ETHIOPIAN CUSTOMS

COMMISSION
DECLARATION FORM
2024 / MOJ00 / 4 / 12169 1 DECLARATION A. CLEARANCE OFFICE MOJO Dry Port (MOJ)
2 Consignor/Exporter No Office Code Manifest Number
ELMES ENGINEERING PRODUCTS FZE DJIBOUTI INTERNATIONAL FREE TRADE IM 4 MOJ00
ZONE,PK23
DJIBOUTI 3 Forms 4 Loading Lists Registration number & date Assessment number & date
1 3 4-012169 27/06/2024 A-012844 27/06/2024
5 Items 6 Tot. Pkgs. 7 Declarant Reference number Receipt number & date
5 26 2024 / TOPT36 R-030621 28/06/2024
8 Consignee/Importer No 0082664438 No 10 Country of Last
9 Person responsible for financial settlement
BWP DATA CENTER AND CLOUD SERVICE P DJ Consign.
27511/15
ADDIS ABABA 11 Trading

country
15 Country of dispatch/export 15 C. disp./exp. code 17 Country destin. code

Djibouti a DJ b a ET b ET
14 Declarant No 0055992676 16 Country of origin 17 Country of destination Section
TOPLEVEL TRANSIT AND LOGISTIC SERVICE PLC China Ethiopia IPS
ADDIS ABABA
NIFAS SILK LAFTO 20. Delivery Terms Business Activity
FOB FI
18 Identity and nationality of means of transport at arrival 19 Ctr. 22 Currency and total amount invoiced 23 Exchange rate 24 Nature of
RIFT VALLEY CORNE D'AFRIQUE X USD 493,635.80 57.8743 transactio
21 Identity and nationality of active means of transport crossing the border 28 Financial and banking data 24 Invoice Details
Bank Code Currency Amount
Ex. Freight ETB 1,428,441.00
25 Mode of transport 26 Inland mode 27 Place of Loading
at the border of transport
Branch Terms of Payment Insurance ETB 41,256.00
61 3 Djibouti DJJIB
0 FRANCO Other ETB 217,607.00
29 Office of entry/exit 30 Location of goods
B. P. number and date In. Freight ETB 83,692.00
DDL02 DEWELE (DEW) Total ETB 1,770,996.00
31 Packages Marks & 32 Item 33 Commodity Code
and numbers 1 No 85042290 000 0000 0000
description
of goods PONU1560704 SUDU4864155 Number & kind of packages 34 Country of origin Code 35 Gross Mass (kg) 36 Preference
Ctr.
No(s) GATU8453384 FCIU8876915
6 PK Pack, Package a CN b 15612
Description of goods 42 a 37 PROCEDURE 38 Net mass (kg) 39 Quota
--- Other Ex. Freight 446,452.00 4000 454 15508
2500KVA PAD MOUNTED TRANSFORMER #1-2 Insurance 12,894.00 40 Summary declaration/Previous document / Way bill
Other Costs 68,012.00
In. Freight 26,157.00
41 Supplementary units 42 Item price 43 V.M.

44 Additional UNT 10 154,283.20 Code

License number Deducted Quantity Deducted Value
Information/ A.I. Code 45 Adjustment
Produced
documents Attached document codes 1
001 004 005 006 007 404 505 510 034 46 Statistical Value
Proc. Program
9,482,547.00
Type Duty/Tax Base Rate Amount MP 48 Account No / Deferred Payment 49 Warehouse code / period
47 Taxes &
duties 01 9,482,547.00 0 0.00 1
03 12,801,440.00 0 0.00 1 Summary of Payables
04 12,801,440.00 0 0.00 1 Amount

05 14,721,650.00 0 0.00 1 Total duties & taxes 63,093.51

15 9,482,547.00 0 0.00 1 Guarantee amount 0.00
12 9,482,547.00 0 0.00 1 Total fees 0.00
16 9,482,547.00 0.07 6,637.78 1 Other 0.00
Total Payable 63,093.51
Total 6,637.78 1
50 Declaration C OFFICE OF DEPARTURE

I, Gulilat Dagnachew Tizazu (AG0590), the undersigned of TOPLEVEL TRANSIT AND LOGISTIC
SERVICE PLC ADDIS ABABA NIFAS SILK LAFTO do hereby declare that the information and particulars
declared are true and complete and accept fully the condition and requirements attaching to the use of CPC
declared here in and hold myself liable for any inaccurate information.

Signature Date & stamp Address

52 Guarantee Code 53 Office of destination (and country)

not valid for

D CONTROL BY OFFICE OF DEPARTURE Stamp: 54 Place and date:

Result:

Seals affixed: Number:

Signature and name of declarant/representative
Identity:
Gulilat Dagnachew Tizazu (AG0590)
Time limit (date):

Signature:
 ETHIOPIAN CUSTOMS
COMMISSION
DECLARATION FORM - Continuation sheet

1 DECLARATION A. CLEARANCE OFFICE

8 Consignee/Importer No 0082664438 Office Manifest Number
BWP DATA CENTER AND CLOUD IM 4
MOJ00
SERVICE P
27511/15 3 Forms Registration number & date Assessment number & date
ADDIS ABABA
2 3 4-012169 27/06/2024 A-012844 27/06/2024
31 Packages Marks & 32 Item 33 Commodity Code
and numbers 2 No 85372020 000 0000 0000
description
of goods Number & kind of packages 34 Country of origin Code 35 Gross Mass (kg) 36 Preference
Ctr.
No(s) 5 PK Pack, Package a CN b 15612
Description of goods 42 a 37 PROCEDURE 38 Net mass (kg) 39 Quota
--- Distribution board Ex. Freight 916,302.00 4000 454 15508
LV CABINET BOX,SF6 RING CABINET BOX,CABLE BRUNCH BOX#3,5-6,15 Insurance 26,464.00 40 Summary declaration/Previous document / Way bill
Other Costs 139,588.00
In. Freight 53,686.00
41 Supplementary units 42 Item price 43 V.M.

44 Additional 316,652.60 Code

License number Deducted Quantity Deducted Value
Information/ A.I. Code 45 Adjustment
Produced
documents Attached document codes 1
Proc. Program 46 Statistical Value
Model 19,462,088.00
31 Packages Marks & 32 Item 33 Commodity Code
and numbers 3 No 85369000 000 0000 0000
description
of goods Number & kind of packages 34 Country of origin Code 35 Gross Mass (kg) 36 Preference
Ctr.
No(s) 5 PK Pack, Package a CN b 15612
Description of goods 42 a 37 PROCEDURE 38 Net mass (kg) 39 Quota
- Other apparatus Ex. Freight 49,830.00 4000 454 15508
Insurance 1,439.00 40 Summary declaration/Previous document / Way bill
ALUMINUM BUSH BAR,CABLE FAULT INDICATOR,ARRESTER #4,9-11
Other Costs 7,591.00
In. Freight 2,920.00
41 Supplementary units 42 Item price 43 V.M.

44 Additional 17,220.00 Code

License number Deducted Quantity Deducted Value
Information/ A.I. Code 45 Adjustment
Produced
documents Attached document codes 1
Proc. Program 46 Statistical Value
Model 1,058,375.00
31 Packages Marks & 32 Item 33 Commodity Code
and numbers 4 No 85049000 000 0000 0000
description
of goods Number & kind of packages 34 Country of origin Code 35 Gross Mass (kg) 36 Preference
Ctr.
No(s) 5 PK Pack, Package a CN b 15612
Description of goods 42 a 37 PROCEDURE 38 Net mass (kg) 39 Quota
- Parts Ex. Freight 15,742.00 4000 454 15508
24KV AND 35KV EUROPEAN DETACHABLE CONNECTOR#7-8,12-13 Insurance 455.00 40 Summary declaration/Previous document / Way bill
Other Costs 2,398.00
In. Freight 922.00
41 Supplementary units 42 Item price 43 V.M.

44 Additional 5,440.00 Code

License number Deducted Quantity Deducted Value
Information/ A.I. Code 45 Adjustment
Produced
documents Attached document codes 1
Proc. Program 46 Statistical Value
Model 334,353.00
Type Duty/Tax Base Rate Amount M Type Duty/Tax Base Rate Amount MP
47 Taxes &
duties 01 19,462,090.00 0 0.00 1 01 1,058,375.00 0 0.00 1
03 24,327,610.00 0 0.00 1 03 1,111,294.00 0 0.00 1
04 24,327,610.00 0 0.00 1 04 1,111,294.00 0 0.00 1
05 27,976,750.00 0 0.00 1 05 1,277,988.00 0 0.00 1
15 19,462,090.00 0 0.00 1 15 1,058,375.00 0 0.00 1
12 19,462,090.00 0 0.00 1 12 1,058,375.00 3 31,751.25 1
16 19,462,090.00 0.07 13,623.46 1 16 1,058,375.00 0.07 740.86 1

Total first item: 13,623.46 1 Total second item: 32,492.11 1

Type Duty/Tax Base Rate Amount M Type Amount M ← SUMMARY
01 334,353.00 0 0.00 1 C OFFICE OF DEPARTURE
03 351,071.00 0 0.00 1
04 351,071.00 0 0.00 1
05 403,732.00 0 0.00 1
15 334,353.00 0 0.00 1
12 334,353.00 3 10,030.59 1
16 334,353.00 0.07 234.05 1

Total third item: 10,264.64 1 G.T.

 ETHIOPIAN CUSTOMS
COMMISSION
DECLARATION FORM - Continuation sheet

1 DECLARATION A. CLEARANCE OFFICE

8 Consignee/Importer No 0082664438 Office Manifest Number
BWP DATA CENTER AND CLOUD IM 4
MOJ00
SERVICE P
27511/15 3 Forms Registration number & date Assessment number & date
ADDIS ABABA
3 3 4-012169 27/06/2024 A-012844 27/06/2024
31 Packages Marks & 32 Item 33 Commodity Code
and numbers 5 No 76161000 000 0000 0000
description
of goods Number & kind of packages 34 Country of origin Code 35 Gross Mass (kg) 36 Preference
Ctr.
No(s) 5 PK Pack, Package a CN b 15612
Description of goods 42 a 37 PROCEDURE 38 Net mass (kg) 39 Quota
- Nails, tacks, staples (other than those of heading 83.05), screws, bolts, nuts, Ex. Freight 116.00 4000 454 15508
screw
Insurance 3.00 40 Summary declaration/Previous document / Way bill
SCREW BOLT#14 Other Costs 19.00
In. Freight 7.00
41 Supplementary units 42 Item price 43 V.M.

44 Additional 40.00 Code

License number Deducted Quantity Deducted Value
Information/ A.I. Code 45 Adjustment
Produced
documents Attached document codes 1
Proc. Program 46 Statistical Value
Model 2,460.00
31 Packages Marks & 32 Item 33 Commodity Code
and numbers No
description
of goods Number & kind of packages 34 Country of origin Code 35 Gross Mass (kg) 36 Preference
Ctr.
No(s) a b
Description of goods 42 a 37 PROCEDURE 38 Net mass (kg) 39 Quota
Ex. Freight
Insurance 40 Summary declaration/Previous document / Way bill
Other Costs
In. Freight
41 Supplementary units 42 Item price 43 V.M.

44 Additional Code
License number Deducted Quantity Deducted Value
Information/ A.I. Code 45 Adjustment
Produced
documents Attached document codes
Proc. Program 46 Statistical Value
Model
31 Packages Marks & 32 Item 33 Commodity Code
and numbers No
description
of goods Number & kind of packages 34 Country of origin Code 35 Gross Mass (kg) 36 Preference
Ctr.
No(s) a b
Description of goods 42 a 37 PROCEDURE 38 Net mass (kg) 39 Quota
Ex. Freight
Insurance 40 Summary declaration/Previous document / Way bill
Other Costs
In. Freight
41 Supplementary units 42 Item price 43 V.M.

44 Additional Code
License number Deducted Quantity Deducted Value
Information/ A.I. Code 45 Adjustment
Produced
documents Attached document codes
Proc. Program 46 Statistical Value
Model
Type Duty/Tax Base Rate Amount M Type Duty/Tax Base Rate Amount MP
47 Taxes &
duties 01 2,460.00 0 0.00 1
03 2,583.00 0 0.00 1
04 2,583.00 0 0.00 1
05 2,970.00 0 0.00 1
15 2,460.00 0 0.00 1
12 2,460.00 3 73.80 1
16 2,460.00 0.07 1.72 1

Total first item: 75.52 1 Total second item:

Type Duty/Tax Base Rate Amount M Type Amount M ← SUMMARY
01 0.00 1 C OFFICE OF DEPARTURE
03 0.00 1
04 0.00 1
05 0.00 1
15 0.00 1
12 41,855.64 1
16 21,237.87 1

Total third item: G.T. 63,093.51 1

 ETHIOPIAN CUSTOMS
COMMISSION
DECLARATION FORM - List of Containers

1 DECLARATION A. CLEARANCE OFFICE

Office Manifest Number
IM 4
MOJ00

3 Forms 5 Items Registration number & date Assessment number & date

3 5 4-012169 27/06/2024 A-012844 27/06/2024

# Container Reference Item No Type E/F Other characteristics

1 PONU1560704 1 45GP 1/1 SFT046266

2 SUDU4864155 1 45GP 1/1 SFT046267

3 GATU8453384 1 45GP 1/1 SFT046264

4 FCIU8876915 1 45GP 1/1 SFT046265