branch Head office branch

Total Count of Items 7 Payment Method Letter of Credit

Available by Payment
Terms of Delivery FOB

Pro-forma Invoice Date 24/01/2023

Purchase Order No.

Pro-forma Invoice No. BLL/ETH/1293/23

Purchase Order Date

Service Total Amount

Validity Date

Mode of Transport By Discount Total Amount

Port of Destination Modjo Dry Port Total Invoice Amount [USD]150,000

Terms of Delivery Foreign Currency Amount Equivalent in Birr Terms of Delivery Foreign Currency Amount Equivalent in Birr

Cost [USD] 150,000 8,140,080 Insurance

Freight Other [USD] 0 0

Additional Information

Required Information
Bill of Lading, Certificate of Origin, Certificate of analysis, Commercial Invoice, Manufacturer's Invoice, Packing List

Commodity

Invoice Number of
No HS Code Invoice Amount Quantity Unit Price Net Weight Gross Weight Country of Origin
Amount(Birr) Packages

30049090 [USD] 10,800 [NMP] 30,000 [USD] 0.36 585,716.4

--- OTHER
1 Didlyn 50(Gastro resistant Diclofenac Tabletes 50 mg)

Approver Name Date LPCO ID

Girmay Hagos 23/05/2023 0727d844d6

Page 1 of 2 Ethiopia Electronic Single Window

P.O Box 2559, Addis Ababa, Ethiopia
Visit http://esw.et/esw-cbra/ for online verification
Information => LPCO outsider => LPCO ID
 Invoice Number of
No HS Code Invoice Amount Quantity Unit Price Net Weight Gross Weight Country of Origin
Amount(Birr) Packages

30042000 [USD] 24,000 [NMP] 10,000 [USD] 2.4 1,301,592

- Other, containing antibiotics

2 Norfloxacin Tablets BP 400 mg

30041000 [USD] 73,700 [NMP] 22,000 [USD] 3.35 3,996,972.1

Medicaments of penicillins... or streptomycins..., for retail sale

3 CAPSULES CLOXACILLIN SODIUM USP 500 mg

30041000 [USD] 6,300 [NMP] 7,000 [USD] 0.9 341,667.9

Medicaments of penicillins... or streptomycins..., for retail sale

4 METRONIDAZOLE CAPSULES USP 250mg

30042000 [USD] 10,000 [BO] 31,250 [USD] 0.32 542,330

- Other, containing antibiotics

5 PAEDIATRIC COTRIMOXAZOLE ORAL SUSPESION 240 mg/5ml

30041000 [USD] 10,500 [BO] 30,000 [USD] 0.35 569,446.5

Medicaments of penicillins... or streptomycins..., for retail sale

6 AMOXICILLIN ORAL SUSPENSION 125 mg/5ml dry syrup

30041000 [USD] 14,700 [BO] 30,000 [USD] 0.49 797,225.1

Medicaments of penicillins... or streptomycins..., for retail sale

7 AMOXICILLM ORAL SUSPENSION 200mg /5ml dry syrup

Approver Name Date LPCO ID

Girmay Hagos 23/05/2023 0727d844d6

Page 2 of 2 Ethiopia Electronic Single Window

P.O Box 2559, Addis Ababa, Ethiopia
Visit http://esw.et/esw-cbra/ for online verification
Information => LPCO outsider => LPCO ID