Local goods entry pass to Jebel Ali Freezone

LOCAL GOODS ENTRY PASS

Export Only

Company Use

Logistics Company Storage

Vehicle NO

Invoice No

Date

DEC-NO

JEBEL ALI COMPANY NAME

IN
NO

PLT
PCS

QTY
OUT

QTY

CTN
BAG

BALANCE

DATE

DESCRIP
TION OF
GOODS

PLT
PCS

CTN
BAG

1
2
3
4
5
6
7
8
9
11
12
13
14
15
Tot
al
Qty
Total
Value

1.
2.
3.
4.

5.

We assume Responsibility for all the particulars of this document which are true
and correct.
We undertake to produce this permission when the goods now inside, are moved
out .
We also undertake to pay the applicable duty in the event of failure to produce this
document at the time of taking out the goods.
This local goods pass is valid for one year only .
Any amendment or change in demand will prosecute.

CUSTOMS INSPECTION SIGNATURE & STAMP

COMPANY SIGNATURE & STAMP

SIGN