1. Products consigned from (Exporter’s business name, Reference No:…VN-CN 22/2/00003………………………..

address, country)
TASTY BANA ORGANIC CO.,LTD
XHJX+82P, Hoa Phu, Cu Chi, Ho Chi Minh City. ASEAN – CHINA FREE TRADE AREA
Tel: 028-1234-567
Fax: 028-1234-567
PREFERENTIAL TARIFF
CERTIFICATE OF ORIGIN
(Combined Declaration and Certificate)
2. Products consigned to (consignee’s name, address, FORM E
country)
THE CFM BANA ORGANIC IMPORT EXPORT CO.,LTD Issued in:… VIETNAM……
No 6, Meirenshan Yili, Tongan, Xiamen, Fujian, China Tel: (Country)
(+86) 181 56418685 Fax: (+86) 592-5204087 See Overleaf Notes

3. Means of transport and route (as far as known) 4. For Official Use
Departure date
…………… April 8, 2022…………………
 Preferential Treatment Given

Vessel’s name/ Aircraft etc.

M/V: FMBANAFAST 0138-240S  Preferential Treatment Not Given
B/L: FM1234123BANA (Please state reason/s)

Port of Loading: Cat Lai Port

Port of Discharge: Xiamen Port

BY SEA FROM: Vietnam

TO: China

………………………………………………………………
Signature of Authorised Signatory of the Importing Party

5. Item 6. Marks and 7. Number and type 8. Origin 9. Gross 10. Number,
Number number on of packages, criteria weight or net date of
package Description of (see weight or Invoices
products Overleaf other
(including quantity Notes) quantity, and
where appropriate value (FOB)
and HS number in only when
six digit code) RVC
criterion is
applied
4616 CARTONS WO G.W: INVOICE NO:
CANVENDISH BANANA 72,878.00 KGS 00001068
1 HS CODE: 080301 INVOICE VALUE: DATE:
N.W: 60,000.00KGS 58,800.00USD March 23, 2022
 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
and statement are correct; that all the products were the declaration by the exporter is correct.
produced in
…………………..……VIET NAM………………………
(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
…………………………CHINA……………………
(Importing Country)
…………Ho Chi Minh, 10/04/2022…………………
Place and date, signature and stamp of certifying authority

…………Ho Chi Minh, 10/04/2022……………………

Place and date, signature of authorised signatory
13.
 Issued Retroactively

 Movement Certificate

 Exhibition

 Third Party Invoicing

 1. Products consigned from (Exporter’s business name, Reference No:…VN-CN 22/2/00003………………………..
address, country)
TASTY BANA ORGANIC CO.,LTD XHJX+82P, Hoa Phu,
Cu Chi, Ho Chi Minh City. Tel: 028-1234-567 Fax: 028- ASEAN – CHINA FREE TRADE AREA
1234-567
PREFERENTIAL TARIFF
CERTIFICATE OF ORIGIN
2. Products consigned to (consignee’s name, address, (Combined Declaration and Certificate)
country) FORM E
THE CFM BANA ORGANIC IMPORT EXPORT CO.,LTD
No 6, Meirenshan Yili, Tongan, Xiamen, Fujian, China Tel: Issued in:… VIETNAM……
(+86) 181 56418685 Fax: (+86) 592-5204087 (Country)
See Overleaf Notes

3. Means of transport and route (as far as known) 4. For Official Use
Departure date
…………… April 8, 2022…………………
 Preferential Treatment Given

Vessel’s name/ Aircraft etc.

M/V: FMBANAFAST 0138-240S  Preferential Treatment Not Given
B/L: FM1234123BANA (Please state reason/s)

Port of Loading: Cat Lai Port

Port of Discharge: Xiamen Port

BY SEA FROM: Vietnam

TO: China

………………………………………………………………
Signature of Authorised Signatory of the Importing Party

5. Item Number 6. Marks and 7. Number and type of 8. Origin 9. Gross 10. Number,
number on packages, Description criteria (see weight or net date of
package of products (including Overleaf weight or Invoices
quantity where Notes) other quantity,
appropriate and HS and value
number in six digit (FOB) only
code) when RVC
criterion is
applied
4616 CARTONS WO G.W: INVOICE NO:
CANVENDISH BANANA 72,878.00 KGS 00001068
1 HS CODE: 080301 INVOICE VALUE: DATE:
N.W: 60,000.00KGS 58,800.00USD March 23, 2022
 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
and statement are correct; that all the products were the declaration by the exporter is correct.
produced in
…………………..……VIET NAM………………………
(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
…………………………CHINA……………………
(Importing Country)
…………Ho Chi Minh, 10/04/2022…………………
Place and date, signature and stamp of certifying authority

…………Ho Chi Minh, 10/04/2022……………………

Place and date, signature of authorised signatory
13.
 Issued Retroactively

 Movement Certificate

 Exhibition

 Third Party Invoicing

 1. Products consigned from (Exporter’s business name, Reference No:…VN-CN 22/2/00003………………………..
address, country)
TASTY BANA ORGANIC CO.,LTD XHJX+82P, Hoa Phu,
Cu Chi, Ho Chi Minh City. Tel: 028-1234-567 Fax: 028- ASEAN – CHINA FREE TRADE AREA
1234-567
PREFERENTIAL TARIFF
CERTIFICATE OF ORIGIN
2. Products consigned to (consignee’s name, address, (Combined Declaration and Certificate)
country) FORM E
THE CFM BANA ORGANIC IMPORT EXPORT CO.,LTD
No 6, Meirenshan Yili, Tongan, Xiamen, Fujian, China Tel: Issued in:… VIETNAM……
(+86) 181 56418685 Fax: (+86) 592-5204087 (Country)
See Overleaf Notes

3. Means of transport and route (as far as known) 4. For Official Use
Departure date
…………… April 8, 2022…………………
 Preferential Treatment Given

Vessel’s name/ Aircraft etc.

M/V: FMBANAFAST 0138-240S  Preferential Treatment Not Given
B/L: FM1234123BANA (Please state reason/s)

Port of Loading: Cat Lai Port

Port of Discharge: Xiamen Port

BY SEA FROM: Vietnam

TO: China

………………………………………………………………
Signature of Authorised Signatory of the Importing Party

5. Item Number 6. Marks and 7. Number and type of 8. Origin 9. Gross 10. Number,
number on packages, Description criteria (see weight or net date of
package of products (including Overleaf weight or Invoices
quantity where Notes) other quantity,
appropriate and HS and value
number in six digit (FOB) only
code) when RVC
criterion is
applied
4616 CARTONS WO G.W: INVOICE NO:
CANVENDISH BANANA 72,878.00 KGS 00001068
1 HS CODE: 080301 INVOICE VALUE: DATE:
N.W: 60,000.00KGS 58,800.00USD March 23, 2022
 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
and statement are correct; that all the products were the declaration by the exporter is correct.
produced in
…………………..……VIET NAM………………………
(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
…………………………CHINA……………………
(Importing Country)
…………Ho Chi Minh, 10/04/2022…………………
Place and date, signature and stamp of certifying authority

…………Ho Chi Minh, 10/04/2022……………………

Place and date, signature of authorised signatory
13.
 Issued Retroactively

 Movement Certificate

 Exhibition

 Third Party Invoicing