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Ministry of Agriculture, and Food Security

Agricultural Services Unit


Data Capture Form

APPLICATION FOR DUTY-FREE CONCESSIONS


ON AGRICULTURAL INPUTS

Date:

Agribusiness /Farmer Id

Request permission to import the following items free of duty and taxes including value added tax
(VAT) as per directive from the Ministry of Finance and Economic Affairs, Ref:5007/7/3 dated 1994-
09-30. VAT exemption will be according to the VAT Act. VAT zero rated under the 3rd schedule Section
II 1998 Item 3 of the VAT Act cap 87.
See item list

Authorized Person:

Name of Person
Title
Total Value of items 0.00

What is the invoice Currency Bds Ja Gy TnT Ec US Can Euro Uk Jp Rupee

Attach Invoice Submit Form

Version DF_form 1.0.0


Information on Items Requested for
Exemption of Duty and Taxes
Invoice Number: ____________________________

Suppliers Name _____________________________________________________


Country Shipped from: _____________________________________
No.
Item Package Use Type Description Containers Size Unt Value
Each

Instructions
Item --- Name of item, Package --- No of pallets or other large Packages
Use --- Top level use by categories listed. This identifies how product is used or purpose of product.
Type --- Second level category, This identifies what type of product eg. Equipment, Drug.
Description --- third level category identifying more specific use or type of item
No. Containers --- Total number of salable or individual items in packages,
Size --- the numerical weight or volume of container. Unt --- units of container’s content eg: gm, ml, Kg, Lb
Value --- dollar value as appears on invoice.
N.B. Incomplete forms may be returned without processing.

DF_APPL_Form V1.0.0
No.
Item Package Use Type Description Containers Size Unt Value

DF_APPL_Form V1.0.0
No.
Item Package Use Type Description Containers Size Unt Value

DF_APPL_Form V1.0.0

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