INDEX8.IGM/EGM NO & DT

Custom File No.GOODS DECLARATION. GD-I

7.BANK CODE6.CUSTOM OFFICE 5.PAGE 1 OF

3.VALUATION

METHOD

2.DECLARATION TYPE 1.EXPORTER'S/CONSIGNOR'S NAME AND ADDRESS

10.IMPORTER'S/CONSIGNEE'S/PASSENGER NAME & ADDRESS

11.DECLARANT (OTHER THAN IMPORTER/EXPORTER)

12.TEL

13.C.H.A.L. No14.NTN 15.STR.No / PASSPORT NO & DATE16.WAREHOUSE LIC NO 17.TRANSACTION TYPE

19.LC/DD NO. & DATE 20.COUNTRY OF DESTINATION

24.EXCHANGE RATE

21.CURRENCY NAME & CODE

18.DOCUMENTS ATTACHED

INV

BL/AWB/

CO

PL

22.VESSEL MODE OF

TRANSPORT

23.BL.AWL.CON.NO & DATE

25.PORT OF SHIPMENT 26.PAYMENT TERMS

28.PLACE OF DELIVERY27.PORT OF DISCHARGE

30.MARKS/ CONTAINER NOS.

29.DELIVERY TERMS

33.GR OSS WT 34.Volume M3

35.GENERAL DESCRIPTION OF GOODS

36.IN THE CASE OF DANGEROUS GOODS INDICATE HAZARD CLASS/DIV:FLASH POINT

31.NUMBER OF PACKAGES

4.PREVIOUS REF

32.TYPE OF PACKAGE

NET WT

BILL OF ENTRY BILL OF EXPORT BAGGAGE DECLARATION TRANSSHIPMENT PERMIT

Job No

9.DRY PORT IGM/EGM NO & DT

[ ]

[ ]

[ ]

[ ]

B/G

IT EXMP

[ ] [ ] [ ] [ ]

Containers detail as per attached sheet

3 PKGS OF USED PERSONEL EFFECTS

ValueDateE-Form No

SHAZAD HUSSAIN BHATTI

SHAHZAD HUSSAIN BHATTI

By Air 001-79559351

RAFE

WASHINGTON DCWASHINGTON DC

3 PKGS

3 PKGS OF USED PERSONEL EFFECTS

SB 7

1 RAFE

INDEX

0-00-00-2013 0

OCEAN AIR INTERNATIONAL VILLAGE CHIRD,PO RAWALAKOT, DISTT

PUNCH 76,ST 6, I-10/3, ISLAMABAD0514447551-4,

1234 RAFE-127-2013

Unrelated

UNITED STATES

Rs. 586

1

PAYMENT IN ADVANCE

FOB

X

0.113 MT

0.113 MT

0.0000

C/O US EMBASSY ISLAMABAD,PAKISTAN

TRAVEL & TRANSPORTATION OPERATIONS,US DEPARTMENT OF

STATE,WASHINGTON DC 20520-1244.

1234

43.UNIT VALUE 44.TOTAL VALUE 45.CUSTOM VALUE (PKR)

42.ITEM DESCRIPTION OF GOODS

37.ITEM NO(a)Unit Type

38(b).NO OF UNITS

46.LEVY 47.RATE 48.SUM PAYABLE

(PKR)

42(a)

41.HS Code

AssessedDeclaredDeclared AssessedDeclared Assessed

38.QUANTITY 39.CO CODE 40.SRO NO1 3

USED PERSONAL EFFECTS. EXEM NO.P(IV)-1/64/2013 DATED,OCT 7,2013

586

1 3 3

6203.1990NO

43.UNIT VALUE 44.TOTAL VALUE 45.CUSTOM VALUE (PKR)

42.ITEM DESCRIPTION OF GOODS

37.ITEM NO(a)Unit Type

38(b).NO OF UNITS

46.LEVY 47.RATE 48.SUM PAYABLE

(PKR)

42(a)

41.HS Code

AssessedDeclaredDeclared AssessedDeclared Assessed

38.QUANTITY 39.CO CODE 40.SRO NO2

58.MACHINE NO.

65..C/F/D NO & DATE

50.FOB VALUE

52.CFR VALUE

53.INSURANCE

54.LANDING CHARGES @ 1%

60.AMOUNT (PKR)

Total:

55.OTHER CHARGES

64.I/we declare that the above particulars are true & corrcect.

SIG & DATE

51.FREIGHT

56.ASSESSED VALUE PKR

59REVENUE RECOVER

LEVY

61.A.O's name, sig & stamp

62.P.A.s name, sig & stamp

63.Out of Charge Sig & Stamp

49.SRO / Test Report No & Dt

CODE

57.TOTAL REBATE CLAIM/ PROV. ASSMNT U/S 81

(PKR)

66.Bank Stamp

& DATE

3

0.00

0.00 Rs.

0.00

RAFE-SB-5392

24-10-2013

Exch. Rate:1

0.00

3

0.00

XskOkJYwS9uLbYMaoxTLw0dP+Go3+hY7nosEjlGf95A=