BỘ NÔNG NGHIỆP VÀ PHÁT TRIỂN NÔNG THÔN
CỤC QUẢN LÝ CHẤT LƯỢNG NÔNG LÂM SẢN VÀ THỦY SẢN
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CỘNG HÒA XÃ HỘI CHỦ NGHĨA VIỆT NAM
Độc lập – Tự do – Hạnh phúc
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Số: 1270/QLCL-CL1
V/v xuất khẩu thủy sản vào Malaysia làm nguyên liệu chế biến

Hà Nội, ngày 27 tháng 07 năm 2009

Kính gửi:

- Các doanh nghiệp chế biến thủy sản.
- Các Trung tâm Chất lượng nông lâm thủy sản vùng 1-6

Nơi nhận:
- Như trên;
- PCT Phụ trách (để báo cáo);
- VASEP;
- Website;
- Lưu: VT, CL1.

KT. CỤC TRƯỞNG
PHÓ CỤC TRƯỞNG



Trần Bích Nga

Part I: Details of dispatched consignment

COUNTRY: VIETNAM

I.1. Consignor

Name

Address

Postal code

Tel. No

I.2. Certificate reference number

I.2.a.

I.3. Central Competent Authority

NATIONAL AGRO-FORESTRY-FISHERIES QUALITY ASSURANCE DEPARTMENT (NAFIQAD)

I.4. Local Competent Authority

NATIONAL AGRO-FORESTRY-FISHERIES QUALITY ASSURANCE DEPARTMENT-BRANCH…

I.5. Consignee

Name

Address

Postal code

Tel. No

I.6

I.7. Country of origin

VIETNAM

ISO code VN

1.8. Region of origin

Code

I.9. Country of destination

ISO code

I.10

I.11. Place of origin

Name:

Address:

Approval number:

I.12.

I.13. Place of loading:

I.14. Date of departure:

I.15. Means of transport

Aeroplane £  Ship £  Railway wagon £

Road vehicle £  Other £

Identification:

Documentary references:

I.16. Entry BIP in Malaysia:

I.17.

I.18. Description of commodity:

I.19. Commodity code (HS code):

I.20. Quantity:

I.21. Temperature of product

Ambient £       Chilled £     Frozen £

I.22. Number of packages:

I.23. Identification of container/Seal number:

I.24. Type of packaging:

I.25 Commodities certified for:

Human consumption R

I.26.

I.27. For import or admission into Malaysia R

I.28. Identification of the commodities

Species/ Scientific name

Nature of commodity

Treatment type

Approval number of establishments/Manufacturing plant

Number of packages

Net weight

II. Health attestation

II.a. Certificate reference number

II.b

Notes:

Part I:

- Box reference I.8: Region of origin: For frozen or processed bivalve molluses, indicate the production area.

- Box reference I.11: Place of origin: name and address of the dispatch establishment.

- Box reference I.15: Registration number (railway wagons or container and lorries), flight number (aircraft) or name (ship). Separate information is to be provided in the event of unloading and reloading.

- Box reference I.19: use the appropriate HS code: 03.01, 03.02, 03.03, 03.04, 03.05, 03.06, 03.07, 05.11.91, 15.04, 15.18.00, 16.03, 16.04, 16.05.

- Box reference I.23: Identification of container/Seal number: Where there is a serial number of the seal it has to be indicated.

- Box reference I.28. Nature of commodity: Specify whether aquaculture or wild origin.

Treatment type: Specify whether live, chilled, frozen or processed.

Manufacturing plant: includes factory vessel, freezer vessel, cold store, processing plant.

Part II:

⁽¹⁾  Part II.1 of this certificate  does not apply to countries with special public health certification requirements laid down in equivalence agreements or other Community legislation.

⁽²⁾ Part II.2 of this certificate does not apply to:

(a) non-viable crustaceans, which means crustaceans no longer able to survive as living animals if retuned to the environment from which they were obtained.

(b) fish which are slaughtered and eviscerated before dispatch.

(c) aquaculture animals and products thereof, which are placed on the market for human consumption without further processing, provided that they are packed in retail-sale packages which comply with the provisions for such packages in Regulation (EC) No 853/2004.

(d) crustaceans destined for processing establishments authorised in accordance with Article 4(2) of Directive 2006/88/EC, or for dispatch centres, purification centres or similar businesses which are equipped with an effluent treatment system inactivating the pathogens in question, or where the effluent is subject to other types of treatment reducing the risk of transmitting diseases to the natural waters to an acceptable level,

(e) crustaceans which are intended for further processing before human consumption without temporary storage at the place of processing and packed and labelled for that purpose in accordance with Regulation (EC) No 853/2004.

⁽⁵⁾ Parts II.2.1 and II.2.2 of this certificate only apply to species susceptible to one or more of the diseases referred to in the title. Susceptible species are listed in Annex IV to Directive 2006/88/EC.

⁽⁴⁾ Keep as appropriate.

⁽⁵⁾ For consignments of species susceptible to EUS, EHN, Taura syndrome and/or Yellowhead disease this statement must be kept for the consignment to be authorised into any part of the Community.

⁽⁶⁾ To be authorised into a Member State, zone or compartment (boxes I.9 and I.10 of Part I of the certificate) declared free from VHS, IHN, ISA, KHV or Whitespot disease or with a surveillance or eradication programme established in accordance with Article 44(1) or (2) of Directive 2006/88/EC, one of these statements must be kept if the consignment contain species susceptible to the disease(s) for which disease freedom or programme(s) apply(ies). Data on the disease status of each farm and molluse farming area in the Community are accessible at http://ec.europa.eu/food/animal/liveanimals/aquaculture/index_en.htm

- The colour of the stamp and signature must be different to that of the other particulars in the certificate.

Stamp

Official inspector
Name (in capitals)/qualification and title
Signature

I. Consignment information:

Reference No:……..

Name of Consignor:

Address:

Tel:

Name of Consignee:

Address:

Tel:

EU approved number:

Notify Party:

Address:

Tel:

Description of Goods:

Weight Declared (kg): 

Temperature of product:

Ambient £       Chilled £      Frozen £

Commodities certified for:

Human consumption R

No

Species (Scientific name)

Type of packages

Number of packages

Net weight (kg)

Date (period) of Production:

Name of the Establishment:

Address:

Approval Number:

Container No:

Bill of Lading No:

Seal No:

Mean of Conveyance:

Place of Dispatch (port):

Place of Destination (port):

Date of Dispatch:

Stamp

Date of issue: ………..
Official inspector
(Signature)