UNCTAD/ASYCUDAWorld A OFFICE OF DESTINATION

1 DECLARATION
00SH
2 Exporter No. IM 4 S.HITHADHOO
HANAMARU Customs Reference

JAPAN 3 Forms 4 Load List R 1430 21/11/2021

1 1 Manifest 00MP 2021 566
5 Items 6 Nbr packages 7 Reference number

1 1 2021 #441

8 Consignee No. C9999 9 Financial No.

OCCASIONAL IMPORTERS Areef Mohamed

X Gn. Fuvahmulah / Maalegan. Dimms
PVT
10 Cty f. dest 11 Trading 12 Value details 13 C.A.P.

JP of prev. cty. 2,559.06 PVT

14 Declarant No. B5001 15 Country of export 15 C.E. Code 17 C.D. Code

Bonito Group Pte Ltd Japan a JP b a b

M. Hasowa Building, 5th Floor 16 Country of origin 17 Country of destination
Boduthakurufaanu Magu Japan
18 Identity and nationality of means of transport at arrival / at departure 19 Ctr. 20 Delivery terms

CAPE ALTIUS / 04GA6E1MA JP no FOB

21 Identity and nationality of active means of transport crossing the border 22 Currency & total amount invoiced 23 Exch. rate 24 Nature of

CAPE ALTIUS / 04GA6E1MA USD 3,363.00 15.3975 transac.

25 Mode transport 26 Inland mode 27 Place of loading/unloading 28 Financial and banking data Bank Code
1 at border Transport MVHOO Hithadhoo Terms of payment

29 Office of entry/exit 30 Location of goods

00SH S.HITHADHOO HTH
31 Packages Marks and numbers - Containers No(s) - Number and kind 32 Item 33 Commodity code
and
Marks & no 1.0 1 No. 87034016 00
description
of goods of packages 1.0 34 Cty. orig. Code 35 Gross mass (kg) 36 Prefer.

Number and 1 PK a JP b 1,485.00

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

NISSAN
Containers No(s) DAA-HE12 4000 018 1,485.00
1190CC 40 Summary declaration / Previous document S/L
HYBRID PASSENGER VEHICLE (SPARK..)MOTOR AS SOURCE OF OSAG403367-A
NOTE CHASSISNO:HE12-028437 YEAR:2017 41 Supplementary units 42 Item Price 43 V.M.

44 Add. info Licence No EXEMPT D.Val D.Qty NMB 1.0000 3,363.00 cod
Documents
Produced
2,559.06+0.00+0.00+0.00-0.00 A.I. Code 45 Adjustment

Certificates A.D. 101 102 103 1.0000

and autho- Vin Number 46 Statistical value
rization
54,340.85
47 Calcul- Type Tax base Rate Amount MP 48 Deferred payment 49 Identification of warehouse
ation of
taxes IPV 45,781.79 0.000 0.00 1
RVF 51,781.79 0.010 517.82 1 B ACCOUNTING DETAILS
XPV 0.00 50.000 0.00 3 CASH
Mode of payment

Assessment number A 1460 / Date 30/11/2021

Receipt number R 1467 Date 06/12/2021
Guarantee 0.00 MVR Date

Total fees 13.00 MVR

Total 517.82 1 Total declaration 530.82 MVR
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 for

D CONTROL BY OFFICE OF DESTINATION Stamp: 54 Place and date

Declarant name/representative
Signature