1. Goods consigned from (Export's business name, address, country).
PT ENTEK SEPARINDO ASIA
WISMA KORINDO,
JL. MT. HARYONO KAV.62 PANCORAN,
PANCORAN JAKARTA SELATAN 12780,
INDONESIA,PH: ( 021) 7975959
TAX ID: 81.860.061.1-061.000
MINISTRY OF TRADE
2. Goods consigned to (Consignee's name, address, country).
OF THE REPUBLIC OF INDONESIA
RAHIMAFROOZ GLOBATT LIMITED CERTIFICATE OF ORIGIN
PLOT NO. 29-33 AND 54-58
ISHWARDI EXPORT PROCESSING ZONE, FORM B
PAKSEY ISHWARDI, PABNA, BANGLADESH
AND SOCIAL ISLAMI BANK LIMITED
Reference No.
3. Means of transport and route (as far as known). 4. For Official Use.
Shipped By : LADY OF LUCK V. 218N
From : JAKARTA SEA PORT, INDONESIA
To : CHATTOGRAM SEAPORT, BANGLADESH
Date of Shipment : JULY 06, 2023
5. item 6. Marks and numbers 7. Number and kind of packages; description of goods. 8. Gross weight or 9. Number and
num- of packages other quantity date of invoices
ber.
1 CONTAINER / SEAL : 40 BOXES OF BATTERY SEPARATOR GW: ENS-003191
SIKU5941480/0021365 HS CODE: 8507.90.10 9,959.0000 KGM JUNE 24, 2023
QTY: 47,628 M2 NW:
TRADE TERM: CFR CHATTOGRAM 8,639.0000 KGM
BANGLADESH ( INCOTERMS - 2020 )
PER PROFORMA INVOICE
NO. PI-231530702
DATED: 07/02/2023
OF THE BENEFICIARY.
PI NO: 231500702,
BEPZA PERMISSION
NO. IP-PJT-IEPZ-27/07/2791,
DATED 06-12-2007
H.S. CODE NO. 8507.90.10
TIN NO. 562426181238
VAT/BIN NO. 000107083-1105
BANK BIN NO. 000302065-02002
LC NO.: 121923210014
DATE: 230406
HS: 8507.90.10
10. Certification.
It is hereby certified, on the basis of control carried out, that the goods stated above were produced in Indonesia
JAKARTA,
11. Competent authority (name, full address).
ISSUING OFFICE IN KOTA ADMINISTRASI JAKARTA BARAT
JL. RAYA KEMBANGAN NO. 2 BLOK B LT. V JAKARTA BARAT,
JAKARTA
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