Original
7. Products consigned from (Exporters business name, address,
country)
WNT YANUA BOILER IMPORT & EXPORT CO. LT.
SUITE 505, CHENGKAL BUSINESS CENTER, NO. 800
YVENKTU ROAD, MUXT, JIANGSU, CHINA
2. Products consigned to (Consignee’s name, addr
PT. KOKA NER. BUTLDING MATERIALS. TNDOVESIA
GREENLAND INTERNATIONAL TNDUSTRIAL CENTER,
KAVASAN INDUSTRI. TERPADU INDONESIA CHINA.
KAVLING 21, REL. NAGASART, REC. SERANG BARU INDONESIA
NPWP: 86, 088, 877, 5-113. 000
-, county)
Reference No. £2366084117547062
ASEAN-CHINA FREE TRADE ARE.
PREFERENTIAL TARIFF
CERTIFICATE OF ORIGIN
(Combined Declaration and Certificate)
FORM E
Issued in_THE PEOPLE'S REPUBLIC OF CHINA.
(Country)
120 Overieat Notes
{3 Means of transport and route (as faras known)
Departure date AUG. 09, 2023
Vessel's name / Aircraftete. MSC VAIGA II] ~ HU3324
Port of Discharge JAKARTA, INDONESIA
[PROM SHANGHAL, CHINA TO JAKARTA, INDONESIA BY SEA
4. For Official Use
Verification:origin. customs. gov. en
1D Proferentia Treatment Given
C Preterenti Treatment Not Given (Please state reason!s)
‘Signature of Authorised Signatory of the Importing Party
[STEEL STRUCTURE CO. LTD.
[PACKING: TOTAL 3 PALLETS ONLY
‘Stem [6 Marks and ]7. Number and type of packages, description | 8. Ongineriteria]9. Gross woightornat_ | 10. Number,
Numbor] numbers on | of products (including quantity where (see Overieat | weghtor afer quaraiy| date of
Packages | appropriate ang HS number in six digit code) | Not ‘rd value (FOB) only | Invoices
when RVC crterion
opie
1 fa [THREE (3) PALLETS OF “Pe S4166KGS 0. [YE23-0720
[STEEL STRUCTURE LIUL.” 20, 2023
ls CODE: 7308. 90
INUPACTURER:, NANJING_JTANZIIIZHENG
11, Declaration by the exporter
‘The undersigned hereby declares that the above details and
statement are correct: that all the products were produced in
CHINA
(Country)
‘and that they comply withthe origin requirements specifi
these products in the Rules of Origin forthe ACFTA for the
products exported 10
INDONESIA,
12. Certiteation
mg qe
1 exibition
1 Thirg Panty Invoicing
1D issued Ret
1D Movement Certificate
iG. 11, 2023
Place and date, signature and stamp of certifying authority
232304008199474