Triplicate
| Prodets consigned tomy xpos business name adress,
county)
‘ZHENHALJIN (VANTAD) INTERNATIONAL TRADE CO, , LTD
‘NO. 704, UNITL, BUTING20, NANHECHENG QIQUANROAD, FUSHAN
DISTRICT, YANTAT CITY, CHINA TEL:86~156-6664-9143
2 Produc consigned to (Gansigned’s name adress. courty)
SINSHIN CO, , LTD(LEE JIN YOUNG)
PLOT 1-48, MY MUAN BITIEN HUNG INDUSTRIAL PARK, NY
XUAN WARD, PHU MY TOWN, BA RIA-VUNG TAU PROVINCE, VIET
NAM, TEL:+81-0254 3922’ 939 FAN:0254 3922 799
Reference No. E2INASPYARES0008 oe
ASEAN-CHINA FREE TRADE AREA
PREFERENTIAL TARIFF
CERTIFICATE OF ORIGIN,
(Combined Declaration and Certificate)
FORME
ANGE
Issued in _THE PEOPLE'S REPUBLIC OF CHINA
3 Means of warspot and raul fas far as Known)
Departure date Noy
Vessets nameArerat ete NZ NINGDO/006S
Poof Discharge HO CHT MINH , VIETNAM
FROM QINGDAD, CHINA TO HO CH MINH, VIETNAM BY SEA
[aForongraluse
Verifieation:origin. customs. gov. en
C1 Preferential Treatment Given
Preferential Treatment Not Given(Please state reasons)
Satur of Autorses Sonat of the imootng Party
Sitem — Jéateris and J 7.Number and type of packages, deseription [8 Oran itera Gress weghtornet | 10Number,
umber | “numbers en |" of products (netuding quantity where (see Ovetieat weotteroferquanity| date of
packages ‘appropriate and HS number in six cig code) | Nos) nd vaue FOB) ony | Invoices
when RVC eter
ple
Tw SHIM STOCK ROIND SHIM PET TGS 20-25720-26
HS CODE: 7409. 29 Nov. 15, 2021
2 SHIM STOCK ROUND SHIM "Per 17KGS NI
HS CODE: 7409. 23
3 EN-BOLT "Per BROS NA
HS CODE: 7918.15
4 SOCKET-BOLT “PE 2KGS NI
HS CODE: 7318.15
REAWER-BOLT “ET TKOS NN
HS CODE: 7318.15
6 STRIPPER PLATE “per 240KGS NW
HS CODE: 7409.19
7 GUIDE RAIL, “per | sioKes NW
HS CODE: 8455. 90
TOTAL ONE (1) NOQDEN CASE AND
12.ceriicaton
11 Dedaration by the exporter
‘The undersigned hereby declares that the above detals
‘and Siatrent ae coect that althe products were produced in
cHiNa
(Count)
‘nd that they comply wih the ong requirements specie for
‘hese products in he Rules of Org fr the ACFTA forthe
Produtis exported to
VIET NAM
\ipeing Cosy)
Nov. 22, 2021
"Bi ad date” Bigiahe of adobe signa
Qingdao, Chin:
Issued Retosctvely Dexter
Ta Paty cing
O Worenen ete
itis hereby certfiod on the basis of contol carid outthat the