CUSTOMS DECLARATION CN 23 EMS

PT POS INDONESIA (Persero) May be opened officialy

Importer reference (if any) (tax code/VAt No./Importer Code) (optional)
Declaration ID
Importer's telephone/fax/email (if known)
C D S 0 7 2 1 4 1 2 0 2 7 094841371 kino182@gmail.com
From Name Akhmad Sholih uddin Sender customs To Name Siti Utami
reference (if any)
Address dsn ngadikromo rt 2 rw 6 desa sidomulyo kecamatan
Address : 3A Boscombe Road Singapore
salaman kabupaten magelang
Postcode 56562 City : KAB. MAGELANG Postcode 439766 City 3 A Boscombe Road
Country ID-INDONESIA JAWA TENGAH Country SG-SINGAPORE SINGAPORE
Tel. 085710222900 E-mail akhmadsholihuddin@gmail.com Tel. 094841371 E-mail kino182@gmail.com

Net weight For commersial item only

Detailed description of contents Quantity Total weight Value Total Value
(in kg) HS tarif number Country of origin of goods
Surat Kuasa Khusus 1 0,3 0,3 3,45 USD 3,5 USD 490199
Category of item Sales of goods Commercial sample Acceptance information
Gift Returned Goods Others Item weight (kg) 0,3
X Documents Mixed content Postal charge/fes
Comments (11) : (e.g goods subject to quarantine, sanitary/phytosanitary inspection or other restriction) Insurance
Total
Licence Certificate Invoice Office
No(s). of licence(s) No(s). of certificate(s) No(s). of invoice Date / time 30/07/2021 15:01
I certify that the particulars given in this custom declaration are correct and that Date and signature Delivery information
this item does not contain any dangerous article or articles prohibited by legisation 2021-07-30 15:01:48
Date / time Signature
or by postal or customs regulations
Person name