IE463

UNIT: IMPORT AND EXPORT CONTROL

PRIVATE BAG X 192
PRETORIA
FAX: (012) 394 0517
WWW.ITAC.ORG.ZA

OFFICIAL
FILE NO

APPLICATION FOR PERMIT TO IMPORT

GOODS FOR PERSONAL USE

NOTE: 1. ALL INFORMATION MUST BE PROVIDED

2. PROVIDE FULL CUSTOMS TARIFF HEADING
3. A COPY OF SA PASSPORT OR ID DOCUMENT MUST BE SUBMITTED
4. TO BE COMPLETED EITHER IN TYPESCRIPT OR IN BLOCK CAPITALS IN INK

1. IMPORTERS CODE 2. TEL NO 3. FAX NO

NUMBER

4. APPLICANT NAME

5. FULL SA POSTAL
ADDRESS

6 E-MAIL ADDRESS

DETAILS OF GOODS FOR WHICH AN IMPORT PERMIT IS REQUIRED

7. FULL TARIFF HEADING

AND DESCRIPTION

8. QUANTITY REQUIRED
UNITS/KG/LITERS
12. RAND VALUE
9. INDICATE NEW OR N U
USED GOODS

10. WILL CURRENCY N Y

BE TRANSFERRED

11. COUNTRY (S) OF ORIGIN 13. CUSTOMS CLEARANCE OFFICE

I (name) ………………………………………………………….. ………………………………………………….

do hereby solemnly declare that I am authorised to make this application with annexure (on behalf of the applicant
named herein) and that the information given in this declaration and annexure is to the best of my knowledge and
belief true and correct.

DATE………………………………………….. SIGNATURE…………………………………….