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