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1. Goods consigned from( Exporter's business name, address,county) Reference No.

VN-KR 21/01/35318
VIET NAM -KOREA FREE TRADE AGREEMENT
DALAT TRADING.,JSC PREFERENTIAL TARIFF
KM 2,5 PHUNG HUNG ROAD,KIEN HUNG, CERTIFICATE OF ORIGIN
HA DONG,HANOI,VIETNAM (Combind Declaration and certificate)

2. Goods consigned to FORM VK


THE BUZZ VIET NAM
NO.208 FORHU BLDG,58 WANGSIMNI-RO,SEOUNGDONG Issued in:
-GU.SEOUL.KOREA (Conutry)
See Notes Overleaf

3. Means of transport and route( as far as known) 4, For Official Use


BY SEA
FROM : HAIPHONG PORT,VIETNAM Preferential Tariff Treatment Given Under
TO : INCHEON,KOREA Viet Nam-Korea Free Trade Agreement
Departure date
December,18,2021
B/L : KCVN2112S018 Preferential Tariff Treatment Not Given
Vessel's name/Aircralf etc (Please state reason/s)
FESCO TRADE 2124E
Port of Discharge :
INCHEON,KOREA Signature of Authorized Signatory of the Imorting Country

5, Item number6, Marks 7, Number ang type of packages,description of 8 Origin 9,Gross weight or 10,Number and date of
and goods criterion other quantity and invoices
numbers on (including quantity where appropriate and HS (see Overleaf value
packages code Notes) (FOB only when
of the good in the importing country RVC
criterion is used)

STYLENO: QTY:
SWEATER HS CODE "RVC 56.13%"
ALSRL1121 61022000
16CTNS 48/DL-DR
1231PCS 16/12/2021
Total: GW:364.37KGS
FOB:14254.98
SAY: US DOLLAR FOURTEEN THOUSAND
TWO
HUNDRED AND FIFTY FOUR AND NINETY USD
EIGHT
CENTS

11.Declaration by the exxporter 12.Certification


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

(Country)
and that they comply with the origin requirements specified for
these goods in the Viet Nam-Korea Free Trade Agreement
for the goods exported to

KOREA
HANOI,VIETNAM,DECEMBER,20,2021 HANOI,VIETNAM,20-12-2021

Place and date,signature of authorized signtory Place and date,signature and stamp of certifying authority

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