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  • BA21420230004153

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    This document is an application to import travel adapters from China. It provides details about the applicant, Sky's Touch Konceptz, including their name, address, registration numbers, and contact information. It also lists the beneficiary, Itel Mobile Limited, and describes the goods being imported - 700 travel adapters branded Itel, model A17, with a total FOB value of $70,000 and freight charges of $10,000. At the bottom are endorsements from the applicant and authorised dealer at FCMB Group approving the application.

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    This document is an application to import travel adapters from China. It provides details about the applicant, Sky's Touch Konceptz, including their name, address, registration numbers, and contact information. It also lists the beneficiary, Itel Mobile Limited, and describes the goods being imported - 700 travel adapters branded Itel, model A17, with a total FOB value of $70,000 and freight charges of $10,000. At the bottom are endorsements from the applicant and authorised dealer at FCMB Group approving the application.

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    26 views1 page

    BA21420230004153

    Uploaded by

    onyenuwe humphrey
    This document is an application to import travel adapters from China. It provides details about the applicant, Sky's Touch Konceptz, including their name, address, registration numbers, and contact information. It also lists the beneficiary, Itel Mobile Limited, and describes the goods being imported - 700 travel adapters branded Itel, model A17, with a total FOB value of $70,000 and freight charges of $10,000. At the bottom are endorsements from the applicant and authorised dealer at FCMB Group approving the application.

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    © All Rights Reserved
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    of 1

    CENTRAL BANK OF NIGERIA FORM SUBMISSION ORIGINAL

    FOREIGN EXCHANGE (MONITORING AND MISCELLANEOUS PROVISIONS) DECREE 1995 Page 1 of 1

    Form M VALID FOR FOREX? PREFIX BANK YEAR NUMBERING APPLICATION NUMBER
    (Application to Import)
    NO BA 214 2023 0004153
    MF20230034040

    END OF VALIDITY 16/03/2024

    1. Name and Address of Applicant's Banker (Authorised Dealer) Branch Details


    FCMB Group Nigeria 00214 Headquarter

    2. Applicant’s Name and Address 3. Applicant’s RC No. 4. Applicant’s TIN 5. Applicant's NEPC Reg. No.
    SKY'S TOUCH KONCEPTZ BN2854584 23189096-0001
    83, BILL CLINTON AVE, NEW KARU, 6. Applicant’s Phone 7. Applicant’s Fax 8. Applicant's Email
    NYANAYAN, KARU, KARU, NASSARAWA
    08091091001 skystouchkonceptz@yahoo.com
    9. Beneficiary's Name and Address 10. Applican'ts State Code and Name 11. Beneficiary's Phone 12. Beneficiary's Fax
    ITEL MOBILE LIMITED 36 NASARAWA 01706 551148

    ROOM 604 6/4TOWER WORLD FINANCE CTR 13. Beneficiary's Email 14. By Order of
    HARBOUR CITY,17 CANTAN ROAD IST KL HK info@itel.com

    15. General Description of Goods 16. Net Weight 17. Gross Weight 18. Total Number of Items
    TRAVEL ADAPTER 0.000 1
    19. Air Ticket Number 20. Airline 21. Route

    22. ITEMS
    St. of Sectoral Packages Gross Net Unit of Meas. U. Price FOB Freight,
    No. HS code Description of Goods
    Goods Purpose Qty Type W. (kg) W. (kg) Qty Type (USD) Value (USD) Charg. (USD)
    9108110000 TRAVEL ADAPTER BRAND:ITEL
    1 N N1409 700 CT 700.000 U 100.00 70,000.00 10,000.00
    ,MODEL:A17,ICW-061U
    23. Total FOB Value 24. Total Freight Charges 25. Total Ancillary Charges 26. Insurance Value (Nairas) 27. Currency Code 28. Exchange Rate
    70,000.00 10,000.00 37,162,400.00 USD 422.30
    29. Total C&F Value in Figure 30. Source of Funds 31. Proforma Inv. No. 32. Proforma Inv. Date 33. Payment Date
    80,000.00 OTHER SK/P30 21/03/2023
    34. Payment Mode 35. Transfer Mode 36. TOD 37. Shipment Date
    Not valid for forex TELEGRAPHIC TRANSFER CFR
    38. Mode of Transport 39. Country of Origin 40. Country of Supply 41. Port of Discharge 42. Port of Loading 43. Customs Office
    1 Sea transport CN China CN China NGAPP 01AP APAPA PORT

    44. Designated Bank 45. Inspection Agent


    214 FCMB Group DI77009 NCS

    46. Applicant’s Endorsement 47. Authorised Dealer’s Endorsement

    Full Name Full Name


    SKY'S TOUCH KONCEPTZ DENNIS ALO FCMB Group
    Stamp, Signature & Date Stamp, Signature & Date
    22/03/2023 22/03/2023

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