JABATAN KASTAM DIRAJA MALAYSIA / ROYAL MALAYSIAN

CUSTOMS DEPARTMENT
SP AKTA CUKAI JUALAN 2018 / SALES TAX ACT 2018
Jadual A PERMOHONAN PENGECUALIAN PEMBAYARAN CUKAI JUALAN UNTUK
MENGIMPORT/MEMBELI BARANG DI BAWAH JADUAL A,
PERINTAH CUKAI JUALAN (ORANG YANG DIKECUALIKAN DARIPADA
PEMBAYARAN CUKAI) 2018
APPLICATION FOR EXEMPTION FROM PAYMENT OF TAX ON
IMPORT/PURCHASE GOODS UNDER SCHEDULE A, SALES TAX
(PERSONS
EXEMPTED FROM PAYMENT OF TAX) ORDER 2018
1. Jenis Permohonan / Application Type :
Pengecualian di Bawah Butiran 4 Jadual A, Perintah Cukai Jualan (Orang Yang Dikecualikan daripada Pembayaran Cukai)
2018
Exemption under Item 4 Schedule A, Sales Tax (Person Exempted from Payment of Tax) Order 2018
BAHAGIAN A : MAKLUMAT PEMOHON
PART A : APPLICATION INFORMATION
2. Nama / Name: 7. Tarikh / Date :

MUHAMMAD NAIM BIN AZAZEE 13/07/2020

2a. No. Telefon / Telephone No: 8. VOT Jabatan/Pesanan Tempatan Kerajaan :

Department Vote/ Government Local Order :
0173498369
P60008004443025
2b. Alamat Emel / Email Address :
9. No Pesanan Belian / Purchase Order :
naim@weststardefence.com.my

3. No Kad Pengenalan / Identity Card No :

10. Alamat / Address :
930731045191
NO 7, JALAN ANGGERIK MOKARA 31/50, SEKSYEN 31,
4. Jawatan / Designation : KOTA KEMUNING,
40460 SHAH ALAM, SELANGOR
ACCOUNT MANAGER
11. Alamat Tempat Mengilang / Address of
5. Nama Syarikat / Firma / Kementerian / Manufacturing Premise :
Jabatan / Agensi / Institusi :
Name of Company / Firm / Misnistry / Department / WISMA PERTAHANAN, JALAN PADANG TEMBAK, 50634
Agency / Institution : KUALA LUMPUR, KUALA LUMPUR

GLOBAL KOMITED SDN BHD

6. No. Pendaftaran Cukai Jualan / Perkhidmatan :

Sales Tax / Service Tax Registration No :

-
BAHAGIAN B : MAKLUMAT ORANG YANG AKAN MENANDATANGANI SIJIL KELULUSAN PENGECUALIAN
(seperti di ruang (5)
PART B : PERSONS DESIGNATED TO SIGN CERTIFICATE OF EXEMPTION INFORMATION (as in column (5)
Schedule A)
12. Nama / Name: 12a. No. Kad Pengenalan/No. 12b. Jawatan / Designation:
Passport
IC No. of Applicant/Passport No.:
SUHAIMI BIN SALLEH KETUA PENOLONG SETIAUSAHA
770723056173 UNIT PEROLEHAN 1
BAHAGIAN C : BUTIR-BUTIR WAKIL UNTUK MEMBELI/MENGIMPORT BAGI PIHAK
PART C : DETAILS ON PERSON ACTING ON BEHALF TO PURCHASE/IMPORT

13. Nama Syarikat :

Name of Company

GLOBAL KOMITED SDN BHD

13a. No. Pendaftaran Syarikat *:

Business Registration No. *

611788-P

13b. No. Pendaftaran Cukai Jualan / Perkhidmatan:

Sales Tax / Service Tax Registration No.

13c. Alamat :
Address

NO 7 JALAN ANGGERIK MOKARA 31/50,KOTA KEMUNING,SEKSYEN 31,40460 SHAH ALAM,SELANGOR

14. Vot Jabatan / Pesanan Tempatan Kerajaan/Pesanan Belian :

Department Vote/ Government Local Order/ Purchase Order

P60008004443025

BAHAGIAN D : MAKLUMAT PEMBEKAL

PART D : SUPPLIER INFORMATION

13. Nama Firma / Syarikat / Jabatan / Agensi / 14. Alamat :

Institusi : Address :
Name of Firm / Ministry / Department / Agency /
Institution : ALANBROOKE ROAD, CASTLEREAGH BELFAST BT6
9HB NORTHERN IRELAND,
THALES UK LIMITED
BAHAGIAN E: PERIHAL BARANG-BARANG
PART E: DESCRIPTION OF GOODS

Bil No. Kod Tariff Perihal Barangan Deskripsi Kuantiti Nilai

Dipohon

1 9305919000 - - - OTHER DATA ENTRY DEVICE 2.00 5635.35

2 9305919000 - - - OTHER BATTERY PACK CASE 1.00 1914.89

3 9305919000 - - - OTHER SENSOR ASSEMBLY 1.00 225524.80

COVER ASSEMBLY
UPPE
4 9305919000 - - - OTHER WEAPON TERMINAL 3.00 36760.52

5 9305919000 - - - OTHER TURRET CONTROL 1.00 35716.85

ELECTRONIC

Saya MUHAMMAD NAIM BIN AZAZEE , no. IC/passport 930731045191 memohon untuk mengimport /
mendapatkan / membeli barang-barang dan pengecualian dituntut di bawah Butiran 4 Jadual A, Perintah Cukai
Jualan (Orang yang Dikecualikan daripada Pembayaran Cukai) 2018 tertakluk kepada syarat-syarat yang
ditetapkan. Saya mengaku semua butiran yang diberikan adalah betul dan benar.

I MUHAMMAD NAIM BIN AZAZEE , IC/passport no. 930731045191 hereby submit my application to purchase
goods and claim exemption under item 4, Schedule A, of Sales Tax (Persons Exempted from Payment of Tax)
Order 2018 subject to the condition specified. I hereby declare that the above mentioned particulars are true and
correct.