PROFORMA INVOICE

Importer: Exporter :
Kevin Chen BEACON MEDICARE LTD.
9/A Toyenbee Circular Road (Box Culvert Road),
Motijheel C/A, Dhaka-1000. Bangladesh
Delivery address:
E-mail: tamal@beaconmedicare.com.bd
masfik@beaconmedicare.com.bd
5684 bay st 556, Emeryville, 94608 shamiul@beaconmedicare.com.bd
Plant: Kathali, Bhaluka, Mymensingh, Bangladesh.
Phone number: 4086010110 Authorized Export Registration # ‘RA’ 0091960

Country: USA
Invoice No.: PI/SIUSTF-122-12/BML- Chen Bank: HSBC-HONGKONG
Address: 1 Queen’s Road Central, Hong Kong
Date : 13th December, 2018 SWIFT: HSBCHKHHHKH
Beneficiary: BEACON Medicare Limited
Flat 2004, 20/F, Beel House, Block A
525-543 Nathan Road, Yau Ma Tei,
Kowloon, Hong Kong
Account No.: 023-497712-838

Description CFR Unit Price Amount

Packing Quantity
Pharmaceutical Finished Product / bottle (US$)
Product
H.S.Code: 3004 9099
Tofacinix 5 (Tofacitinib 5 mg) tablet 30’s 36 Box USD 15.00 USD 540.00
Courier (EMS) USD 65.00
CFR Total USD 605.00
Amount In Words: US DOLLAR SIX HUNDREAD AND FIVE ONLY
Credit Terms Final Destination
Country of Origin : Bangladesh
USA
Port of Shipment: From Dhaka to US
Delivery: Immediately
Shipping Mark
Payment: By T.T. 100% in advance before shipment.
Payment Charges: Inside and outside charge must be bearded by importer
Packing : Export Standard
Tran shipment: Allowed BEACON- Chen
Part shipment: Allowed
Declaration:
We declare that this Proforma Invoice shows the actual price of the goods described and that all particulars are
true and correct.
Accepted
For,
For,
BEACON MEDICARE LTD.
Kevin Chen
Monjurul Alam
Executive Vice President, BEACON MEDICARE LTD.