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EXPORT ENTRY DECLARATION OFFICE OF DISPATCH / EXPORT

1 DECLARATION
Office code: P02B Manila Intl Container Port
2 Exporter/ Address TIN: 008384415000
MACCAFERRI PHILIPPINES MFG.
EX3 1 Manifest Number:
INC.
BLOCK 3 LOT 3 AND 4 STAR Export Entry
3 Page 4
AVENUE
LAGUNA INTERNATIONAL Number: E-20751 Date:
INDUSTRIAL
PARK MAMPLASAN BINAN 5 Items 6 Ttl Pack 7 Declarant Reference No.
LAGUNA
1 MPMI 115/20
8 Importer/Consignee/ Address 9 Registry Office
Maccaferri Environmental Solutions Pvt. Laguna International Industrial Prk
0753, Shirur Gramin Ward No.1 xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx
Borahde Mala Shirur,
Tal.-Shirur PUNE-412210 10 11 12 13
INDIA xx xxxx
17 C.D.
14 Declarant/ Address TIN: 407541747000 15 Country of Export 15 C.E. Code
Code
MA. ANALYN G. SAN MIGUEL PHILIPPINES a PH b xx IN
1827 TRAMO ST. BRGY 48 ,
PASAY CITY 16 17 Country of Destination
PHILIPPINES
1300 PHILIPPINES INDIA
18 Vessel/Aircraft: 19 Ct 20 Delivery Terms
Seaspan New York
1 CFR Cost and freight
006S
21 Local carrier (if Any) 22 Cur. & Total Amt. Invoiced 23 Exch Rate 24
SPRINGER USD 114,621.6 1.0
25 No. of LCL 26 No. of FCL 27 Port of Loading 28 Financial and Banking Data Bank Code: 998

xx PHMN2 MANILA INT'L.

3 Terms of Payment: 01 Basic
CONTAINER PORT

29 Port of Departure 30 Location of goods Bank name:

P02B Manila Intl Container Port LAG LAGUNA Branch Bank Ref. No:
31 Packages Marks and Numbers - Containers No(s)- Number and kind 32 Item 33 H.S. Code
and Desc. of Marks & no : AS ADDRESS / 3x40 1 No. 73144900 000
Goods
34 35 Gr. mass kg 36
of packages : 72 Packages
Nbr & Kind : 72 PK PH xx 27,342 xxxx
38 Net mass
Containers no(s): 37 PROCEDURE 39
kg
DRYU4280155 TCLU4210214 1000 000 27,342 xxxx
NYKU8217120 40 AWB / Bill of Lading

- - Other 42 Itm FOB

41 Suppl. units 43 Val Method
BARRIER Price
44 Add Infos/ Export Clearance No.: PCE 1 114,621.6
Doc/Produ
Certif & Aut A.D. 45 Adjustment

INV #
Reference No.: X-LIIP-020751-20-E 46 Statistical PHP Value

47 Calculation Type 49 Identification of

Tax base Rate Amount MP 48 Prepaid Account Number
of Taxes of Warehouse
Fees B
Method of Payment: CASH
2020-10-01
Assessment Number : R 3228864 Date:
07:37:29.0
Total Fees :
Total Assessment :
DATE/TIME Approved 10/01/2020 07:37:33 AM 50 Exporter/Declarant
DATE/TIME Allowed to Exit: 10/01/2020 08:07:33 AM
MACCAFERRI PHILIPPINES MFG. INC.

|2020ZLIIPEP020751a~
Printed Name and Signature of Declarant

Place and Date

51 AUTHORIZATION 52 Bureau of Customs (BOC) Control
Name of Agency :
Printed Name/ Signature Position
Printed Name / Signature Position
Date
Date Valid Until

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10/1/2020 https://exp.ekonek.com/aedspeza/SadController?trigger=print&action=note2muser

53 INTERNAL REVENUE (TAX PER BOX # 46 & 47)

Taxable Value Php WHARFAGE Php OTHERS

Bank Charges:
Arrastre Charges: Total Landed Cost Php
Customs Duty:
Brokerage Fee: Documentary Stamp: Total VAT Php

Description In Tariff Terms, Should Be

54 Section 55 No of Packages Examined EXAMINATION RETURN 56 Date Received 57 Date Released

ITEM TARIFF
58. DESCRIPTION IN TARIFF TERMS SHOULD BE QTY UNIT UNIT VALUE RATE
NO HEADING

Decl

Fdgs

%Diff

PLEASE REFER TO RIDER/S FOR FINDINGS ON OTHER ITEMS

REVISED CHARGES LIQUIDATION

59 Charges 60 Declaration 61 Findings 62 Differences 65 Liquidated Amount

Duty PHP

BIR Taxes 66 ShortExcess

VAT PHP

Excise/ad valorem 67 Remarks

Others

Surcharges

TOTAL

64 68
63 Action Directed/Recommended
Date COO III COO III Date
69
Date COO V COO V Date

Continuation from Box #31 FREE DISPOSAL

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