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.
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