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CustomsDeclarationFormofImportedGoodsPre-inputNo.:CustomsSerialNo.:ImportPort:FilingNo.:DateofImportation:DateofDeclaration:OperatingAgency:ModeofTransport:MeansofTransport:B/LNo.Consignee:ModeofTrade:LevyorExemption:TaxRateLicenseNo.Country(Region)ofDeparture:PortofLoading:DomesticDestination:ApprovalNo.ModeofTransactionFreightPremiumsSundryChargesContractNo.NumberofPackagesKindofPackingGrossWeight(kg)NetWeight(kg)ContainerNo.DocumentsAttachedUseMarks&Nos.andRemarksItemNo.CommodityCodeName&SpecificationQuantiy&UnitPlaceofOriginUnitPriceTotalPriceCurrencyExemptionLevyofTaxesandFeesThisistoherebydeclarethattheabovedeclarationitemsarecorrect.Ifanyitemfoundfalse,theapplicationentitywillbearthelegalliability.Declarant:UnitAddress:ApplicationEntity(stamp):ZipCode:Tel:DateofFiling:CustomsExaminationCommentandtheApprovalDate(stampshouldbeaffixedhere)FormInspector:PriceInspector:TaxCollector:Statistician:Inspector:Approver:Keyboarder:RecordeAgency: