SCHEDULE II
SRI LANKA CUSTOMS - GOODS DECLARATION
CUSDEC I
2 Exporter
TIN:
DECLARATION
IM
Customs - 53
CBHQ1
3 Pages
4 List
01 03
5 Items
Text
TIN:
1940107617000
63884
16/05/2014
Manifest
6 Total Packages
06
8 Consignee
Colombo Head Quaters
Customs Reference Number:
REHAU POLMERS PVT LTD
KHED-PABAL ROAD,HOLEWADI,
RAJGURUNAGAR,TAL-KHED,
MAHARASHTA,INDIA.
7 Declarant's Sequence Number
08 2014
#313
9 Person Responsible for Financial Settlement
TIN:
HAFELE INDIA PVT LTD
885 ETUL KOTTE RD ETUL KOTTE
Header
Information
14 Declarant/Representative
TIN:
7427612667000-1
S C K FREIGHT SYSTEMS
51-E-1 LEVEL 2 FORT BLDG
BRISTOL ST COL 01
12 Value Details
IN
180,988
IN
Cty.
India
16 Country of origin
17 Country of destination
India
Sri Lanka
19 Ctr.
20 Delivery Terms
no
FOB
21 Voyage No./Date
22 Currency & Total Amount Invoiced
113E OF 11/05/2014
USD
at Border
27 Place of Loading/Discharging
30 Location of Goods
SLPA
23 Exchange Rate
RPPL-HIPL
08 PALLETS LCL (NYKU2708148)
03
PX
Pallet
24 Nature of
Transt.
7047
Bank Code
33 Commodity (HS) Code
39204390
00
34 Cty. Orig. Code
35 Gross Mass (Kg)
IN
Description:
38 Net Mass (Kg)
000
39 Quota
1,963.52
40 Previous Pocument / BL No. / AWB No.
PVC PROFILE EDGEBANDING TAPE (PLAIN)
SIZE: 30 X 0.45
S/L
120614001040
42 Item Price(FOB/CIF)
41 UOM & Qty. 1
D.Val
36 Preference
2,069.36
37 Procedure
4000
Licence No
131.9753
32 Item No.
Containers No(s)
44 Add. Info
Documents
Produced
Certificates
and Authorization
LK
10
Advanced payment
Bank Name : Citi Bank N.A.
: 001 Ref. No: 3144099227
Branch
Marks and numbers - Containers No(s) - Number and kind
Kind
17A Cty. Dst. Code
Terms of payment
CBHQ1 Colombo Head
Number &
IN
19,723.50
28 Financial and Banking Data
Transport
29 Office of Entry/Exit
Marks & Nos
of Packages:
15 Cty. Ex. Code
ACX CRYSTAL
26 Inland Mode
13 C.A.P.
15 Country of Export
18 Vessel/Flight
25 Mode Trans.
31 Packages
and
Description
of Goods
10 Cty of Last 11 Trading
Cons/First Dst.
KGM
D.Qty
72,181+0+2,027+0-0
1,963.46
43 V.M.
8,087.00
41 UOM & Qty. 2
A.I.
41 UOM & Qty. 3
46 Statistical Value
cod
45 Adjustment
1.00
A.D.
1,141,492.00
47 Calculation of
Taxes
Type
CID
EIC
PAL
NBT
VAT
Tax Base
Rate
1,141,492.00
1,963.46
1,141,492.00
1,778,459.20
1,778,459.20
15.00
150.00
5.00
2.00
12.00
Total
50.
Office
Use
51.
Amount MP 48 A.C. Number
171,224.00
294,519.00
57,075.00
35,570.00
213,416.00
1
1
1
1
1
771,804.00 1
49 Identification of warehouse &
B ACCOUNTING DETAILS
Mode of Payment
CASH
Assessment Number
A 63906
Receipt Number
Guarantee
Total Fees
: Rs.
550.00 LKR
Total Declaration
: Rs.
1,614,850.00 LKR
C.
Date :
16/05/2014
Date :
0.00 LKR
(Total Invoiced Amount) Currency
Date :
Amount
Invoice Value:
USD
19,723.50
Freight:
USD
1333.91
Insurance:
USD
37.47
Other:
0.00
(For manual submissions to be filled by the declarant)
52.
53. I do hereby confirm that all particulars entered by me or on my behalf in
the CusDec and electronically transferred to the Sri Lanka Customs are
true & correct, and that the same particulars appear in print form on this
document.
D.
SIGNATURE OF IMPORTER / EXPORTER / AGENT: ..............................
DATE: ...........................
54. DECLARATION SUBMITTED BY
....................................................................
SIGNATURE OF CUSTOMS HOUSE AGENT
M
N JOHORAN
...........................................
ID NUMBER
SRI LANKA CUSTOMS - GOODS DECLARATION - CONTINUATION SHEET
DECLARATION
IM
CUSDEC II
Customs - 53
Consignee/Exporter
HAFELE INDIA PVT LTD
885 ETUL KOTTE RD ETUL KOTTE
TIN:
1940107617000
A. OFFICE USE
Customs Ref : CBHQ1
Date
: 16/05/2014
Manifest:
Declarant's Ref No:
2014
3 Pages
02 03
31 Packages
and.
Description
of Goods
Marks and numbers - Containers No(s) - Number and kind
Marks & Nos
of Packages
RPPL-HIPL
Number &
Kind:
03
33 Commodity (HS) Code
39203090
00
34 Cty. Orig. Code
35 Gross Mass (Kg)
IN
4000
Description:
38 Net Mass (Kg)
000
2,218.24
31 Packages
and.
Description
of Goods
Marks and numbers - Containers No(s) - Number and kind
KGM
42 Item Price
D.Qty
80,865+0+2,271+0-0
41 UOM & Qty. 2
A.I.
41 UOM & Qty. 3
46 Statistical Value
cod
1,278,832.00
RPPL-HIPL
Marks & Nos
32 Item No.
33 Commodity (HS) Code
48205000
00
34 Cty. Orig. Code
35 Gross Mass (Kg)
of Packages
00
PX
Pallet
Kind:
IN
4000
Description:
38 Net Mass (Kg)
000
39 Quota
80.00
COLOUR SAMPLE CHAINS FOR UNI AND DECORE,
SAMPLE CHIAN FOR ROLLER SUTTER METERIAL
40 Previous Pocument / BL No. / AWB No.
(PROMOTIOM MATERILS)
41 UOM & Qty. 1
44 Add. info
Documents
Produced
Certificates
and Authorization
Licence No
31 Packages
and.
Description
of Goods
Marks and numbers - Containers No(s) - Number and kind
D.Val
36 Preference
86.00
37 Procedure
Containers No(s):
S/L
120614001040
42 Item Price
KGM
D.Qty
242+0+7+0-0
43 V.M.
27.00
80.00
41 UOM & Qty. 2
A.I.
41 UOM & Qty. 3
46 Statistical Value
cod
A.D.
3,812.00
RPPL-HIPL
Marks & Nos
32 Item No.
33 Commodity (HS) Code
49111090
00
34 Cty. Orig. Code
35 Gross Mass (Kg)
of Packages
00
Number &
PX
Pallet
Kind:
IN
4000
Description:
38 Net Mass (Kg)
000
18.24
S/L
120614001040
(PROMOTION MATERILS)
42 Item Price
41 UOM & Qty. 1
D.Val
39 Quota
40 Previous Pocument / BL No. / AWB No.
REHAU CATLOUGES,RABBET LEDGE
SELF ADHESIVE SCREW CAP LEAFLTETS,
Licence No
36 Preference
19.23
37 Procedure
Containers No(s):
47 Calculation of
taxes
43 V.M.
9,060.00
2,218.24
A.D.
Number &
44 Add. info
Documents
Produced
Certificates
and Authorization
S/L
120614001040
41 UOM & Qty. 1
D.Val
39 Quota
40 Previous Pocument / BL No. / AWB No.
PVC PROFILE EDGEBANDING TAPE (PRINTED)
SIZE: 30 X 0.45
Licence No
36 Preference
2,329.41 ISFTA
37 Procedure
Containers No(s):
63884
#313
32 Item No.
PX
Pallet
44 Add. info
Documents
Produced
Certificates
and Authorization
KGM
D.Qty
669+0+18+0-0
43 V.M.
75.00
18.22
41 UOM & Qty. 2
A.I.
41 UOM & Qty. 3
46 Statistical Value
cod
A.D.
10,585.00
Type
CID
EIC
PAL
NBT
VAT
Tax base
Rate
1,278,832.00
2,218.24
1,278,832.00
1,803,393.20
1,803,393.20
0.00
150.00
5.00
2.00
12.00
CID
PAL
NBT
VAT
Tax base
Rate
10,585.00
10,585.00
12,173.50
12,173.50
0.00
5.00
2.00
12.00
Total Third Item
191,825.00
332,736.00
63,942.00
36,068.00
216,408.00
Type
3
1
1
1
1
CID
EIC
PAL
NBT
VAT
Amount MP
Type
649,154.00
Total First Item
Type
Amount MP
0.00
530.00
244.00
1,461.00
2,235.00
Tax base
Rate
3,812.00
80.00
3,812.00
13,337.20
13,337.20
25.00
100.00
5.00
2.00
12.00
Amount MP
953.00
8,000.00
191.00
267.00
1,601.00
11,012.00
Total Second Item
1
1
1
1
CID
EIC
PAL
NBT
VAT
Total
Summary of Taxes
53 A
192,778.00
340,736.00
64,663.00
36,579.00
219,470.00
662,401.00
Signature and Date
1
1
1
1
1
SRI LANKA CUSTOMS - GOODS DECLARATION - CONTINUATION SHEET
DECLARATION
IM
CUSDEC II
Customs - 53
Consignee/Exporter
TIN:
A. OFFICE USE
Customs Ref : CBHQ1
Date
: 16/05/2014
Manifest:
Declarant's Ref No:
2014
3 Pages
03 03
31 Packages
and.
Description
of Goods
Marks and numbers - Containers No(s) - Number and kind
Marks & Nos
of Packages
RPPL-HIPL
Number &
Kind:
00
#313
32 Item No.
33 Commodity (HS) Code
39269090
00
34 Cty. Orig. Code
35 Gross Mass (Kg)
PX
Pallet
IN
4000
Description:
36 Preference
6.00
37 Procedure
Containers No(s):
63884
38 Net Mass (Kg)
39 Quota
000
5.00
40 Previous Pocument / BL No. / AWB No.
RAUKANTEX SOFT,
(PROMOTION MATERILS)
S/L
120614001040
43 V.M.
41 UOM & Qty. 1
44 Add. info
Documents
Produced
Certificates
and Authorization
Licence No
31 Packages
and.
Description
of Goods
Marks and numbers - Containers No(s) - Number and kind
D.Val
KGM
D.Qty
4+0+0+0-0
41 UOM & Qty. 2
cod
A.I.
KNS
A.D.
0.50
5.00
1.00
46 Statistical Value
41 UOM & Qty. 3
70.00
Marks & Nos
RPPL-HIPL
32 Item No.
33 Commodity (HS) Code
83024200
00
34 Cty. Orig. Code
35 Gross Mass (Kg)
of Packages
Number &
01
PX
Pallet
Kind:
IN
37 Procedure
Containers No(s):
4000
Description:
36 Preference
220.00
b
38 Net Mass (Kg)
000
39 Quota
185.00
C-BOX FRAME 4,RVL VETRO LINE,EASY LINE
EASY LINE TRACK,METALLIC ALU EASY LINE
40 Previous Pocument / BL No. / AWB No.
(FURNITURE FITTINGS)
41 UOM & Qty. 1
44 Add. info
Documents
Produced
Certificates
and Authorization
Licence No
31 Packages
and.
Description
of Goods
Marks and numbers - Containers No(s) - Number and kind
D.Val
S/L
120614001040
43 V.M.
KGM
D.Qty
22,082+0+620+0-0
2,474.00
185.00
41 UOM & Qty. 2
A.I.
41 UOM & Qty. 3
46 Statistical Value
cod
A.D.
349,209.00
32 Item No.
33 Commodity (HS) Code
Marks & Nos
of Packages
34 Cty. Orig. Code
Number &
Kind:
37 Procedure
35 Gross Mass (Kg)
36 Preference
38 Net Mass (Kg)
39 Quota
Containers No(s):
Description:
40 Previous Pocument / BL No. / AWB No.
S/L
43 V.M.
41 UOM & Qty. 1
44 Add. info
Documents
Produced
Certificates
and Authorization
47 Calculation of
taxes
Licence No
D.Val
cod
D.Qty
41 UOM & Qty. 2
A.I.
41 UOM & Qty. 3
46 Statistical Value
A.D.
Type
Tax base
Rate
CID
EIC
PAL
NBT
VAT
5.00
5.00
70.00
556.00
556.00
20.00
75.00
5.00
2.00
12.00
Type
Tax base
Amount MP
100.00
375.00
4.00
12.00
67.00
Type
1
1
1
1
1
CID
EIC
PAL
NBT
VAT
Amount MP
Type
558.00
Total First Item
Rate
Rate
25.00
30.00
5.00
2.00
12.00
Amount MP
87,303.00
5,550.00
17,461.00
9,889.00
59,334.00
179,537.00
Total Second Item
CID
EIC
PAL
NBT
VAT
Total Third Item
Tax base
349,209.00
185.00
349,209.00
494,443.90
494,443.90
Total
Summary of Taxes
53 A
259,580.00
641,180.00
139,203.00
82,050.00
492,287.00
1,614,300.00
Signature and Date
1
1
1
1
1
