UNCTAD/ASYCUDAWorld A OFFICE OF DESTINATION

1 DECLARATION
SUB00
2 Exporter No. IM 4 Suba containers terminal
Customs Reference

3 Forms 4 Load List A 4847 23/05/2022

1 1 Manifest PZUS0 2022 280
5 Items 6 Nbr packages 7 Reference number

1 14 2022 #39

8 Consignee No. 110009579300 9 Financial No. 110009579300

NEW CIVILISATION TRADING & SER. CO. NEW CIVILISATION TRADING & SER. CO.
879 879

10 Cty f. dest 11 Trading 12 Value details 13 C.A.P.

of prev. ITA cty. 0.00 0

14 Declarant No. 130007883900 15 Country of export 15 C.E. Code 17 C.D. Code

IBRAHIM ALHAJ MOUSTFA A/ALGADIR a b a b

2115 16 Country of origin 17 Country of destination

Italy
18 Identity and nationality of means of transport at arrival / at 19 Ctr. 20 Delivery terms

no CIF
21 Identity and nationality of active means of transport crossing the border 22 Currency & total amount invoiced 23 Exch. rate 24 Nature of

AED 266,674.00 121.2600 1 1 transac.

25 Mode transport 26 Inland mode 27 Place of loading/unloading 28 Financial and banking data Bank 28
3 at border Transport Terms of payment 1 CASH
29 Office of entry/exit 30 Location of goods ELNILEIN INDUSTERIAL DEV.BANK
SUB0 Suba containers 2205202200274
31 Packages Marks and numbers - Containers No(s) - Number and kind 32 Item 33 Commodity code
and
Marks & no N/M *********1X20******** 1 No. 84138200 000
description
of goods SGRU 2118684 34 Cty. orig. Code 35 Gross mass (kg) 36 Prefer.
of

Number and 14 PK a ITA b 18,676.00

Kind PACKAGE 37 PROCEDURE 38 Net mass (kg) 39 Quota

Containers No(s)
4000 000 18,676.00
40 Summary declaration / Previous document S/L
-- Liquid elevators G0242997
41 Supplementary units 42 Item Price 43 V.M.

44 Add. info Licence No 0 D.Val 0.00 D.Qty 0 KGM 18,676 266,674.00 cod
Documents
Produced
0.00+0.00+0.00+0.00-0.00 A.I. Code 45 Adjustment

Certificates A.D. 1.0000

and autho- 0 46 Statistical value
rization
0 32,336,889.24
47 Calcul- Type Tax base Rate Amount MP 48 Deferred payment 49 Identification of warehouse
ation of
taxes IMD 32,336,889.24 10.00 3,233,688.92 1
ADT 32,336,889.24 0.00 0.00 1 B ACCOUNTING DETAILS
VAT 35,570,578.16 17.00 6,046,998.29 1 CASH
Mode of payment

Assessment number / Date

Receipt number Date

Guarantee 0.00 SDG Date

Total fees 2,940.00 SDG

Total 9,280,687.21 1 Total declaration 9,283,627.21 SDG
50 Principal No. Signature C OFFICE OF DEPARTURE

51 Intended Represented by
offices of Place and date
transit and
country

52 Guarantee Code 53 Office of destination and country

not valid

D CONTROL BY OFFICE OF DESTINATION Stamp: 54 Place and date

Declarant name/representative
Signature IBRAHIM ALHAJG MUSTAFA