Imported goods customs declaration --- English templateCustoms Declaration Form of Imported GoodsPre-input No Customs Serial NoImport Port Filing No Date of Importat

Customs Declaration Form for Imported Goods

Pre-input No.: Customs Serial No.:

Import Port: Filing No.:

Date of Importation: Date of Declaration:

Operating Agency: Mode of Transport:

Means of Transport: B/L No.

Consignee: Mode of Trade:

Levy or Exemption: Tax Rate

License No. Country (Region) of Departure:

Port of Loading: Domestic Destination:

Approval No. Mode of Transaction

Freight Premiums Sundry Charges

Contract No. Number of Packages

Kind of Packing Gross Weight (kg)

Net Weight (kg) Container No.

Documents Attached Use Marks & Nos. and Remarks

Item No. Commodity Code Name & Specification Quantity & Unit Place of Origin Unit Price Total Price Currency Exemption Levy of Taxes and Fees

This is to hereby declare that the above declaration items are correct. If any item is found false, the application entity will bear the legal liability.

Keyboarder: Recorded Agency:

Declarant: Unit Address:

Application Entity (stamp): Zip Code: Tel: Date of Filing:

Customs Examination Comment and Approval Date (stamp should be affixed here)

Form Inspector: Price Inspector:

Tax Collector: Statistician:

Inspector: Approver