Bureau of Customs

SGL APPLICATION FORM NOTE: Font must be 14" or

ANNEX A-5 - LIST OF COMMODITIES IMPORTED 16"
Schedule 1-1
Company : _________________________________________
Import Year : _____________

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
Supplier/ Country of Country of HS Code Tarrif Excise Tax Specific Estimated Unit of Transaction Unit Price Terms of Sale Pay Royalty Import Impoter or Imported Importer ICSG
Address Origin Export Rate (N/A if Description Quantity Measure Currency (FOB,CIF, Lic Fee, Permit from Supplier Under Remarks Remarks
Rate (%) none) (Include per Year DDP,FAS) Selling Comm the Agency Related? Special (BOC Use
Brand, Tech Assist - needed (Yes/No) Program Only)
Specs,Model,P Yes/No (if yes (Blank if (AFTA-CEPT,
art Number pls attach none) AFMA)
agreement)

PREPARED BY: ______________________________________

DATE : ___________________
CONTACT NUMBER : _________________________________
Bureau of Customs
SGL APPLICATION FORM
ANNEX A-5 - LIST OF COMMODITIES IMPORTED
Schedule 1-1
Company : _________________________________________
Import Year : _____________

1 2 3 4 5 6 7 8

Supplier/ Country of Country of HS Code Tarrif Rate (%) Excise Tax Specific Description Estimated
Address Origin Export Rate (N/A if (Include Brand, Tech Quantity per
none) Specs,Model,Part Year
Number

PREPARED BY: ______________________________________

DATE : ___________________
CONTACT NUMBER : _________________________________
 9 10 11 12 13 14 15 16 17 18

Unit of Transaction Unit Terms of Pay Royalty Lic Fee, Import Permit Importer or Imported Under Importer ICSG
Measure Currency Price Sale Selling Comm Assist - from the Agency Supplier Special Program Remarks Remarks
(FOB,CIF, Yes/No (if yes pls needed (Blank if Related? (AFTA-CEPT, (BOC Use
DDP,FAS) attach agreement) none) (Yes/No) AFMA) Only)
 NOTE: FONT SIZE 14"

In EXCEL Format

9 10 11 12 13 14 15 16 17 18

Unit of Transaction Unit Terms of Pay Royalty Lic Fee, Import Permit Importer or Imported Importer ICSG
Measure Currency Price Sale Selling Comm Assist - from the Agency Supplier Under Special Remarks Remarks
(FOB,CIF, Yes/No (if yes pls needed (Blank if Related? Program (AFTA- (BOC Use
DDP,FAS) attach agreement) none) (Yes/No) CEPT, AFMA) Only)