1.

Exporter's Name, Address and Country: 11

' • ,. • '"
Certification No. Number of page
Fujii Co., Ltd.
2410 Seiwa 1-Chome Fukui-shi Fukui-pref. 918-8239, JAPAN 18026j117249601909 1 / 1

AGREEMENT BETWEEN JAPAN AND THE SOCIALIST

2. Importer's Name or Consignee's Name (If applicable), Address and Country: REPUBLIC OF VIET NAM FOR AN ECONOMIC PARTNERSHIP
NAM DO SILK TEXTILE LIMITED
93 Dinh Tien Hoang, P.2, Bao Loe, Lam Dong, VIETNAM

3,Transport details (me ns and route)(if known):

Date of Shipment: March 2, 2019 CERTIFICATE OF ORIGIN
Port of Discharge: HO CHI MINH. VIET NAM
Name of loading point: KOBE. JAPAN Form JV
Issued in Japan
Name of Vessel/Flight number: ALS VESTA 909S

4.Item number (as necessary); Marks and numbers; Number and kind of packages; HS code;
S.Preference 16,Weight 7.Invoice
Description of good(s): criteria or other number(s)
quantity and date(s)
1); Gold Lame(Gold laminate fi Im yarn) :560500 CTC 157.32 KGS PGES-11000680
March 2. 2019
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Marks and numbers: FUJ11 FEB. 2019 CASE NO. 1-4

Number and kind of packages: 4CARTON

a.Remarks: Issued Retroactive Iy

9. Declaration by the exporter: 10.Certiflcation

It Is hereby certified, on the basis of control carried out,that the declaration
I, the undersigned, declare that: by the exporter is correct.
- the above details and statement are true and accurate,
Competent governmental authority or Designee office:
- the good(s) described above meet the condltlon(s) required for the
issuance of this certificate; ·" 1• 1, The Japan Chamber of Commerce and Industry
- the country of origin of the good(s) described above Is JAPAN 'II ,I I
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Stamp
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Place and Date: Fukui, March 11. 2019
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Signature:
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Place and Date: Fukui, March 11, 2019

Name(prlnted) Takuya Fuji hara

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Name(printed): Etsuko Shi rasak Signature:
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Company: Fujii Co., Ltd.
JCCI Internal Use Only : 010450609-C0002500W