PACKING DECLARATION

Shipper Pages
Tesco 1 of 1
17, 25 Regent St., St. James's
London, London, SW1Y 4LR Reference
United Kingdom INV-00001
+44 333 345 0931
Donald Loren
Consignment Identifier or Numerical Link
Pallets2024-001

Vessel / Aircraft Voyage No

CMA CGM V001S

UNACCEPTABLE PACKING MATERIAL STATEMENT

(Packaging material such as straw, peat, hay, chaff, used fruit & vegetable cartons are not permitted)
Q1 Have unacceptable packaging materials been used as packaging or dunnage in the consignments covered by this document?

A1 YES NO
X
TIMBER/BAMBOO PACKAGING/DUNNAGE STATEMENT
(Timber/bamboo packaging/dunnage includes: crates, cases, pallets, skids, and any other timber or bamboo used as a shipping aid)
Q2 Has timber/bamboo packaging/dunnage been used in consignments covered by this document?

A2 YES Timber
X YES Bamboo NO (nil timber/bamboo)

TREATMENT CERTIFICATION (ONLY IF TIMBER/BAMBOO PACKAGING/DUNNAGE IS DECLARED IN

QUESTION 2)
All timber/bamboo packaging/dunnage used in the consignment has been (Please Indicate below)

Q3
Treated and marked in compliance with ISPM 15
(Note: ISPM 15 is only applicable to timber packaging) X
Or
Treated in compliance with Department of Agriculture and Water Resources
treatment requirements
(With accompanying treatment certificate)
Or

Not treated

Place and Date of Issue

Auckland 23 Apr 2024

Signatory Company
Tesco

Name of Authorized Signatory

Donald Loren

Signature

donald
 PHYTOSANITARY CERTIFICATE
Name and address of exporter Certificate No.
AFFCO PHY123456
32 Dalgety Drive, Wiri
Auckland, Auckland, 2104
02102234543
Phytosanitary Certificate
Juanito Rodriguez

Declared name and address of consignee

Tesco
17, 25 Regent St., St. James's
London, London, SW1Y 4LR Place of origin Code
United Kingdom new zealand NZ
+44 333 345 0931 Country of final destination Code
Donald Loren United Kingdom UK
To: Plant Protection Organisation of
New Zealand
Declared means of conveyance Declared point of entry Import permit number
Sea Maritime London UK123456789
Distinguishing marks and Number and description Name of produce / Botanical name of plants Commodity codes
container numbers of packages Quantity declared
CMAU1234567 800 frozen meat, 19,950kg 2020.30

Number of packages Mass (total) kgs

(total) 19,950
800
This is to certify that the plants, plant products or other regulated articles described herein have been inspected and/or tested
according to appropriate official procedures and are considered to be free from the quarantine pests specified by the importing
contracting party and to conform with the current phytosanitary requirements of the importing contracting party, including those for
regulated nonquarantine pests.
Disinfestation and/or disinfection treatment details
Date Treatment Chemical Concentration
22 Apr 2024 Cold Treatment Permethrin 0.5%
Duration and Temperature Additional information
-18 c
Additional declaration

Place of issue Code Date of issue Stamp

Name of inspector Date of inspection Code

ramon 24 Apr 2024 ram112
Name of authorized officer Signature of an authorized officer of the department
juan

ramon
 DECLARATION
Exporter Pages
AFFCO 1 of 1
32 Dalgety Drive, Wiri
Auckland, Auckland, 2104 Export Invoice Number & Date Bill of Lading Number
02102234543 INV-00001 22 Apr 2024 AUCK123456
Juanito Rodriguez
Reference Buyer Reference
34454 INV-00001
Consignee Buyer (If not Consignee)
CMA CGM Group Agencies (New Zealand) Ltd
Level 2 32-34 Mahuhu Crescent
AUCKLAND, Auckland, 1010
+6493662899
Office 1

Method of Dispatch Type of Shipment Country Of Origin of Goods Country of Final Destination
Maritime transport
Vessel / Aircraft Voyage No
CMA CGM V001S
Port of Loading Date of Departure
Auckland 24 Apr 2024
Port of Discharge Final Destination
Tilbury London

Additional Info Place and Date of Issue

Signatory Company
AFFCO
Name of Authorized Signatory
Juanito Rodriguez
Signature
 CERTIFICATE OF ORIGIN
Exporter Pages
AFFCO 1 of 1
32 Dalgety Drive, Wiri
Auckland, Auckland, 2104
02102234543 Export Invoice Number & Date Letter Of Credit No
Juanito Rodriguez INV-00001 22 Apr 2024

Consignee Buyer (If not Consignee)

CMA CGM Group Agencies (New Zealand) Ltd
Level 2 32-34 Mahuhu Crescent
AUCKLAND, Auckland, 1010
+6493662899
Office 1

Method of Dispatch Type of Shipment

Maritime transport
Vessel / Aircraft Voyage No
CMA CGM V001S
Port of Loading Date of Departure
Auckland 24 Apr 2024
Port of Discharge Final Destination
Tilbury London
Marks & Numbers Kind & No of Description of Goods Tariff Code Gross Weight
Packages (Kg)
TESCO 34454 800 boxes Frozen Meat 0202 19,950.00
LONDON

Declaration By The Chamber Declaration By The Exporter

The undersigned certifies on the basis of information provided by the
exporter that to the best of it’s knowledge and belief, the goods are of
designated origin, production or manufacture.
I, the undersigned, being duly authorized by the Consignor, and having
made the necessary enquiries hereby certify that based on the rules of
origin of the country of destination, all the goods listed originate in the
country and place of designated. I further declare that I will furnish to
the Customs authorities of the importing or their nominee, for
inspection at any time, such as evidence as may be required for the
purpose of verifying this certificate.

The goods were produced/manufactured at

New Zealand
Place and Date of Issue Place and Date of Issue

Signatory Company Signatory Company

AFFCO
Name of Authorized Signatory Name of Authorized Signatory
Juanito Rodriguez
Signature Signature

officer uno juanito rodriguez

 BILL OF LADING
Shipper Pages
AFFCO 1 of 1
32 Dalgety Drive, Wiri Shipper's Reference Bill of Lading Number
Auckland, Auckland, 2104
34454 AUCK123456
02102234543
Juanito Rodriguez Carrier's Reference
CMA12345
Unique Consignment Reference

Consignee Carrier Name

CMA CGM Group Agencies (New Zealand) Ltd CMA CGM Group Agencies (New Zealand) Ltd
Level 2 32-34 Mahuhu Crescent evel 2 32-34 Mahuhu Crescent
AUCKLAND, Auckland, 1010 Auckland, Auckland, 1010
+6493662899 +6493662899
Office 1 Office 1

Notify Party (If not Consignee) Additional Notify Party

Pre-Carriage By Place of Receipt Additional Information

Auckland
Vessel / Aircraft Voyage No Port of Loading
CMA CGM V001S Auckland
Port of Discharge Place of Delivery Final Destination
Tilbury London
Marks & Numbers Kind & No of Description of Goods Net Weight Gross Weight Measurements
Packages (Kg) (Kg) (m³)
TESCO 34454 LONDON 800 frozen meat 25.00 19,950.00 22.00
Total This Page 25 19 22
Consignment Total 25 19 22
Container No(s) Seal No(s) Container Type
CMAU1234567 ABCD123456 42RT Thermal Refrigerated/Heated
Total No of Containers or other packages or units (in words)
1 X 40' REEFER CONTAINER
No. of original Bills of Incoterms® 2020 Payable at Freight Charges Shipped on Board Date
Lading CIP DESTINATION Collect 24 Apr 2024
1
Terms and Conditions Place and Date of Issue
LONDON 22 May 2024
Signatory Company
DONALD LOREN
Name of Authorized Signatory
JUANITO RODRIGUEZ
Signature

juanito rodrigesz
 PACKING LIST
Exporter Pages
AFFCO 1 of 1
32 Dalgety Drive, Wiri
Auckland, Auckland, 2104 Export Invoice Number & Date Bill of Lading Number
02102234543 INV-00001 23 Apr 2024 AUCK123456
Juanito Rodriguez
Reference Buyer Reference
34454 INV-00001
Consignee Buyer (If not Consignee)
CMA CGM Group Agencies (New Zealand) Ltd
Level 2 32-34 Mahuhu Crescent
AUCKLAND, Auckland, 1010
+6493662899
Office 1

Method of Dispatch Type of Shipment Country Of Origin of Goods Country of Final Destination
Maritime transport
Vessel / Aircraft Voyage No Packing Information
CMA CGM V001S
Port of Loading Date of Departure
Auckland 24 Apr 2024
Port of Discharge Final Destination
Tilbury London
Product Code Description of Goods Unit Kind & No of Net Weight Gross Measurements
Quantity Packages (Kg) Weight
(Kg) (m³)
FM001 Frozen meat 1 carton X 800 25 19,950 22

Total This Page 1 800 25 19,950 22

Consignment Total 1 800 25 19,950 22
Additional Info Signatory Company
AFFCO
Name of Authorized Signatory
Juanito Rodriguez
Signature

juanito rodriguez
 SHIPPING INSTRUCTION
Exporter Pages
AFFCO 1 of 1
32 Dalgety Drive, Wiri
Auckland, Auckland, 2104
02102234543 Reference Buyer Reference Export Declaration
Juanito Rodriguez 34454 INV-00001 Number
INV-00001

Consignee Carrier
CMA CGM Group Agencies (New Zealand) Ltd CMA CGM Group Agencies (New
Level 2 32-34 Mahuhu Crescent Zealand) Ltd
AUCKLAND, Auckland, 1010 evel 2 32-34 Mahuhu Crescent
+6493662899 Auckland, Auckland, 1010
Office 1 +6493662899
Office 1

Notify Party (If not Consignee)

Method of Dispatch Type of Shipment Country Of Origin of Goods Country of Final Destination
Maritime transport
Vessel / Aircraft Voyage No Place of Receipt
CMA CGM V001S Auckland
Port of Loading Date of Departure Freight Charges Document Instructions
Auckland 24 Apr 2024 Collect Express Release/Waybill
Port of Discharge Final Destination Incoterms® 2020 Declared Value
Tilbury London CIP Auckland USD 159,600.00
Marks and Kind & No of Description of Goods Gross Weight Measurements
Numbers Packages (kg) (m³)
TESCO 34454 800 frozen meat 19,950 22
LONDON

Total This Page 19 22

Consignment Total 19 22
Does this shipment contain HAZARDOUS / No Is this shipment on Letter of Credit? If you answered No
DANGEROUS goods? If you answered YES, please YES, please also enclose your Letter of Credit
also enclose your dangerous goods paperwork. paperwork.
Special Instructions

Place and Date of Issue

Signatory Company

Name of Authorized Signatory

Juanito
Signature

juanito rodriguez
 COMMERCIAL INVOICE
Exporter Pages
AFFCO 1 of 1
32 Dalgety Drive, Wiri
Auckland, Auckland, 2104 Invoice Number & Date Bill of Lading Number
02102234543 INV-00001 22 Apr 2024 AUCK123456
Juanito Rodriguez
Reference Buyer Reference
34454 INV-00001
Consignee Buyer (If not Consignee)
CMA CGM Group Agencies (New Zealand) Ltd
Level 2 32-34 Mahuhu Crescent
AUCKLAND, Auckland, 1010
+6493662899
Office 1

Method of Dispatch Type of Shipment Country Of Origin of Goods Country of Final Destination
Maritime transport
Vessel / Aircraft Voyage No Terms / Method of Payment
CMA CGM V001S
Port of Loading Date of Departure
Auckland 24 Apr 2024
Port of Discharge Final Destination Marine Cover Policy No Letter Of Credit No
Tilbury London
Product Code Description of Goods HS Code Unit Quantity Unit Type Price Amount
FM001 Frozen meat 0202.30 19,950 carton 8.00 159,600.00

Total This Page 19,950 159,600.00

Consignment Total 19,950 159,600.00
Additional Info
(0%) 0.00
TOTAL: $159,600.00
Incoterms® 2020 Currency
CIP Auckland USD
Signatory Company
Bank Details AFFCO
Account Name: AFFCO NZ Name of Authorized Signatory
Bank Account number: 333-445-212-444
Bank Name: ANZ Juanito Rodriguez
Swift Code: CMFSGU33 Signature
Bank Addres: 219 Don McKinnon Drive, Albany, Auckland 0632

juanito rodriguez