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Original

1.Products consigned from(Exporter’s business name,address, Reference No. E247594182930050


country)
BIUGED INSTRUMENTS CO.,LTD
ADD:RM.101, NO.3, SICHENG ROAD,GAOTANG SOFTWARE
ASEAN-CHINA FREE TRADE AREA
PARK, TIANHE DIST.,GUANGZHOU.CHINA
TEL:(86-20)32955999 PREFERENTIAL TARIFF
CERTIFICATE OF ORIGIN
2.Products consigned to (Consignee's name,address,country) (Combined Declaration and Certificate)
MICHEM VIETNAM JOINT STOCK COMPANY
2ND FLOOR, MATEXIM OFFICE BUILDING, KM 3, PHAM VAN
FORM E
DONG STREET, CO NHUE 1 WARD, BAC TU LIEM DISTRICT, HA 非有效证书
NOI CITY, VIETNAM. PHUONG TEL. +84988 003 926 TAX Issued in THE PEOPLE'S REPUBLIC OF CHINA
ID:0107924445 (Country)
See Overleaf Notes
3.Means of transport and route (as far as known) 4.For Original use
Verification:origin.customs.gov.cn
Departure date JUL. 03,2024 □ Preferential Treatment Given

Vessel's name/Aircraft etc. 7771 9057 6227

Port of Discharge HANOI,VIETNAM


□ Preferential Treatment Not Given(Please state reason/s)

FROM GUANGZHOU,CHINA TO HANOI,VIETNAM BY FEDEX


--------------------------------------------------------
Signature of Authorised Signatory of the Importing Party
5.item 6.Marks and 7.Number and type of packages, description 8.Origin criteria 9.Gross weight or net 10.Number,
number numbers on of products (including quantity where (see Overleaf weight or other quantity, date of
packages appropriate and HS number in six digit code) Notes) and value (FOB) only lnvoices
when RVC criterion is
applied
1 ONE (1) BOX OF KREBS STORMER VISCOMETE- "PE" 11KGS G.W. Q#20240626
R JUN. 25,2024
HS CODE: 9027.89

2 FIVE (5) BOXES OF OPACITY CHARTS "PE" 32.5KGS G.W.


HS CODE: 4823.90
PACKING:TOTAL ONE(1) PACKAGE ONLY
*** *** *** *** ***

MICHEM VIETNAM JOINT STOCK COMPANY

11.Declaration by the exporter 12.Certification


The undersigned hereby declares that the above details
it is hereby certified on the basis of control carried out,that the
and Statement are correct,that all the products were produced in
declaration by the exporter is correct
CHINA
-------------------------------------------------
(Country)
and that they comply with the origin requirements specified for
these products in the Rules of Origin for the ACFTA for the
products exported to

VIET NAM
---------------------------------------------
(Importing Country)

Guangzhou, China,JUL. 09,2024


---------------------------------------------
Place and date,signature of authorised signatory
13.
□ Issued Retroactively □Exhibition ---------------------------------------------------------
□ Movement Certificate □ Third Party Invoicing Place and date,signature and stamp of certifying authority

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