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Customs Declaration Form of Imported GoodsPre-input No.: Import Port: Operating Agency: Consignee: License No.Approval No.Contract No.Container No.Marks & Nos.and RemarksItem No.Commodity Code Name&Specification Quantiy&Unit Place of Origin Unit Price Total Price Currency ExemptionCustoms Serial No.: Filing No.: Mode of Transport: Mode of Trade: Date of Importation: Means of Transport: Levy or Exemption: Port of Loading: Premiums Gro Weight(kg)Date of Declaration:B/L No.Tax Rate Domestic Destination: Sundry Charges Net Weight(kg)UseCountry(Region)of Departure: Mode of Transaction Number of Packages FreightKind of PackingDocuments AttachedLevy of Taxes and FeesThis is to hereby declare that the above declaration items are correct.If any item found false, the application entity will bear the legal liability.Keyboarder: Recorde Agency: Declarant: Unit Addre: Zip Code: Tel: Application Entity(stamp):Customs Examination Comment and the Approval Date(stamp should be affixed here)Form Inspector: Tax Collector: Price Inspector: Statistician:Inspector: Date of Filing:Approver:
