MINISTRY OF AGRICULTURE AND RURAL DEVELOPMENT - SOCIALIST REPUBLIC OF VIET NAM
NATIONAL AGRO-FORESTRY-FISHERIES QUALITY ASSURANCE DEPARTMENT
BRANCH 6
Add: 386C CACH MANG THANG 8 ST., BUI HUU NGHIA WARD, BINH THUY DIST., CAN THO CITY, VIETNAM
Tel: 84-710-3883257; Fax: 84-710-3884697; E-mail: tonghop.nafi6@mard.gov.vn
For fishery products originated from the Socialist Republic of Vietnam
and intended for export to the Republic of Indonesia
Reference No: YK00000/12/CH
I. Consignment information:
Name of Consignor:
Address:
Tel.:
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Name of Consignee:
Address:
Tel.:
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Description of Goods :
Quantity (kg) :
Lot number:
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Storage temperature:
Ambient Chilled Frozen
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Commodities certifieed for:
Human consumption
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No
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Species (Scientific name)
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Type of packaging
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Number of packages
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Net weight (kg)
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Date (period) of Production
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Name of the Establishment :
Address :
Approval Number :
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Date of dispatch (if applicable):
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Place of destination:
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Container/ Seal No.:
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Means of Conveyance:
Ship Airplane Other
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II. Attestation :
This is to certify that :
1. The above fishery products were come from the establishment approved by National Agro-Forestry-Fisheries Quality Assurance Department (NAFIQAD) following food safety regulations of Vietnam.
2. The products were inspected by NAFIQAD and not found any pathogenic bacteria and harmful substances.
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Date of issue : MAY 01st, 2012
DIRECTOR OF INSPECTION BODY
(Signature and stamp)
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