Ministry of agriculture and rural development socialist republic of viet nam



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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

HEALTH CERTIFICATE


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.:


Name of Consignee:

Address:

Tel.:


Description of Goods :
Quantity (kg) :

Lot number:



Storage temperature:
Ambient  Chilled  Frozen 

Commodities certifieed for:

Human consumption 



No

Species (Scientific name)

Type of packaging

Number of packages

Net weight (kg)

Date (period) of Production



















Name of the Establishment :

Address :

Approval Number :


Date of dispatch (if applicable):

Place of destination:

Container/ Seal No.:

Means of Conveyance:

Ship  Airplane  Other 




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.




Date of issue : MAY 01st, 2012

DIRECTOR OF INSPECTION BODY

(Signature and stamp)







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