State of Qatar ô£b ádhO

REGULATORY AUTHORITY Application for Customs Clearance

Form: F/RT/09
ä’É°üJ’G º«¶æJ IQGOEG »côª÷G ¢ü«∏îà∏d á≤aGƒe Ö∏W
Terms and Conditions
ΩɵMC’Gh •höûdG
1. Unauthorized import will result in automatic export from Qatar. .ádhódG êQÉN »FÉ≤∏àdG ôjó°üàdG IOÉYEÉH ¬d ìöüŸG ÒZ OGÒà°S’G …ODƒj .1

2. ictQATAR will not be responsible for any damages, losses èàæJ ób ôFÉ°ùN hCG QGöVCG ájCG øY ’hDƒ°ùe ä’É°üJÓd ≈∏YC’G ¢ù∏éŸG ¿ƒµj ’ .2
or inconvenience that may be caused to any part as a result
.É¡d ìöüŸG ÒZ äGó©ŸG ôjó°üJ øY
of exporting the unauthorized equipment.

3. It is the responsibility of dealers and suppliers to check that â∏°üM ób Iõ¡L’G ¿ƒµJ ¿G ¿Éª°V á«dhDƒ°ùe øjOhõŸGh QÉéàdG ≥JÉY ≈∏Y ™≤j .3
the equipment are duly licensed and approved from ictQATAR ∫ƒ°U’G Ö°ùM ä’É°üJÓd ≈∏Y’G ¢ù∏éŸG πÑb øe á≤aGƒŸGh ¢ü«NÎdG ≈∏Y
before importing any goods and equipment. .™FÉ°†ÑdGh äGó©ŸG ∂∏J OGÒà°SG πÑb ∂dPh
4. Applications without signature and stamp will not be accepted.
.ºàN hG ™«bƒJ πª– ’ »àdG äÉÑ∏£dG πÑ≤J ’ .4
5. The full technical description and specification sheets of
the equipment should be enclosed. .äGó©ª∏d á∏eɵdG á«æØdG äÉfÉ«ÑdG Ö∏£dG Gòg ‘ ¥ÉaQG Öéj .5

Documents to be Enclosed
Ö∏£dG Gò¡H É¡bÉaQEG ܃∏£ŸG äGóæà°ùŸG
ictQATAR import permission Type approval á«YƒædG á≤aGƒŸG OGÒà°S’ÉH ä’É°üJÓd ≈∏Y’G ¢ù∏éŸG á≤aGƒe
Airway bill Packing list áæë°ûdG äÉjƒàëà áªFÉb …ƒ÷G øë°ûdG á°ü«dƒH
License copy Technical Specifications á«æØdG äÉØ°UGƒŸG ¢ü«NÎdG øY IQƒ°U
Invoice copy Purchase Order AGöT Ö∏W IQƒJÉØdG øY áî°ùf

Applicant’s Details
Ö∏£dG Ωó≤e äÉfÉ«H
I request a permission from Supreme Council for Information ( ô£b »J »°S …BG ) äÉeƒ∏©ŸG É«LƒdƒæµJh ä’É°üJÓd ≈∏YC’G ¢ù∏éŸG øe ¢ùªàdG
and Communication Technology (ictQATAR) to clear IQGOG πÑb øe É¡æY êGôaE’G äÉjɨd á«dÉàdG ájƒjOGôdGh á«æØdG äGó©ŸG ≈∏Y á≤aGƒŸG
the following radio and/or technological equipment from :ádhódG ‘ ∑Qɪ÷G
the Customs Department:
Name/Company ácöûdG/º°SE’G
Nationality á`«``°ùæ÷G
Profession á```æ¡ŸG
P.O. Box Ü . ¢U
Tel ∞`JÉ¡dG
Fax ¢ù`cÉØdG

Technical details
á«æØdG äÉØ°UGƒŸG
1.Type of equipment (tick as applicable)
Radio Equipment Telephones PABX Wireless Devices
Marine Radio Cordless Tel. Key System Computers
Radar GSM Phones DTH Accessories

2.Equipment description ...........................................................................................................................................................................................................................................................................................................................................

...............................................................................................................................................................................................................................................................................................................................................................................................................................................

3.Qty. of equipment No. of packages

4.Manufacturer Type Model

1/2 Rev: 01; D: 20/01/08 www.ictqatar.qa

5.Serial No.

6.Customer

7.Purpose of use

8.Name of Customs Department:

9.Purchase order ref: Date

10.Supplier invoice No.: Date

11.Airway Bill No.: Date

12.Truck No.: Date

Report Details
ôjô≤àdG π«°UÉØJ

company stamp (if applicable) /Ω(óLh ¿EG) ácöûdG ºàN Applicant’s Signature / Date ïjQÉàdG/ Ö∏£dG Ωó≤e ™`«bƒJ

FOR ictQATAR USE ONLY

§≤a ä’É°üJÓd ≈∏YC’G ¢ù∏éŸG ΩGóîà°S’
Approved

NOT Approved

Pending

Normal (20/- Q.R) Urgent (40/- Q.R) C.C.C. No.:

Staff Code Date

2/2 Rev: 01; D: 20/01/08 www.ictqatar.qa