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:

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HEALTH CERTIFICATE

FOR FISHERIES AND FISHERY PRODUCTS INTENDED FOR EXPORT TO PERU

Name of Consignor :
Address :
Tel : / Name of Consignee:
Address :
Tel :
Central Competent Authority: NATIONAL AGRO-FORESTRY-FISHERIES QUALITY ASSURANCE DEPARTMENT (NAFIQAD)
Local Competent Authority: NATIONAL AGRO-FORESTRY-FISHERIES QUALITY ASSURANCE DEPARTMENT – BRANCH 6
Description of Goods :
Weight Declared (kg) : / Temperature of product :
Ambient 1 Chilled 1 Frozen þ
Commodities certified for :
Human consumption 1 Reprocessing to export to the EU 1
No / Species (Scientific name) / Type of packages / Number of packages / Net weight
(kg) / Date (period) of Production
Area of origin (1):
(1) For bivalve molluscs only, indicate the production area approved by the competent authority.
Name of the Establishment :
Address :
Approval number (2) :
(2) EU approval number in case of reprocessing for export to the EU
Container No : / Bill of Lading No : / Seal No : / Mean of Conveyance :
Place of Dispatch (port) : / Place of Destination (port) :
Date of Dispatch :

I. Consignment information:

Date of issue: NOV. 01ST, 2010
Official inspector
Name (in capitals)/Qualification and title Signature

Stamp


II. Health Attestation:

A. In case of the above fisheries and fishery products for human consumption:

I, the undersigned official inspector, hereby certify that:

1. The above fisheries and fishery products come from the establishment approved by the National Agro-Forestry-Fisheries Quality Assurance Department (NAFIQAD).

2. The above fisheries and fishery products were produced, packed, stored and transported under sanitary condition, which were under the supervision and inspection of the National Agro-Forestry-Fisheries Quality Assurance Department (NAFIQAD).

3. The above fisheries and fishery products were inspected by the National Agro-Forestry-Fisheries Quality Assurance Department (NAFIQAD) and not found any pathogenic bacteria, harmful substances and fit for human consumption.

B. In case of the above fisheries and fishery products for reprocessing for export to the EU:

I, the undersigned official inspector, hereby certify that:

1. The fisheries and fishery products described above come from the establishment approved by the European Union.

2. The fisheries and fishery products described above were produced in accordance with Regulations (EC) No178/2002, (EC) No 852/2004, (EC) No 853/2004 and (EC) No 854/2004, in particular that they:

- come from (an) establishment(s) implementing a programme based on the HACCP principles in accordance with Regulation (EC) No 852/2004;

- have been caught and handled on board vessels, landed, handled and where appropriate prepared, processed, frozen and thawed hygienically in compliance with the requirements laid down in Section VIII, Chapters I to IV of Annex III to Regulation (EC) No 853/2004;

- satisfy the health standards laid down in Section VIII, Chapter V of Annex III to Regulation (EC) No 853/2004 and the criteria laid down in Regulation (EC) No 2073/2005 on microbiological criteria for foodstuffs;

- have been packaged, stored and transported in compliance with Section VIII, Chapters VI to VIII of Annex III to Regulation (EC) No 853/2004;

- have been marked in accordance with Section I of Annex II to Regulation (EC) No 853/2004;

- the guarantees covering live animals and products thereof, if from aquaculture origin, provided by the residue plans submitted in accordance with Directive 96/23/EC, and in particular Article 29 thereof, are fulfilled; and

- have satisfactorily undergone the official controls laid down in Annex III to Regulation (EC) No 854/2004.

3. The above fisheries and fishery products were produced, packed, stored and transported under sanitary condition, which were under the supervision and inspection of the National Agro-Forestry-Fisheries Quality Assurance Department (NAFIQAD).

4. The above fisheries and fishery products were inspected by the National Agro-Forestry-Fisheries Quality Assurance Department (NAFIQAD) and not found any pathogenic bacteria, harmful substances for further processing to export to the EU.

Stamp / Date of issue: NOV. 01ST, 2010
Official inspector
Name (in capitals)/Qualification and title Signature

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