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 4570 17/05/2022

1 2 Manifest PZUS0 2022 266
5 Items 6 Nbr packages 7 Reference number

2 440 2022 #35

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. IND 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

India
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 516,516.00 117.1700 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 2205202200218
31 Packages Marks and numbers - Containers No(s) - Number and kind 32 Item 33 Commodity code
and
Marks & no N/M ************1X40******** 1 No. 84138200 000
description
of goods FANU 1831319 34 Cty. orig. Code 35 Gross mass (kg) 36 Prefer.
of

Number and 439 PK a IND b 26,586.00

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

Containers No(s)
4000 000 26,586.00
40 Summary declaration / Previous document S/L
-- Liquid elevators HLCUBO12203AOVM2
41 Supplementary units 42 Item Price 43 V.M.

44 Add. info Licence No 0 D.Val 0.00 D.Qty 0 KGM 27,586 515,516.00 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 60,403,009.72
47 Calcul- Type Tax base Rate Amount MP 48 Deferred payment 49 Identification of warehouse
ation of
taxes IMD 60,403,009.72 10.00 6,040,300.97 1
ADT 60,403,009.72 0.00 0.00 1 B ACCOUNTING DETAILS
VAT 66,443,310.69 17.00 11,295,362.82 1 CASH
Mode of payment

Assessment number / Date

Receipt number Date

Guarantee 0.00 SDG Date

Total fees 2,940.00 SDG

Total 17,335,663.79 1 Total declaration 17,407,503.81 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
UNCTAD/ASYCUDAWorld 1 DECLARATION

IM 4
Manifest PZUS0 2022 266 A OFFICE OF DESTINATION

Customs Reference A 4570 17/05/2022 3 Forms

SUB00
7 Reference number 2022 #35 2 2 Suba containers terminal
31 Packages Marks and numbers - Containers No(s) - Number and kind 32 Item 33 Commodity code
and.
Marks & no 2 No. 39172990 000
description
of goods 34 Cty. orig. Code 35 Gross mass (kg) 36 Prefer.
of

Nbr & Kind 1 PK a IND b 1,000.00

PACKAGE 37 PROCEDURE 38 Net mass (kg) 39 Quota

Containers No(s)
4000 000 1,000.00
40 Summary declaration / Previous document S/L
--- Other HLCUBO12203AOVM2
41 Supplementary units 42 Item Price 43 V.M.

44 Add. info Licence No 0 D.Val 0.00 D.Qty 0.00 KGM 1,000 1,000.00 cod
Documents
Produced
0.00+0.00+0.00+0.00-0.00 A.I. Code

Certificates A.D.
and autho- 0 46 Statistical value
rization
117,170.00
31 Packages Marks and numbers - Containers No(s) - Number and kind 32 Item 33 Commodity code
and.
Marks & no No.
description
of goods 34 Cty. orig. Code 35 Gross mass (kg) 36 Prefer.
of packages

Nbr & Kind a b

37 PROCEDURE 38 Net mass (kg) 39 Quota

Containers No(s)
40 Summary declaration / Previous document S/L

41 Supplementary units 42 Item Price 43 V.M.

44 Add. info Licence No D.Val D.Qty cod

Documents
A.I. Code
Produced
Certificates A.D.
and autho- 46 Statistical value
rization

31 Packages Marks and numbers - Containers No(s) - Number and kind 32 Item 33 Commodity code
and.
Marks & no No.
description
of goods 34 Cty. orig. Code 35 Gross mass (kg) 36 Prefer.
of

Nbr & Kind a b

37 PROCEDURE 38 Net mass (kg) 39 Quota

Containers No(s)
40 Summary declaration / Previous document S/L

41 Supplementary units 42 Item Price 43 V.M.

44 Add. info Licence No D.Val D.Qty cod

Documents
A.I. Code
Produced
Certificates A.D.
and autho- 46 Statistical value
rization

47 Calcul- Type Tax base Rate Amount MP Type Tax base Rate Amount MP
ation of
taxes IMD 117,170.00 25.00 29,292.50 1
ADT 117,170.00 10.00 11,717.00 1
VAT 158,179.50 17.00 26,890.52 1
STS 0.00 0.00 1,000.00 1

Total First Item 68,900.02 Total Second Item

Type Tax base Rate Amount MP Type Amount

IMD 6,069,593.47
ADT 11,717.00
VAT 11,322,253.34
STS 1,000.00

Total Third Item Total 17,404,563.81