# DRAFT — Avery Dennison Materials Sdn. Bhd. (label facestock) — two declaration letters

Prepared for Hoi Vu Company Limited PPWR dossier, 3/9/2026.
Genre model: sample dossier §12 row 4 (Avery COP PFAS letter) for Letter 1; §12 row 8 (Silgan heavy-metals declaration) for Letter 2.
Evidence base: register §2 Label rows — only document on file is the provisional REACH SVHC letter of 6/3/2026 (ASEAN LPM FASSON® PSA, Paper/PO/PE/PET/PP/PI facestocks). **No heavy-metal figure and no PFAS statement exist today.**
Finalization rev 2, 3/9/2026: addressee standardized to "Hoi Vu Company Limited"; every Hoi Vu-side fill field removed; signer-side [[FILL]] fields retained by design; chain reference to the 6/3/2026 REACH SVHC letter added (facts verbatim from register §2); PFAS clause (d) reworked into two signer alternatives (Alternative 2 wording from sample dossier §12 row 4).

---

## LETTER 1 — PFAS DECLARATION (Art. 5(5) + REACH Annex XVII Entry 79)

> **Signer must complete before returning:**
> - [[FILL: Avery Dennison Materials Sdn. Bhd. full registered address]]
> - [[FILL: Ref no. and date of issue]]
> - [[FILL: exact FASSON facestock grade(s) supplied — paper or film family]]
> - [[FILL: test report no., laboratory and date, if PFAS test data is held — otherwise use Alternative 2 in clause (d) and delete Alternative 1]]
> - Signature, name, title, company seal/stamp

---

**[[FILL: Avery Dennison Materials Sdn. Bhd., full registered address, Malaysia]]**

Ref: [[FILL: reference number]]
Date: [[FILL: date of issue]]

To: Hoi Vu Company Limited — Cau Giat Industrial Cluster, Duy Tan Ward, Ninh Binh Province, Viet Nam

Reference: our REACH SVHC declaration for ASEAN LPM FASSON® PSA products (Paper, PO, PE, PET, PP and PI facestocks), dated 6/3/2026.

**Subject: Declaration on per- and polyfluoroalkyl substances (PFAS) in FASSON® pressure-sensitive facestock supplied for labels supplied to Hoi Vu Company Limited, with reference to Article 5(5) of Regulation (EU) 2025/40 (PPWR) and Entry 79 of Annex XVII to Regulation (EC) No 1907/2006 (REACH)**

Dear Sir or Madam,

FASSON® pressure-sensitive facestock is supplied to PHU HUNG PAPER AND PACKAGING CO., LTD (CÔNG TY TNHH GIẤY VÀ BAO BÌ PHÚ HƯNG) for the manufacture of self-adhesive labels supplied to Hoi Vu Company Limited for use as labels on food packaging exported to the European Union. The facestock supplied comprises the following grade(s): [[FILL: exact grade(s)]].

We hereby declare that:

(a) Per- and polyfluoroalkyl substances (PFAS) are **not intentionally added** to the above facestock materials at any stage of their manufacture;

(b) To the best of our knowledge, based on the technical information provided by our raw material suppliers, the finished facestock materials do not contain PFAS;

(c) The above is stated in accordance with Article 5(5) of Regulation (EU) 2025/40 (Packaging and Packaging Waste Regulation), which restricts PFAS in food-contact packaging, and consistent with the restriction intention of Entry 79 of Annex XVII to Regulation (EC) No 1907/2006 (REACH);

(d) [[FILL — complete exactly one alternative and delete the other:
— Alternative 1 (test data is held): "This declaration is supported by test report no. …, issued by …, dated …."
— Alternative 2 (no test data is held): "No testing has been conducted to determine the level of PFAS in the finished facestock materials; this declaration stands on the technical information provided by our raw material suppliers."]]

This declaration is based on our standard material specifications and the supplier information available to us at the date of issue.

This declaration is valid for twelve (12) months from the date of issue.

Yours faithfully,

for Avery Dennison Materials Sdn. Bhd.

Name: [[FILL]]
Title: [[FILL]]
Date: [[FILL]]
Signature: ______________________
Company seal / stamp


---

## LETTER 2 — HEAVY METALS DECLARATION (Art. 5(4))

> **Signer must complete before returning:**
> - [[FILL: Avery Dennison Materials Sdn. Bhd. full registered address]]
> - [[FILL: Ref no. and date of issue]]
> - [[FILL: exact FASSON facestock grade(s) supplied]]
> - [[FILL: test report reference and sum value, if data is held — otherwise delete the optional bracketed sentence]]
> - Signature, name, title, company seal/stamp

---

**[[FILL: Avery Dennison Materials Sdn. Bhd., full registered address, Malaysia]]**

Ref: [[FILL: reference number]]
Date: [[FILL: date of issue]]

To: Hoi Vu Company Limited — Cau Giat Industrial Cluster, Duy Tan Ward, Ninh Binh Province, Viet Nam

Reference: our REACH SVHC declaration for ASEAN LPM FASSON® PSA products (Paper, PO, PE, PET, PP and PI facestocks), dated 6/3/2026.

**Subject: Declaration on heavy metals in FASSON® pressure-sensitive facestock supplied for labels supplied to Hoi Vu Company Limited, with reference to Article 5(4) of Regulation (EU) 2025/40 (PPWR)**

Dear Sir or Madam,

FASSON® pressure-sensitive facestock is supplied to PHU HUNG PAPER AND PACKAGING CO., LTD (CÔNG TY TNHH GIẤY VÀ BAO BÌ PHÚ HƯNG) for the manufacture of self-adhesive labels supplied to Hoi Vu Company Limited for use as labels on food packaging exported to the European Union. The facestock supplied comprises the following grade(s): [[FILL: exact grade(s)]].

We hereby declare that the sum of the concentrations of lead (Pb), cadmium (Cd), mercury (Hg) and hexavalent chromium (Cr(VI)) in the above facestock materials does not exceed 100 mg/kg (0.01% by weight), in accordance with Article 5(4) of Regulation (EU) 2025/40 (Packaging and Packaging Waste Regulation), which reproduces the requirement previously established by Article 11 of Directive 94/62/EC.

Based on the technical information given by our raw material suppliers, the sum of the above heavy metals in the finished facestock materials remains below the limit of 100 mg/kg. We do not perform any specific tests for this purpose beyond the assessments carried out by our raw material suppliers. [[FILL — optional, complete only if test data is held: "Analytical support: test report no. …, issued by …, dated …, showing a sum of … mg/kg."]]

This declaration is valid for twelve (12) months from the date of issue.

Yours faithfully,

for Avery Dennison Materials Sdn. Bhd.

Name: [[FILL]]
Title: [[FILL]]
Date: [[FILL]]
Signature: ______________________
Company seal / stamp