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MOVEMENT CERTIFICATE
1.
Exporter (Name, full address, country)
EUR.1 No:
MEKONG SEAFOOD CONNECTION CO., LTD.
NO. 139D-139E DUONG DINH HOI STR., PHUOC
LONG B WARD, THU DUC CITY, HCMC,
VIETNAM
See notes overleaf before completing this form.
2. Certificate used in preferential trade between
European Union
and
Socialist Republic of Viet Nam
3. Consignee (Name, full address, country) (Optional)
FRIVIKO NÜRNBERG GMBH
RICHTWEG 75 90530 WENDELSTEIN,
GERMANY
6. Transport details (Optional)
VN-DE 23/02/00000
4. Country, group of
countries or territory in
which the products are
considered as originating
5. Country, group of
countries or territory of
destination
VIETNAM
GERMANY
7. Remarks
BY SEA: SAN LORENZO 246S, B/L No.: 0398A17 4
DATE OF SHIPMENT: DEC 04, 2023
FROM: CAT LAI PORT, VIETNAM
TO: HAMBURG PORT, GERMANY
8. Item number; Marks and numbers; Number and kind of packages(1);
Description of goods
PANGASIUS WELL-TRIMMED FILET
HS CODE: 03046200
QUANTITY: 2,508 CARTONS
ISSUED RETROSPECTIVELY
9. Gross mass (kg) or
other measure (litres, m3,
etc.)
GROSS WEIGHT
25,080.00 KGS
10. Invoices (Optional)
NOV 24, 2023
(1)
If goods are not packed, indicate number of articles or state "in bulk"
as appropriate.
11. CUSTOMS OFFICE (EU) or ISSUING AUTHORITIES (VN)
ENDORSEMENT
Declaration certified
Export document(2)
Form ……………………………. No ….……....
Of ………………………………………………..
Customs office/Issuing authority
in Ho Chi Minh City.
Stamp
HOCHIMINH CITY, DEC 04, 2023……
(Signature)
(2)
...
HOCHIMINH CITY, DEC 04, 2023...
(Signature)
IEM Office
…
Issuing country or territory …VIETNAM……...
……………………………………………………
Place and date ……………………………………
12. DECLARATION BY THE EXPORTER
I, the undersigned, declare that the goods described
above meet the conditions required for the issue of this
certificate.
Place and date ………………..............................
Complete only where the regulations of the exporting country or
territory require.
13. REQUEST FOR VERIFICATION, to
14. RESULT OF VERIFICATION
Verification carried out shows that this certificate(1) was
issued by the customs office (EU) or issuing
authority (VN) indicated and that the information
contained therein is accurate.
does not meet the requirements as to authenticity and
accuracy (see remarks appended).
Verification of the authenticity and accuracy of this certificate is
requested.
............................................................
(Place and date)
.....................................................……
(Signature)
Stamp
....................................................
(Place and date)
Stamp
....................................................
(Signature)
(1)
Insert X in the appropriate box.
2
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