Original
1.     Products consigned from (Exporter's business name, Serial No.
       address, country)                                  Reference No.10210000/2023
Zhengzhou Yinglian machinery co,ltd
Add: B-1404, Nongye Road No.16, Jinshui
District, Zhengzhou, Henan, China
2.     Products consigned to:
       LEEK LIMITED
       KK 453 Kicukiro
       Road KK42 Near Magerwa
       Magerwa-Gikondo
       SULFO HOUSE,2rd floor
       Phone:+2500788304468
       Kigali-RWANDA
3. Means of transport and route (as far as known)                 4. For Official Use
                                                                        Preferential Treatment Given
     BY AIR                                                        C] Preferential Treatment Not Given(Please state reason/s)
     Departure date: 28/10/2023
     Vessel's name / Aircraft etc.
                                                                        Signature Of Authorised Signatory of the Importing Party
     Port of Discharge
    5. Item 6.    Marks         and 7. Number and type of packages,      8.       Origin    9. Gross weight 10. Numberi date
    number     numbers           on   description                  of    criteria (see      or net weight or   of Invoices
                                                                         Overleaf           other quantity,
               packages               products(including     quantity
                                                                         Notes)             and value
                                      where appropriate and HS                             (FOB) only when
                                      number in six digit code)                              RVC criterion is
                                                                                             applied
1             50CTNSX20PCS           Veterinary syringe 50ml             CHINA             950KGS               YLX20231010
2             500BOX10PC             veterinary needle                   CHINA             9KGS                 YLX20231010
                 S
                                                                                                                OF 24/10/2023
ll. Declaration by the exporter                             12. Certification
 The undersigned hereby declares that the above details and     It is hereby
 statement are correct; that all the products were produced     certified , on
                                                              page of
                                                                 Attachment
                                   in                                         the basis of control carried out,that the
                                                                              declaration by the exporter is correct,
                                CHINA
                              (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
                          (Importing Country)
                             RWANDA
      Place and date, signature of authorised signatory                       Place and date,signature and stamp of certifying authority
13. C] Issued Retroactively                  Exhibition                                           28/10/2023
      C] Movement Certificate             C] Third Party Invoicing
                                                                        1         I
1.     Products consigned from (Exporter's business name,
       address, country)
      Zhengzhou Yinglian machinery co,ltd
       Add: B-1404, Nongye Road No.16, Jinshui
      District, Zhengzhou, Henan, China
2. Products consigned to (Consignee'S
       LEEK LIMITED
       KK 453 Kicukiro
       Road KK42 Near Magerwa
       Magerwa-Gikondo
       SULFO HOUSE,2rd floor
       Phone:+2500788304468
       Kigali-RWANDA
3. Means of transport and route (as far as known)                           4. For Official Use
                                                                             Cl Preferential Treatment Given
     Departure date
                                                                                  Preferential Treatment Not Given(PIease state reason/s)
     Vessel's name / Aircraft etc.
     Port of Discharge
                                                        Signature Of Authorised Signatory of the Importing Party
 5. Item 6. Marks and 7. Number andtype of packages, 8.            Origin 9. Gross weight 10.          Number,
 number    numbers on   description of products(including criteria (see    or net weight or        date       of
                                                          Overleaf         other quantity,
           packages     quantity where appropriate and HS                                          Invoices
                                                          Notes)           and value
                        number in six digit code)
                                                                          (FOB) only when
                                                                            RVC criterion is
                                                                            applied
                                                                 page   I I  of
1          50CTNSX20PC Veterinary syringe 50ml                                  CHINA            950KGS                  YLX20231010
           S                                                                                                             YLX20231010
2                      veterinary needle                                        CHINA            9KGS
           500BOX10PCS
                                                                                                                         OF 24/10/2023
Il. Declaration by the exporter                                         12. Certification
    The undersigned hereby declares that the above details and                It is hereby certified , on the basis of
    statement are correct; that all the products were produced in             control carried out,that the declaration
                                                                              by the exporter is correct.
                               CHINA
                            (Country)
    and that they comply with the origin requirements specified
    fór these products in the Rules of Origin for the ACFTA for the
    products exported to
                        (Importing Country)
                           RWANDA
                                                                              Place and date,signature and stamp of certifying authority
    Place and date, signature of authorised signatory
13. 12 Issued Retroactively             C] Exhibition
      Movement Certificate                 Third Party Invoicing
11 . Declaration by the exporter                                         12. Certification
     The undersigned hereby declares that the above details and               It is hereby certified , on the basis of
    statement are correct; that all the products were produced in             control     carried      out,that    the
                                                                              declaration by the exporter is correct.
                               CHINA
                                                                (Cou
                                ntry)
    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
                        (Importing Country)
    Place and date, signature of authorised signatory
                                                                               Place and date,signature and stamp of certifying authority
13. C] Issued Retroactively             C] Exhibition
        Movement Certificate                Third Party Invoicing
                                                                    page of
                                                        Triplicate
1. Products consigned from (Exporter's business name,           Serial No.
   address, country)                                            Reference No.
                                                                      ASEAN-CHINA FREE TRADE AREA
                                                                                      PREFERENTIAL
                                                                                                 TARIFF
                                                                              b
2. Products consigned to (Consignee's name,address,country)                                      CERTIFICATE OF ORIGIN
                                                                                               Declaration and Certificate)
                                                                                                             FORM E
                                                                                             EOPLE'S REPUBLIC OF CHINA
                                                                                              (Country)
                                                                                         See Overleaf Notes
3. Means of transport and route (as far as known)               4. For Official Use
  Departure date                                                      Preferential Treatment Given
  Vessel's name / Aircraft etc.                                  C] Preferential Treatment Not Given(Please state reason/s)
  Port of Discharge
                                                                     Signature of Authorised Signatory of the Importing Party
 5. Item 6. Marks and 7. Number and type of packages, 8.                    Origin 9. Gross weight or 10.
 number    numbers      description    of     products(including criteria (see      net weight or         Number
                                                                 Overleaf  Notes)   other      quantity,
           on           quantity where appropriate and HS                                                 , date of
                                                                                    and value
           packages     number in six digit code)                                  (FOB) only when RVC    Invoices
                                                                                    criterion is applied
                                                        page   I I
                                                                of
 11. Declaration by the exporter                                                12. Certification
      The undersigned hereby declares that the above details and                    It is hereby certified , on the basis of
     statement are correct; that all the products were produced in                  control carried out,that the
                                                                                    declaration by the exporter is correct.
                                                                         CHIN
                                       A
                                 (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
                            (Importing Country)
     Place and date, signature of authorised signatory
                                                                                    Place and date,signature and stamp of certifying authority
 13. C] Issued Retroactively                    Exhibition
            Movement Certificate              a Third Party Invoicing
                                                              OVERLEAF NOTES
1.   Parties which accept this form for the purpose of preferential treatment under the ASEAN-China Free Trade Area (ACFTA):
     BRUNEI DARUSSALAM             CAMBODIA               CHINA
     INDONESIA                     LAOS                   MALAYSIA
     MYANMAR                       PHILIPPINES            SINGAPORE
     THAILAND                      VIETNAM
2.   CONDITIONS: The main conditions for admission to the preferential treatment under the ACFTA are that products sent to any Parties
     listed above:
     (i)      must fall within a description of products eligible for concessions in the country of destination;
     (ii)     must compty with all relevant provisions of Annex 1 (Rules of Origin) of the Protocol to Amend the Framework Agreement
              on Comprehensive Economic Co-operation and Certain Agreements thereunder between the Association of Southeast Asian
              Nations (ASEAN) and the People's Republic of China (ACFTA Upgrading Protocol).
3.   ORIGIN CRITERIA: For each good described in Box 7 of this form, the origin criteria met should be indicated in Box 8, in the manner
     shown in the following table:
       Circumstances of production or manufacture in the first country                              Insert in Box 8
       named in Box 11 of this form
       (a) Goods wholly produced or obtained satisfying subparagraph
            (a) of Article 2 of Annex 1 of the ACFTA Upgrading Protocol
                                                                                                       wo
       (b) Goods produced in a Party exclusively from originating
             materials from one or more of the Parties satisfying
             subparagraph (b) of Article 2 of Annex 1 of the ACFTA
             Upgrading Protocol
      (c) Goods produced from non-originating materials in a Party,
           satisfying paragraph 1 of Article 4 of Annex 1 of the ACFTA
           Upgrading Protocol
             - Regional Value Content                                                Actual percentage of ACFTA value
                                                                                     content, example "40%"
             - Change in Tariff Classification at the four-digit level                                 CTH
      (d) Goods satisfying the Product Specific Rules (PSR) in
                                                                                                   PSR
             Attachment B of Annex 1 of the ACFTA Upgrading Protocol
4.   EACH ARTICLE MUST QUALIFY: It should be noted that all the products in a consignment must qualify separately in their own right.
     This is of particular relevance when similar articles of different sizes or spare parts are sent.
5.   DESCRIPTION OF PRODUCTS: The description of products in Box 7 must be sufficiently detailed to enable the products to be
     identified by the Customs Officers examining them.
                                                                 Attachment
6.   The Harmonised System number of the importing party in Box 7 (six digit code) shall be determined according to the International
     Convention on the Harmonized Commodity Description and Coding System and subsequent amendments thereto.
7.   The term "Exporter" in Box 1 and 11 may include the manufacturer or the producer. [n the case of Movement Certificate (MC), the
     term "Exporter" also includes the exporter in the intermediate Party. For China, a Chinese manufacturer can apply for a Certificate of
     Origin (Form E) in the case where the manufacturer needs to authorise other agencies to export on its behalf. In this case, the
     manufacturer can make the declaration indicated in Box 11 and shall state the name and address of the exporter in Box 7.
8.   FOR OFFICIAL USE: The Customs Authority of the importing Party must indicate (V) in the relevant boxes in column 4 whether or not
     preferential treatment is accorded.
9.   MOVEMENT CERTIFICATE: In cases of Movement Certificate, in accordance with Rule 12 of Attachment A of the Rules of Origin of the
     ACFTA Upgrading Protocol (Operational Certification Procedures): (i) "Movement Certificate" in Box 13 should be ticked 61); (it) the
     indicated value in Box 9 shall be the invoice value of the products exported from the intermediate Party. The indicated value in Box 9
     is only required when the RVC criterion is applied; (iii) The name of the original Issuing Authorities of the Party, date of the issuance
     and the reference number of the original Certificate of Origin (Form E) to be indicated in Box 7.
10. THIRD PARTY INVOICING: In cases where invoices are issued by a third country, "the Third Party Invoicing" in Box 13 shall be ticked
     (V). The invoice number shall be indicated in Box 10. 'nformation such as name and country of the company issuing the invoice shall
     be indicated in Box 7.
11. EXHIBITIONS: In cases where products are sent from the exporting Party for exhibition in another Party and sold during or after the
     exhibition for importation into a Party, in accordance with Rule 22 of Attachment A of the Rules of Origin for the ACFTA, the
     "Exhibitions" in Box 13 should be ticked (V) and the name and address of the exhibition indicated in Box 2.
12. ISSUED RETROACTIVELY: tn exceptional cases, due to involuntary errors or omissions or other valid causes, the Certificate of Origin
     (Form E) may be issued retroactively in accordance with Rule 11 of Attachment A of the Rules of Origin for the ACFTA. The "Issued
     Retroactively" in Box 13 shall be ticked (V) electronically or typewritten together with other information in the Certificate of Origin
     (Form E). In cases where the "Issued Retroactively" in Box 13 cannot be ticked electronically or typewritten, the Certificate of Origin
     (Form E) shall be stamped with the words "ISSUED RETROACTIVELY".
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