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 1 2 2 1 2 3 2 1 9 6 09737800845 isarali2020@gmail.com
From Name Anisa Putri Wulansari Sender customs reference To Name Isar Ali
NIK-3215265808040005
Address Perum Bumi Karawang Residence blok
Address : 288 bell venue
g18 no2
Postcode 41376 City : KAB. KARAWANG Postcode 07644 City LODI 800260
Country US-UNITED STATES OF
Country ID-INDONESIA JAWA BARAT NEW JERSEY
AMERICA
Tel. 085691788738 E-mail anisaputri.idd@gmail.com Tel. 09737800845 E-mail isarali2020@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
Photocard 4 0,1 0,1 20,69 USD 20,7 USD 481141
Category of item Sales of goods Commercial sample Acceptance information
Gift Returned Goods X Others Item weight (kg) 0,1
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 27/12/2021 14:06
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 2021-12-27 14:06:44
Date / time Signature
or by postal or customs regulations
Person name