f)ENTALC Shiva Products

ISO 9001:2012 & ISO t3(85 Cer fiodManufucturera E Exporlers of Dentat product3, Spectallty Waxos

and Jowellery Waxes

GST # 27AEKPD6234R,IZZ

Ti6u itd cta chn so htu (ten, dia chi)

SHIVA PRODUCTS

2I4, BLUEBELL INDUSTRIAL ESTATE, CHINCHPADA, VASAI (EAST), PALGHAR.MAHARASITTRA, INDIA

Ngiy I 2tr thAng October nim 2020s

Date:12.10.2020

GLA.Y T'Y QI]YEN

ChUNg I6i, SHIVA PRODUCTS, 2I4,JLUEBELL INDUSTRIAL ESTATE, CHINCHPADA.. VASAI(EAST), PALGHAR, MAHARASHTRA, INDIA, voi tu ciich la cht so htu si,n pMtn bhg vdr ban nay tyquyin cho Cdng Ty Trdch Nhrem Hihr Ha, Mat Thdnh Vr6n TiN NHA . A423OT|Z Titr&.2l lda 44VINHOMES GOLDEN RIVER, 02 TOtr Dlic Thing, Phuong B6n Nghe, Quan l, Thani Ph6 Hd Chi Minl'.viet Nam &rsc nh.ip ktdu cic trang thidt biy t6 sau: .ri'l(Danh muc nio phdm: t€n trang thi6t bi y ta) "i' I

. :i ':

we, SHIVA PRoDUCTS, at 214, BLUEBELL INDUSTRIAL ESTATE, CHINCHPADA, VASAI (EAST),

PALCHA& MAHARASHTRA, INTDIA, as the legal manufacturer SHryA PRODUCTS do hereby authorize

TIN NHA COMPANY LIMITED A423OTl2 FLOOR 23rd BLOCK A4 VINHOMES GOLDEN RMR, 02

Ton Duc Thang sfeet, Ben Nghe ward, District l, Ho Chi Minh City, Viet Nam to apply for import license,

import the following medical devices:

t!.1c (Products list: Attached to this letter)cE

t6t , h5 trq BO Y td (vu Traag thi6t bi vi C6ng trini y t6) ve cic ycu cAu lien quan

202iftarg miet Ui v t6 nl{p khdu n€u tr6n

Ir{./tiBit. tND\i

Unlt: &18, h,ai€ lndl. Est., Nslk P8&, WblM V86l (East) Ostlct - Palghar - 401 208 Maharashka, lNDl,A

Custom6r Ca.e: 99678065{3 Email: lnfu&naErcdootd.com I w€b: tlwr.maarcdontal-co.n

B.anch Otflco: 214. Elt rar.I l.iu.fLl Ett&, Blal Ptd., CHn ltFd., \hd Ed. P.lotl* - '101200. f.tehd6ttt!. lndb.

.. LETTER OF AUTHONSATION.ir

Khh gui: BO Y t6 (Vu Tmng thi6t bi vi C6og trtnh y 16)

To: Ministry ofHedhh (Depo nenl bJ Medicdl Equipment and Cohstl.tction)

DENTALFI,C Shiva Products

ISO 9001:2012 & ISO 134a5 Cortiriodllranuraclurera & Erporter6 of Dental Products, Speclallty Waxea

and Jowollery Waxes

GST * 27AEKPD8234RIZZWe commit to provide and support all information conceming product information. product quality uponrequest by the Vietnam Ministry ofHealth (Department ofMedical Equipment and Constructions) for medical

devices mentioned above.

Thu riy quydn niy hiQu luc ddn thd di6m: 31.10.2023

This authorization letter is valid until : 3 I . I 0.2023

Dd dietr hqp phip chn s, htru

Ki fth

@p ftn diy di, chtic danh)

L€gitimate representrtive of lcgal Bmuf.cturer (product owner)

Mrs. Rrnjstr Doshi

P

13th Oct 202

Unlt: &18, Dwarka lndl. Est., Naik Pada, WhlM \Asai (East) Disricr ' Palghar - 4Ot 208 Maharashbs' INDIA

Customor Caro: 9067806!i4:i Email: ln@maarcdertal.com I Web: trYrw.maatrdontal.com

Br.nch Offlco: 21,4, Bt.b.I lnd.dH Ed.t . BIal H4 Cllfirpcdq !b.ai E .t P.lgarff- 'f01zt8 Mdld..t't ' lndh.

FOR SHIVA PRODUCIS

(lo-ro*'PR(PRIElOF

Digitally Signed

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fl\aanct!rrr.rrn Sltivu Products - Annexure

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Pa.EAq Qty?ro&Et 5{arn2

2r0.4€ms powder +

2r3mlH2O2+ 1x1.2ml

Gintiva shield + 2

dispen5inrtips

8801/0011 Blitzwhite (ln-office bleaching kit)

9ao1/1X22 HF Gellmlx 2 syr+4ApplicatorTips

3Sogms + 50ml+

8005/001

4 1Em+5ml a60!0011gm+5ml 8501/0015 C€raseal-B {Bio Ceramic Sealer)

970u1006 Eazlaray {For making Luciaiig,bite stopprs} 100 smsTwinkleen (single step irriralion)(can b€ used withSodium hypo - & no need ro use EDTA Pane)

301417O0

8 15ml 30121O15

9 3016/015Hemostaz Solution (Hemostatic Liquid) 15ml

10H.most r G.l (Hemost tic As.nt) (25% AluminiumOrlorid.)

3ml 3018/003

11 sealmax - R {Resin Ba*d Root Gnalsealed10 gms Uquid & 10

Gms Powder + mixingpad + m.suring spoon

80or0o1

17 Mixinr Pad Small 1 Book 8004/001s13 MixinB Pad Bis 8004/0018

74Glx'O (radio Opaque Water based

Glcaum Hydroxide with barium Sulphat€)

1.5tmx2syr+49102/003

15 Calahyd - Rc (Glcium Hydroxide with lodoform ) 1.5rmsx 2 svr 9703/75x216 Endo Past€ {17% tDTA + c:rbamid€ peroxide) 3ml 9203/OO3

17 Endosel-Rc (17% EDTA Gel) 3ml 920210o3

100 ml 92OutOO18 Endo-L (EDTA Liquid 17%)

15ml 920r01s19 Gsol (Gutt. Percha Solvent) 15 ml 3005/01s20 T-fill (Temporary filli.s m.lerial) 40 sms ssoT/040

27 Sodium Hypochlorite (3%/ 5%) 100m13009/1oo3004/1OO

22 Orloro-x (:,% - rose flavoud (chlorhexidine) 100 ml 3010/1OO

23 D-Vitz (Pulp DevitalizinE Paste) 3 tm syr+ 10 app. Tips 9003/00324 Find Fast (Grries lndicator) 15 ml 3005/015

45 smt 9oo1/MS25

Zirprophy (Zircon Prophylaxis Paste) Spearmint340 gms 90O1/340

90 sms 9002/090... ii,>.Pro-Paste (Prophylaxjs Paste) Spearmint Flavor

340 sms 9OWl340 _:. 't

2l ,hqu. - D (Plaque oisclosure Gel) 9301/O'10

M&k -Up Wex {lvory) 12 sheets 220t/28, . ,1.12*)rn M& -Upwax {lvorv) 200 Ems 2207/2OO

JO AIe R€eistation Wax laluminium filledl 10 sheets 2202/O10

clasiic BRW Extra Hard lal. filledl 10 sheets 2207lO7O

10 sheets 2213/O1O---33 10 pcs 22101O10

34 Site Rims 10 pcs 2t4lOrO

';i

Prod..t CodzSr No

7

09 I

='= oigita

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2209102535

10 sticks 1s01/01036 6re.n Tncing Sticks

15 nickr 1501/015

100 Sticks 150r1001023107237 Sp.€ialTr.y Blanks 6r€€n 2.2mm Upp€r

38 Speci.lTrav Plates Silver 2.2mm Upper 10pcs 1309/010

1s03/00539 lmpr€ssion Compound40 Gstina wax Sheets 0.5mm 200 gms

41.500 rms 2001/50o

Mod€llins wax R€8ular

12 Sheets 2OO2/O1242

500 8rms 2OO2ISOO

12 sheets 2O7OlO1243

500 grms 2010/50012 sheets 2O1s/O12

500 rrms 201s/s0045 Die Stone - Typ€ 4 30 kr Bas 4101/03046 Orthoc.lStonePlanerTyp€ lV-Off White 30 k Bas 41O2/O3O

9401/00347 ETc - 37l3796odho Phosphoric Acid )Bel

25 gm 9401/O2548 ZIEGO (Zinc Oxide + EusenolKit) 30ems + 15ml

15ml

3002/03049 Eugenol

3002/11O30 tms 3001/030

s0225 Rms 3OOU22s

51 Glcium Hydroxide Powder 15 rms 5oo2/01s52 Zinc Oxide 100 cms 5001/100

100 sms 600L/7O0

1kg @ou0o153 Heat Cure Powder Clear

600r003100 sms @o2l7OO

6002/oo154 Heal Cure Powder Pink

3ks 6002/0031008ms 6003/1001kE 6003/001He.t Cure powder Light V€an€d

3k8 6003/003100 ml 6101/100500 ml

6101/00155 Heat Cur€ Liquid

5 tit100 8ms 6201/100

6201/O0757 Cold Cure PowderCle:r

3kE 620tloo3100 gms 6202/7O0

1kE 6202/OO1ffi=.,,,IERCFcold Cure Powder Pink

3kg 6202lOO3

6203/1001k 6203/001y u(rnec & curc Po$der tasht v€aned

100 ml 6301/1ool titt#' Cold cur. trquid5 tit110 ml 6407/7t05tn 6401/O0s

55

61

25 pcs

7zgcs

5 C.k.t

12 sh€ets

3tm

3Oml

110m|

3kt

l lit

1k8

100 gms

3kr 6203lOO3

5101/0Os

510vs00

3OO2/O1S

8701/001

2206/2OO

20011o12

!30v001--630r00s

62 Heat Cure Univers.l P.cket Clear 50450 sms + 225m1

Heat Cure Universal Packet Pink 450 8ms + 225m1 6502/00164 H€at Curc UniversalPack€t Lisht Veined 450 ems + 225m| 5s03/001

Cold Cure U n iv€rsal Pack€t Cl.a r 400 sm5 + 400 ml 6504/001Cold Cu.e Univers.l P.cket Pink 40O gms + 400 ml 6505/001

67 Cold Cure UniversalPacket Liaht Veined 6505/001

Glloph.ne sh€€ts 6507lOO1

R2 Ceramic Allov For PFM Bondin8 70o215o0

Relnforcement Mesh - Silver 10 pcs 5501/010Rennforcement Mcsh - Golden 10 pcs 5502/010

12 2OO sms 27Ou2N73 sti.kY sticks 10 nick 2707/OtO74 Oi. B.rdner Sp.c€r thinn.r 5€t Golden 10O ml+ 5omlthinner 8101/10015 0le H.rdn€r spacer thinner Set Silver 100 ml+ 50mlthinner 8102/10016 100 ml 8103/10017 Die Thinner 50 ml 8104/050

Oie Lubricant / Die Separator 3003/10079 500 erms box 230150080 500 srms box

81 500 srms box 2303/s00

2304/5OO

500 trms box 2305/5O0500 Brms box 2306/sOO

500 Ermr box 2301|SOO

86 D€ntalStone Plaster Yellow Tvpe lll 30 kg 4001/030

DentalStone PlasterGreen Type lll 30 kC 40021o30

88 Ultra Ston. PlasterType lll 4003/030

30 ks Bag 420V030PlasterOf ParisGrad€ A -Type ll

Pumi.€ Powd€r Fine 500 tm5 5003/5Oo

Pumice Powder Medium 500 rms 5004/500Pumice Powder Coarse 500 8ms 5005/5OO

Pattern No l Orange For Dipping 200gms 24OU2OO

94 Patern No 2 Red For Built- up 200sms 2402120O

Pattern No 3 Elue tor lvory medium Euilt-up Wax 2008ms 2403l2OO

Pattern No 4 Green Hard Pattern Wax 200sms 2404/2OO

Pattem No 5 Viol.t Hard Built-up Wax 2008ms 2405/2OO

Paltern No 5 Coffee Copyin8 Wax 200rms 2406120O

Patt.m No 7 Ma8enta For MarSin 240712OO

Pattern No 8 Orange tree flowinB Hard Wax 200rms 240al2ooMolar Cl.sps XL 10 pcs z9o2/oto

LinsualBar 453.ms / 1lb 22051453

Lin8ualBar 1OO gms 2205/70O104 23OA/Ot2

Utility Wax 30 Cm 250 sms 230A/250

:146 GrvanS wex Blo.ks white 40 8lock5 25071040

;"$7 Crrvang Wax Blocks Red 25021040

Frvins Wax Blocks Blue 25031040

Crylnr wax Elocks Yellow 40 Elocks 25041A40

Eeains wax6 sheets 2203l006

Etxine wax 12" 6 sheets 2204/OO5

25 Sheets 2601/025

25 sheets 2502/O25

... l1s lhlay Sticks 10 Sticks (70 sms) 2403lOtO

orJst$

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53

55

66

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40O sms + 400 ml

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50O srms

78 10Oml

23O2l5OO

82 500 &ms box

83

84

85

87

30 rt8990

91

92

93

95

9697

98

99 200rms100

101

102

103

12 Strips105

--loC'.ro40 Blocks

40 Blocks

109y qfflec,iq?Tzo

12 Strips 230910L2

112

class Eeads 200 200116

Spirit Lamp - slass lamp 1 pcs ssos/G/001118 wir I pk of 10) 10pcs 5S0s/w/0o1119 lPc ssos/cl0o1

Lubricant Spray Ior Handpiec€ 150 mltin can s506/1s0127 500 ml s506/soo

Arch Bar 5508/012123 Relief W.xes for ortho 23tO/O0S

724 Polishinr Gke 5504/001125 ApplicatorTips refill 18 G(M€tal tiDsl pack of 10 95O2lO1O

726 ApplicatorTipr refill 25 G (disposable plastici 9501/010

727Articulatint Pap€r (aod (R€d & Blue maJ()- M.ster 1 box of 10 books x 12

5511/001

128Articulating Pap€r (100rr)(Red & Blue mix) - Mastsr 1box of 10 book x 12

ss13/001

729 Artaculatins Paper (40s)Red - Maste. packl box of 10 book x 12

ssls/o01

130 Aniculatinr Paper (100lr)Red - Mastcr pack1 box of 10 bools x 12

sheetssstT /oo1

131 Articulating Paper (40F)Blue - Men€r p.ck 1 box of 10 book x 125519/001

t32 Aniculatint Pap€r{10Ou)Elue - Man.r pack1 box of 10 book5 x 12

133Articul.tinr Pap€r {40ll)Horseshoe (RGd & 8lu. mix) 1 bor of 10 books x 12

5h€etsss231001

134 3101/0Ot98mm X 10mm - Tooth colour135 1pc98mm x 12mm - Tooth colour 3102/OO1

1pc 3103/00198mm x 14mm - Tooth Colourt37 1pc 3104/00198mm x 16mm - Tooth Colour

138 3105/00198mm x 18mm - Tooth Colour

139 98mm x 20mm -Tooth C-olour 3106/001

140 3ro7 /o0198mm x 22mm - Tooth Colour

141 98mm x 25mm - Tooth Colour 1P€ 3108/001

142 1pc 3t2UOO1g8mmx10mm-lvory

143 98mmx12mm-lvorylpc 3121/OO196mmx14mm-lvory1pc 3124/OO19ammxL6mm-lvory

146 1pc 3125/0O196mmxl8mm-lvory

147 1pc 3126/00198mmxzomm-lvory

148 3127 lOOt98mmx22mm-lvory

149 98mm x 25mm' lvory 1pc 3124/OO1

150 1Pcgammx10mm-whrte

1pcgammx12mm-White

152 1pc98mmx14mm-White:153 1pc 31441OO198mmx16mm-White

1Pc 314s/OO198mmr18mm-White

laE '4 1pc 3!46/OOttPmrnx20mm-White-1s6

1pc 3147 lOOtgl,lmr22mm-white1Pc 3148/001I Yy-',-=: 986rnx25mm-White1pc 3207/OO!g8mm x 10mm - 6reen1pc 3202/OO1159

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3203/001,,, rq) 98mmx14mm-Green1pc 3204/OOt.161 qtl1fl l6mh Green

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1pc 3207lOOlttmmx22mm-Green3208/00198mmx25mm-Green

1pc 322!/OO198mm x lomm'Blue1pc98mm,12mm-Blue1pc 322310O7168 ggmm, 14mm - Blue

3224/9Ot169g8mrYrxIdrim-Blue 1Pc

98mmx18mm-Blue 1pc

98mmx20mm-8lue 1pc 32261OO1

3227 /OO198mmx22mm-Blu€ 1Pc

1Pc 3224/OOr98mm x 25mm Slue

774 1Pc 3241/OOt98mmx10mm-Pink98mm x 12mm- Pink 1Pc 32421001

98mm x 14mm Plnk 1pc 32431001

777 98mm )( 15mm Pink 3244lOOl

98mmx18mm-Pink lpc 3245/OOt

98mmx2omm-Pink 1Pc 3246lOOt

9ammx22mm-Pink lPc 3247 /OOl9Emmx25mm-Pink 3244/OO1

lPc 326!lOOl1Pc

184 95hmxlomm-White lPc 3301/OO1

95mmr12mm-White 1pc 3302/OO1

95mm x 14mm'White lpc 3303/OO1

95hmr15nh-White 1pc 3304/OO1

188 95mmr 1Emm - White 1pc 3305/OO1

95mmx2omm-White 1pc 3306/00195mm x 22mm'White 1Pc95mmx25mm-White 1pc 3308/0O1

95mmx1omm-Purpl€ lpc 3321/OOt

95mmx12mm-Purpl€ 1pc 3322lOOl95mmx14mm-Purpl. 3323/OO1

95rnmx15mm-Pu.pl€ 1pc 3324/@l95mml( 1arnm - Purple 1pc 3325/OO1

95mm x 20mm 'Purple 3325/OO1

95mmx22mm-Purpl€ 1pc 3327 /OO195mmx25mm-Purpl€ 1pc 3328/00195mmx10mm-lurquoas. 1pc 3341/00195mm x 12mm - Turquoise 1pc 3342/O01

95mm ! 14mm - Turquoase 1Pc 333/0019smm x 15mm - Turquoase 1Pc 3344lOOt95mm x 16mm -Turquoase 1Pc 3345/001

205 95mmx20mm-T'rrquoise 1pc 3345/OOl

206 95mmx22mm-Turquoi!€ 1pc 334/ /OOt

@.. 95mmx25mm-Turquoise 1pc 3348/001

+If@,,,,^ 95mm x 10mm - Tooth Colour 1pc 3351/001

209 5r5rhm x 12mm - Tooth Colour 1pc 3352/OO1

<ila-. 9s1hm x 14mm - Tooth Colour 1Pc 3353/001

i^p.aa"^ 95r!m x 16mm - Tooth ColoDr 1pc 3354/001

212 95mm x lamm - Iooth Colour 1pc 3365/00195rnm x 20mm - Iooth Colour 1Pc 3365/001

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