Ref. FE Girolar No. 1712019 Annexure-A EXP FORM (Submitted electronically by exporter) ‘Slattery declaration fo ba tumished by exporers under Foreign Exchange Rogulalion Aa, TSA7 balore shipment of goods. An incorrect declaration consti offence under the sais At, Electronic Declaration No. 09001838 1000476 2023, Date: 2.007-2023, [Name and address of the Authorized Dealer: South East Bank Ltd, Principal Branch (00001338) Detail of Export wt Te Paria Gade No. (io be fad in No (tobe tls in by exporter) by Authorizes Deal) ‘Carmoaly to be exporied "48189000 + 46180000-TOILET PAPER AND SIMILAR. PAPER CELLULOSE 1 WADING ORWEBS OF CELLULOSE FIBRES, OF A KIND USED FOR HOUSEHOLD OR SANITARY PURPOSES, IN ROLLS OF A WIDTH W..- Household, Sanitary Or Hospital Articles Of Paper. Etc, Nes | Cony af dasinaton tk 202 ‘3 | Porta destination ‘COLOMBO ca Unit (baletiena/bs 6, Kilogram (KG) 4. | uantty [Volume Weightnanbor a q te) ‘Cureney WSDOLLAR — 00 Incoterms Used OF 5, | Vale FOB F Irvolce Value 6321.98 me - oan ‘CHIT value apptcable) 2 “Tara ase frm contact C or a esas Contract, BPML/EXPTSSU ‘Namo & adarose of ee eee NATURE PRODUCTS INTENATIONAL, ‘Name of carrying vessel Blof LedngRialway RecopUAWay 2, | BivTruck Receipt Post Pacal Receipt Porto shiprnenWPosl Office of dispatch i. | Lana Custom Post 12. | Shipment date ‘4a, | Name of to exporter Boe ota) switvaderess (CGI AE's Registration Number and 14 | date of the exporter } Sect (Pb or Pai undo whch 18. | the Exporter fala ee Deélaration of tindertaking by Exporter {We th ursigned hoa decals tat yo lav th serslensianors of he grade cased ow in reapac of whch his ‘decoration fe made oul and thatthe paula given n the folewing Kem afe tuo and tal the invice valus doclarod in SL.NO. in ‘ase of fm contract aul vale #6 contacted with He buyerin case of consgrmant sale, sr value of ho goods which are being hipped on conaigreent sale, MO.KAMRUJAMAN 2 25-U9.23, ‘Authorized Signature & Stamp g (ofthe Exporter with date ae MD. KAMRUJAMAN rae - corte of toe Dear BUMMER ont FC (Basbundhara Group) cats nate ne eta ono, tthe nan eg oe etn a Sem ete nate age tage tendencies kos tee oa SECT uh eae Wee tle Se eo ene a et a Rane SS owe stent pos ni tpt tmx al bcd wn pad itt te Scere eee ie te ra st Sagat A cat te eae Se ene get csp si nig de i re pif ee Sart nee en obs Regn Catt time eee eae ace ate Sam Te reg teen eat cio pag iar bs bateaan bone kn Sead wee Saat Peerage screen Sea Seah tapeaten pu near Date: ‘Stamp and Signature of ‘Authorized Dealer