Import Export Goods Customs Declaration Form

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Import export goods customs declaration form (Special for processing with imported materials)

Application unit No.: ________ Customs No.: _________

Import port

Means and No. of conveyance  

Operating agency:  

Trade nature (mode)

Date of import

Receiving unit

Country (region) of trading

B/L or waybill No.

Contract (agreement) No.

Country (region) of origin

Freight & extra fees

Approval organ and document No.

Foreign exchange source

Insurance premium/year

Mark No., piece No., gross weight (kg), net weight (kg)

Package type

Commodity No. for customs statistics

Name of goods, specification and goods No.

Quantity

Transaction price

CIF price

Quantity

Unit

Unit price

Total price

RMB

Foreign currency

Duty-paid price _______ Industrial-commercial tax-paid price ￥_____ Duty-paid certificate No.

Tariff No. and rate % _______ Industrial-commercial tax rate % __________ Industrial-commercial tax-paid certificate No.

Duty amount ￥________ Industrial-commercial tax amount ￥________ Tax payment certificate issuing date:

Remarks

 

Container No.

Accompanying document:

Customs clearance date _______ The undersigned hereby declares that the above details and statements are truthful.

Customs Authorized: ________ (seal) _____________ customs house

Applying organization: ___________ (seal)

Application date:

Import Export Goods Customs Declaration Form (Special for processing with imported materials)