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1.

Exporter's Name, Address and Country : Number of page


Certification No. 1/3
R K H HANDICRAFTS PRIVATE LIMITED
PLOT NO.188, SECTOR-25, PART-II HUDA INDUSTRIAL ESTATE,
EIC/2024/001/0353191A/00331634
PANIPAT, HARYANA (132103)
INDIA
2. Importer's Name, Address and Country : COMPREHENSIVE ECONOMIC
SHINATOMO CO., LTD. PARTNERSHIP AGREEMENT
CENTRAL BLDG 7F, 11-30 2-CHOME, SAKAE, NAKAKU NAGOYA BETWEEN
460-0008, JAPAN TEL: 052-202-2890 JAPAN THE REPUBLIC OF INDIA AND JAPAN
JAPAN

3. Transport details(means and route)(as far as known) CERTIFICATE OF ORIGIN


Departure Date :12-04-2024
By Sea Issued in INDIA
by SEA NHAVA SHEVA iINDIA TO OSAKA, JAPAN

4. Item number(as necessary); Marks and numbers; Number and kind of 5. Preferenc 6. Quantity 7. Invoice
packages; Description of good(s); HS tariff classification number e criterion number(s) and
date(s)
1. 1 to 50; Tufted Bath Mat (Roll Pack): 57039010 "A" 750 pcs RKH678/24-25
DT: 07-04-2024
2. 51 to 65; Tufted Bath Mat (Half Fold): 57039010 "A" 360 pcs
3. 66 to 105; Tufted Bath Mat (Half Fold): 57039010 "A" 960 pcs
4. 106 to 145; Tufted Bath Mat (Half Fold) Total Gr. Wt. 2232 Total Nt. Wt. "A" 960 pcs
1951.5: 57039010

8. Remarks ;
Third Country Invoicing ISSUED RETROSPECTIVELY

9. Declaration by the exporter : 10. Certification


I, the undersigned, declare that It is hereby certified, on the basis of control carried out, that the
- the above details and statement are true and accurate. declaration by the exporter is correct.
- the good(s) described above meet the condition(s) required for the Competent governmental authority or Designee office
issuance of this certificate; To verify this certificate, you may scan the QR code here
- the country of origin of the good(s) described above is INDIA.

Place and Date : NEW DELHI, 19-04-2024


......................................................................................

Signature :
...............................................................................................

Name (printed) : RAJEEV GARG


........................................................................................

Company : R K H HANDICRAFTS PRIVATE LIMITED VAKEEL KUMAR MEENA, Central Delhi, 22/04/2024
...................................................................
................................................................................................
Place and date :
Signature :
..............................................................................................
NOTES

Parties which accept this form for the purpose of preferential treatment under the Comprehensive Economic Partnership Agreement
between the Republic of India and Japan (hereinafter referred to as "the Agreement") are India and Japan.

General Conditions :

The conditions of the preferential tariff treatment under the Agreement are that the goods exported to India or Japan should:

i. fall within description of goods(including HS code) eligible for concession in India and Japan;
ii. comply with one of the requirements in Preference Criteria below, which are set out in article 27 of the Agreement; and
iii. comply with the provision of consignment criteria of Article 34 of the Agreement.

Preference Criteria :

A The good is wholly obtained or produced entirely in the Party, as provided for in Article 28 of the Agreement.
B The good is not wholly obtained or produced in the Party, provided that the good satisfies the requirements of Article 29 of the
Agreement.

Instructions for Certificate of Origin :

For the purposes of claiming preferential tariff treatment, the document should be completed legibly and in full by the exporter or its authorised
agent and certified by the competent authority or its designees. The form should be completed in the English language. The document should
be rendered invalid if it is modified after the issuance except as provided in Rule 4(b) of the Implementing Procedures.

If the space of this document is insufficient to specify the necessary particular for identifying the goods and other related information, the
exporter or its authorised agent may provide the information using additional page of Appendix 1. In that case, every additional page of
Appendix 1 should be completed legibly and in full by the exporter or its authorised agent and certified by the competent authority or its
designees.

Field 1 : State the full name, address and country of the exporter.
Field 2 : State the full name, address and country of the importer. As defined in subparagraph (f) of Article 26 of the Agreement,
"importer" means a natural and juridical person who imports a good into the importing Party (e.g. the consignee who declares the
importation).
Field 3 : Provide the name of loading port, transit port and discharging port and, the name of vessel/flight number, as far as known. In
case of retroactive issuance, the date of shipment (i.e bill of lading or airway bill date).
Field 4 : Provide item number (as necessary), marks and numbers, number and kind of packages, tariff classification number based on
HS 2007 and description of each good consigned.
For each good, the HS tariff classification number should be indicated at the six-digit level.
The description of the good on a certificate of origin should be substantially identical to the description on the invoice and, if
possible, to the description under the HS for the good.
Field 5 : For each good, state which preference criterion(A or B under Preference Criteria above) is applicable. The rules of origin are
contained in Chapter 3, Annex 2 and Annex 3 of the Agreement.
Note: In order to entitled to preferential tariff treatment, each good of a Party must meet at least one of the preference criteria
given.
Indicate "ACU" for accumulation, "DMI" for De Minimis and "FGM" for fungible goods or materials, if applicable.
Field 6 : For each good, indicate the quantity (weight may be indicated as gross weight or net weight).
Field 7 : Indicate the invoice number and date for each good. The invoice should be the one issued for the importation of the good into
the Importing Party.
If the invoice is issued by a person different from the exporter to whom the certificate of origin is issued and the person who
issues the invoice is located in a non-Party, the "Third Country invoicing" box should be ticked( ) and the full legal name and
address of the person that issues the invoice should be indicated in field 8.
In an exceptional case where the number of the invoice issued in a non-Party is not known at the time of issuance of the
certificate of origin, the invoice number and the date of the invoice issued by the exporter to whom the certificate of origin is
issued should be indicated in field 7. Also, the "Third country invoicing box should be ticked( ) and the full legal name and
address of the person that will issue such other invoice should be indicated in field 8. In such case, the customs authority of the
importing Party may require the importer to provide the invoices and any other relevant documents which confirm the transaction,
from the exporting Party to the importing Party, with regard to the goods declared for import.
Field 8 : If the certificate of origin is ISSUED RETROSPECTIVELY, the issuing authority should tick( ) the "ISSUED
RETROSPECTIVELY" box in field 8 and indicate the date of shipment in field 3. If the certificate of origin is newly issued in
accordance with Rule 3(f) of the Implementing Procedures, the issuing authority should indicate the words "CERTIFIED TRUE
COPY", the date of issuance and the certification number of the original certificate of origin. Other Remarks as necessary.
Field 9 : This field should be completed, signed and dated by the exporter or its authorised agent. The "Date" should be the date when
the certificate of origin is applied for.
Note: The exporter's or its authorised agent's signature may be autographed or electronically printed.
Field 10 : This field should be completed, dated, signed and stamped by the competent authority of the exporting Party or its designees.
Note: The competent authority or its designees signature may be autographed or electronically printed.
Notice 1 : Any items entered in this form should be true and correct. False declaration or documents relating to the certificate of origin
should be subject to penalty in accordance with the laws and regulations of the exporting Party.
Notice 2 : The certificate of origin should be the basis of determination of origin at the customs authority of the importing Party.
DUPLICATE
1. Exporter's Name, Address and Country : Number of page
R K H HANDICRAFTS PRIVATE LIMITED Certification No.
2/3
PLOT NO.188, SECTOR-25, PART-II HUDA INDUSTRIAL ESTATE,
PANIPAT, HARYANA (132103) EIC/2024/001/0353191A/00331634
INDIA

2. Importer's Name, Address and Country : COMPREHENSIVE ECONOMIC


SHINATOMO CO., LTD. PARTNERSHIP AGREEMENT
CENTRAL BLDG 7F, 11-30 2-CHOME, SAKAE, NAKAKU NAGOYA
BETWEEN
460-0008, JAPAN TEL: 052-202-2890 JAPAN
JAPAN THE REPUBLIC OF INDIA AND JAPAN

3. Transport details(means and route)(as far as known)


CERTIFICATE OF ORIGIN
Departure Date :12-04-2024
By Sea
Issued in INDIA
by SEA NHAVA SHEVA iINDIA TO OSAKA, JAPAN
4. Item number(as necessary); Marks and numbers; Number and kind 5. Preferenc 6. Quantity 7. Invoice
of packages; Description of good(s); HS tariff classification number e criterion number(s) and
date(s)
1. 1 to 50; Tufted Bath Mat (Roll Pack): 57039010 "A" 750 pcs RKH678/24-25
DT: 07-04-2024
2. 51 to 65; Tufted Bath Mat (Half Fold): 57039010 "A" 360 pcs
3. 66 to 105; Tufted Bath Mat (Half Fold): 57039010 "A" 960 pcs
4. 106 to 145; Tufted Bath Mat (Half Fold) Total Gr. Wt. 2232 Total Nt. Wt. "A" 960 pcs
1951.5: 57039010

8. Remarks ;
Third Country Invoicing ISSUED RETROSPECTIVELY

9. Declaration by the exporter : 10. Certification


I, the undersigned, declare that It is hereby certified, on the basis of control carried out, that the
- the above details and statement are true and accurate. declaration by the exporter is correct.
- the good(s) described above meet the condition(s) required for the Competent governmental authority or Designee office
issuance of this certificate; To verify this certificate, you may scan the QR code here
- the country of origin of the good(s) described above is INDIA.

Place and Date : NEW DELHI, 19-04-2024


......................................................................................

Signature : ...............................................................................................

Name (printed) : RAJEEV GARG


........................................................................................

Company : R K H HANDICRAFTS PRIVATE LIMITED


................................................................................................
VAKEEL KUMAR MEENA, Central Delhi, 22/04/2024
...................................................................
Place and date :
Signature :
..............................................................................................
NOTES

Parties which accept this form for the purpose of preferential treatment under the Comprehensive Economic Partnership Agreement
between the Republic of India and Japan (hereinafter referred to as "the Agreement") are India and Japan.

General Conditions :

The conditions of the preferential tariff treatment under the Agreement are that the goods exported to India or Japan should:

i. fall within description of goods(including HS code) eligible for concession in India and Japan;
ii. comply with one of the requirements in Preference Criteria below, which are set out in article 27 of the Agreement; and
iii. comply with the provision of consignment criteria of Article 34 of the Agreement.

Preference Criteria :

A The good is wholly obtained or produced entirely in the Party, as provided for in Article 28 of the Agreement.
B The good is not wholly obtained or produced in the Party, provided that the good satisfies the requirements of Article 29 of the
Agreement.

Instructions for Certificate of Origin :

For the purposes of claiming preferential tariff treatment, the document should be completed legibly and in full by the exporter or its authorised
agent and certified by the competent authority or its designees. The form should be completed in the English language. The document should
be rendered invalid if it is modified after the issuance except as provided in Rule 4(b) of the Implementing Procedures.

If the space of this document is insufficient to specify the necessary particular for identifying the goods and other related information, the
exporter or its authorised agent may provide the information using additional page of Appendix 1. In that case, every additional page of
Appendix 1 should be completed legibly and in full by the exporter or its authorised agent and certified by the competent authority or its
designees.

Field 1 : State the full name, address and country of the exporter.
Field 2 : State the full name, address and country of the importer. As defined in subparagraph (f) of Article 26 of the Agreement,
"importer" means a natural and juridical person who imports a good into the importing Party (e.g. the consignee who declares the
importation).
Field 3 : Provide the name of loading port, transit port and discharging port and, the name of vessel/flight number, as far as known. In
case of retroactive issuance, the date of shipment (i.e bill of lading or airway bill date).
Field 4 : Provide item number (as necessary), marks and numbers, number and kind of packages, tariff classification number based on
HS 2007 and description of each good consigned.
For each good, the HS tariff classification number should be indicated at the six-digit level.
The description of the good on a certificate of origin should be substantially identical to the description on the invoice and, if
possible, to the description under the HS for the good.
Field 5 : For each good, state which preference criterion(A or B under Preference Criteria above) is applicable. The rules of origin are
contained in Chapter 3, Annex 2 and Annex 3 of the Agreement.
Note: In order to entitled to preferential tariff treatment, each good of a Party must meet at least one of the preference criteria
given.
Indicate "ACU" for accumulation, "DMI" for De Minimis and "FGM" for fungible goods or materials, if applicable.
Field 6 : For each good, indicate the quantity (weight may be indicated as gross weight or net weight).
Field 7 : Indicate the invoice number and date for each good. The invoice should be the one issued for the importation of the good into
the Importing Party.
If the invoice is issued by a person different from the exporter to whom the certificate of origin is issued and the person who
issues the invoice is located in a non-Party, the "Third Country invoicing" box should be ticked( ) and the full legal name and
address of the person that issues the invoice should be indicated in field 8.
In an exceptional case where the number of the invoice issued in a non-Party is not known at the time of issuance of the
certificate of origin, the invoice number and the date of the invoice issued by the exporter to whom the certificate of origin is
issued should be indicated in field 7. Also, the "Third country invoicing box should be ticked( ) and the full legal name and
address of the person that will issue such other invoice should be indicated in field 8. In such case, the customs authority of the
importing Party may require the importer to provide the invoices and any other relevant documents which confirm the transaction,
from the exporting Party to the importing Party, with regard to the goods declared for import.
Field 8 : If the certificate of origin is ISSUED RETROSPECTIVELY, the issuing authority should tick( ) the "ISSUED
RETROSPECTIVELY" box in field 8 and indicate the date of shipment in field 3. If the certificate of origin is newly issued in
accordance with Rule 3(f) of the Implementing Procedures, the issuing authority should indicate the words "CERTIFIED TRUE
COPY", the date of issuance and the certification number of the original certificate of origin. Other Remarks as necessary.
Field 9 : This field should be completed, signed and dated by the exporter or its authorised agent. The "Date" should be the date when
the certificate of origin is applied for.
Note: The exporter's or its authorised agent's signature may be autographed or electronically printed.
Field 10 : This field should be completed, dated, signed and stamped by the competent authority of the exporting Party or its designees.
Note: The competent authority or its designees signature may be autographed or electronically printed.
Notice 1 : Any items entered in this form should be true and correct. False declaration or documents relating to the certificate of origin
should be subject to penalty in accordance with the laws and regulations of the exporting Party.
Notice 2 : The certificate of origin should be the basis of determination of origin at the customs authority of the importing Party.
TRIPLICATE
1. Exporter's Name, Address and Country : Number of page
R K H HANDICRAFTS PRIVATE LIMITED Certification No. 3/3
PLOT NO.188, SECTOR-25, PART-II HUDA INDUSTRIAL ESTATE,
PANIPAT, HARYANA (132103) EIC/2024/001/0353191A/00331634
INDIA

2. Importer's Name, Address and Country :


SHINATOMO CO., LTD. COMPREHENSIVE ECONOMIC
CENTRAL BLDG 7F, 11-30 2-CHOME, SAKAE, NAKAKU NAGOYA PARTNERSHIP AGREEMENT
460-0008, JAPAN TEL: 052-202-2890 JAPAN BETWEEN
JAPAN
THE REPUBLIC OF INDIA AND JAPAN
3. Transport details(means and route)(as far as known)
Departure Date :12-04-2024 CERTIFICATE OF ORIGIN
By Sea
by SEA NHAVA SHEVA iINDIA TO OSAKA, JAPAN Issued in INDIA
4. Item number(as necessary); Marks and numbers; Number and kind 5. Preferenc 6. Quantity 7. Invoice
of packages; Description of good(s); HS tariff classification number e criterion number(s) and
date(s)
1. 1 to 50; Tufted Bath Mat (Roll Pack): 57039010 "A" 750 pcs RKH678/24-25
DT: 07-04-2024
2. 51 to 65; Tufted Bath Mat (Half Fold): 57039010 "A" 360 pcs
3. 66 to 105; Tufted Bath Mat (Half Fold): 57039010 "A" 960 pcs
4. 106 to 145; Tufted Bath Mat (Half Fold) Total Gr. Wt. 2232 Total Nt. Wt. "A" 960 pcs
1951.5: 57039010

8. Remarks ;
Third Country Invoicing ISSUED RETROSPECTIVELY

9. Declaration by the exporter : 10. Certification


I, the undersigned, declare that It is hereby certified, on the basis of control carried out, that the
- the above details and statement are true and accurate. declaration by the exporter is correct.
- the good(s) described above meet the condition(s) required for the Competent governmental authority or Designee office
issuance of this certificate; To verify this certificate, you may scan the QR code here
- the country of origin of the good(s) described above is INDIA.

Place and Date : NEW DELHI, 19-04-2024


......................................................................................

Signature :
...............................................................................................

Name (printed) : RAJEEV GARG


........................................................................................

Company : R K H HANDICRAFTS PRIVATE LIMITED


................................................................................................ VAKEEL KUMAR MEENA, Central Delhi, 22/04/2024
...................................................................
Place and date :
Signature :
..............................................................................................
APPLICATION FOR CERTIFICATE OF ORIGIN UNDER IJCEPA

The undersigned, being the exporter of the goods described overleaf,

DECLARES that the goods meet the conditions required for issue of the attached certificate of origin, were produced in
INDIA and are presently available at

GOODS ARE WHOLLY OBTAINED IN INDIA "A" AND SHIPMENT ALREADY SHIPPED. WE HAVE NOT TAKEN ANY IJCEPA AGAINST THIS
INVOICE IN ANY EIA OFFICE.

and that no certificate of origin has been obtained from any authority for these goods,

SPECIFIES as follows the grounds on which the goods are claimed to comply with IJCEPA origin requirements,1)

PRODUCT/S ARE WHOLLY OBTAINED IN INDIA AND MEETS THE ORIGIN REQUIREMENTS OF IJCEPA. AS APPLICABLE NO OTHER
CERTIFICATE OF ORIGIN HAS BEEN ISSUED AGAINST ABOVE INVOICE/SHIPMENT BY ANY OTHER EIA OFFICE OR ANY OTHER
DESIGNATED AGENCIES. Shipment already shipped.

SUBMITS the following supporting documents,2)

INV PACKING LIST BILL OF LADING SHIPPING BILL AND RETRO LETTER RAW MATERIAL BILL

UNDERTAKES to submit, at the request of the appropriate authorities, any supporting evidence which these authorities
may require for the purpose of issuing the attached certificate of origin and undertakes, if required, to agree to any
inspection of his accounts and any check on the processes of manufacture of the above goods, carried out by the said
authorities.

REQUESTS the issue of a certificate of origin for these goods.

Place and date NEW DELHI, 19/04/2024


....................................................................................

Signature and stamp of authorised signatory


..........................................................................

1)
Indicate the materials or components used, their Harmonized System heading at the 6 digit level, their country of
origin and, where appropriate, the qualifying criteria that renders the goods as originating in India. Where the origin
criteria involve qualifying value content, give information enabling this percentage to be verified.

2)
For example, import documents, invoice etc., relating to the materials or components used.

NOTES

A. Procedure for claiming perference. A declaration on the certificate of origin form must be prepared by the exporter
of the goods and submitted together with a IJCEPA application form, to the certifying authority which will, if satifsifed,
certify the copy of the cerficate of origin and return it to the exporter for transmission to the importer in the country of
destination. The Certifying authority will at the same time return to the exporter for his retention the duplicate copy of
the certificate of origin but will itself retain the IJCEPA application form duly completed and signed by the exporter.

B. Sanctions. Persons who furnish, or cause to be furnished, information which relates to origin or consignment and
which is untrue in a material particular are liable to legal penalities and to the suspension of facilities for their goods
to obtain preference.

% DSUnknown
q
1G
1g
0.1 0 0 0.1 9 0 cm
0 J 0 j 4 M []0 d
1i
0g
313 292 m
313 404 325 453 432 529 c
478 561 504 597 504 645 c
504 736 440 760 391 760 c
286 760 271 681 265 626 c
265 625 l
100 625 l
100 828 253 898 381 898 c
451 898 679 878 679 650 c
679 555 628 499 538 435 c
488 399 467 376 467 292 c
313 292 l
h
308 214 170 -164 re
f
0.44 G
1.2 w
1 1 0.4 rg
287 318 m
287 430 299 479 406 555 c
451 587 478 623 478 671 c
478 762 414 786 365 786 c
260 786 245 707 239 652 c
239 651 l
74 651 l
74 854 227 924 355 924 c
425 924 653 904 653 676 c
653 581 602 525 512 461 c
462 425 441 402 441 318 c
287 318 l
h
282 240 170 -164 re
B
Q

Digitally signed by
VAKEEL KUMAR MEENA
Date: 2024.04.22
18:06:19 IST

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