CERTIFICATE OF ORIGIN (Non PreferentialNo 200857

No. 200857
(Combined Declaration and Certificate)
1.Goods consigned from (Exporter's
business name, address, country)
Reference No.
N30 7 7 1
SHAN ASSOCIATES
7/467 PURATHOOR ROAD MANGALAM

MALAPPURAM-641663 TIRUR

OAMO
2. Goods consigned to (consignee's name, address, country)
(ESTD. 1953)
ISMAYIL GLOBAL COMPANY SPC
BARKA SUIL.TANATE OF OMAN
THE GANDHIDHAM CHAMBER
OF COMMERCE & INDUSTRY
MUNDRA PORT
CHAMBER BHAVAN", Plot No. 71, Sector-8, Post Box No. 58,
a. Port of Shipment
GANDHIDHAM - Kachchh 370201, Gujarat, INDIA.
SOHAR,OMAN
Phone: +91-2836-220977, 220735 Fax: 220888
b. Port of Discharge.
SOHAR,OMAN e-mail info@gccikandla.com
Website: www.gccikandla.com
c. Country
Y SEA
3. Means of Transport and Route (as far as known) 4. For Official Use
By Road / By Rail / By Air / By Post/ By Sea
9 10
5 6 7
Origin Criteria Gross No. and Date
Item Marks No. and kind of Packages
weight or of invoices
No. and Nos. of| Description of goods
other quantity
Packages

TOTAL TOTAL 490 SLABS INDIA GROSS WT INV NO:SH/GST/

490
S5910.000
KGS INV NO: SHAGST/9.10
SLABS MARBLE SLABS
DT-22.12.2022
GRANITE SLABS
NATURAL SLAT STONE SLABS
NET WT
54910.000
KGS

12. Declaration by the Exporters

11. Certification
The undersigned hereby declares that the above details and
it is hereby certified on the basis of control carried out, that the declaration by the are correct, that all the goods were produced in India,
statements
and that they comply with the origin requirements for
Exporter is correct.
SOHAR,OiAN

Exported to. *************

(Importing Country)
FOR SHAN ASSOCIATES
6ADH CA
AUTHÓRISEd sIGNATORY
Pandya
Execuive (Accounts)

Date 3JAN 202? aton

Authorised Signatory
Place, Date, Stamp & Signature of Authorised Signatory