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    Form Ip

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    Biirruu Laannggiitt
    1. This document is a Certificate of Origin for 14,140 kg of Indonesian alkalized cocoa powder being exported from Indonesia to Pakistan. 2. The exporter is PT Bumitangertang Mesindotama in Tangerang, Indonesia and the consignee is Volka Food International Limited in Bahawalpur, Pakistan. 3. The certificate certifies that the cocoa powder meets the origin rules to qualify for preferential tariff treatment under the Indonesia-Pakistan Preferential Trade Agreement.

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    Form Ip

    Uploaded by

    Biirruu Laannggiitt
    2K views1 page
    1. This document is a Certificate of Origin for 14,140 kg of Indonesian alkalized cocoa powder being exported from Indonesia to Pakistan. 2. The exporter is PT Bumitangertang Mesindotama in Tangerang, Indonesia and the consignee is Volka Food International Limited in Bahawalpur, Pakistan. 3. The certificate certifies that the cocoa powder meets the origin rules to qualify for preferential tariff treatment under the Indonesia-Pakistan Preferential Trade Agreement.

    Original Description:

    CONTOH FORM IP (INDONESIA - PAKISTAN)

    Original Title

    FORM_IP

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    © © All Rights Reserved

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    1. This document is a Certificate of Origin for 14,140 kg of Indonesian alkalized cocoa powder being exported from Indonesia to Pakistan. 2. The exporter is PT Bumitangertang Mesindotama in Tangerang, Indonesia and the consignee is Volka Food International Limited in Bahawalpur, Pakistan. 3. The certificate certifies that the cocoa powder meets the origin rules to qualify for preferential tariff treatment under the Indonesia-Pakistan Preferential Trade Agreement.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    2K views1 page

    Form Ip

    Uploaded by

    Biirruu Laannggiitt
    1. This document is a Certificate of Origin for 14,140 kg of Indonesian alkalized cocoa powder being exported from Indonesia to Pakistan. 2. The exporter is PT Bumitangertang Mesindotama in Tangerang, Indonesia and the consignee is Volka Food International Limited in Bahawalpur, Pakistan. 3. The certificate certifies that the cocoa powder meets the origin rules to qualify for preferential tariff treatment under the Indonesia-Pakistan Preferential Trade Agreement.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    66409415006

    1. Exporter's Name and Address CERTIFICATE NO. 0040386/KTG/2017


    PT BUMITANGERANG MESINDOTAMA
    JL. DIPATI UNUS NO. 30 CIBODAS
    TANGERANG 15138-BANTEN, INDONESIA

    INDONESIA PAKISTAN
    2. Consignee's Name and Address PREFERENTIAL TRADE AGREEMENT (IPPTA)
    M/S VOLKA FOOD INTERNATIONAL LIMITED. CERTIFICATE OF ORIGIN
    3-KM, BAHAWALPUR BYPASS, BAHAWALPUR
    ROAD, MULTAN. CONTACT PERSON : MUHAMMAD WASEEM SHAHZAD
    (Combined Declaration and Certificate)
    TEL : +92 333 607 6542
    FORM IP
    3. Producer's Name and Address
    SAME Issued in INDONESIA
    (Country)

    See Overleaf Notes

    4. Means of transport and route (as far as known) 5. For Official Use Only

    Departure Date : NOVEMBER 27, 2017 Preferential Treatment Given Under IPPTA

    Vessel /Flight No. : ST GREEN V. 051N


    Preferential Treatment Not Given Under IPPTA
    Port of loading : JAKARTA, INDONESIAN SEAPORT
    (Please state reason/s)
    Port of discharge : KARACHI SEAPORT, PAKISTAN

    .............................................................................................................
    Signature of Authorized Signatory of the Importing Country
    6. Item number 7. Marks and numbers on packages; Number and kind of 8. Origin Criterion 9. Gross Weight, Quantity and 10. Number and date of
    packages; description of goods; HS code of the importing FOB value invoices
    country

    1 560 BG WO 14,140 KGM 623/INV/XI/17


    1X20' CONTAINER STC : (FOURTEEN THOUSAND ONE NOVEMBER 21, 2017
    14 MT OF INDONESIAN ALKALIZED COCOA POWDER HUNDRED AND FORTY)
    (BT360) FURTHER DETAILS ARE AS PER USD 25,700
    BENEFICIARY'S PROFORMA INVOICE NO.120/PI/X/17
    DATED OCTOBER 25, 2017. CFR KARACHI
    SEAPORT-PAKISTAN(INCOTERMS:2010). COUNTRY OF
    ORIGIN : INDONESIA, THE GOODS IMPORTABLE UNDER
    H.S CODE NO.1805.0000.14 MT (560 BAGS@25KGM). NW
    : 14,000.00 KGM

    CONTAINER AND SEAL :


    PCIU1882222/X0811684
    HS No.:1805000000

    11. Remarks

    12. Declaration by the exporter 13. Certification


    The undersigned hereby declares that the above details and statement It is hereby certified, on the basis of control carried out, that the
    are correct; that all the goods were produced in declaration by the exporter is correct.

    INDONESIA
    .................................................................................................................... MUNICIPALITY OFFICE IN TANGERANG
    (Country)

    and that they comply with the origin requirements specified these goods
    in the Rules of Origin under Indonesia-Pakistan PTA for the goods
    exported to

    PAKISTAN
    ....................................................................................................................
    (Importing Country)

    LOVITA
    PT BUMITANGERANG MESINDOTAMA OKE SULENDRO SETYO RACHMAN
    TANGERANG, NOVEMBER 28, 2017
    .................................................................................................................... TANGERANG, NOVEMBER 28, 2017
    .....................................................................................................................
    Place and date, name, signature and company of authorised signatory Place and date, signature and stamp of Authorized issuing Authority/Body

    Page 1 / 1

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