IE463

IMPORT AND EXPORT CONTROL

PRIVATE BAG X 192
PRETORIA
WWW.ITAC.ORG.ZA

OFFICIAL
FILE NO

APPLICATION FOR PERMIT TO IMPORT GOODS FOR PERSONAL USE

NOTE: a). ALL INFORMATION MUST BE PROVIDED

b). PROVIDE FULL CUSTOMS TARIFF HEADING
c). A COPY OF SA PASSPORT OR ID DOCUMENT/CARD MUST BE SUBMITTED
d). TO BE COMPLETED EITHER IN TYPESCRIPT OR IN BLOCK CAPITALS IN INK

1. IMPORTERS CUSTOMS CODE NUMBER:

2. APPLICANT NAME:

3. FULL POSTAL ADDRESS:

4. TEL NUMBER:

5. FAX NUMBER:

6. E-MAIL ADDRESS:

DETAILS OF GOODS FOR WHICH AN IMPORT PERMIT IS REQUIRED

7. FULL TARIFF HEADING

AND DESCRIPTION

8. QUANTITY REQUIRED AS PER TARIFF HEADING: E.G. UNITS/KG/LITRES

10. RAND VALUE

9. INDICATE NEW OR N U
USED GOODS

11. WILL CURRENCY N Y

BE TRANSFERRED

12. The Applicant is hereby informed and accordingly consents that by signing and submitting this application form,
information that may constitute ‘personal information’ as defined by the Protection of Personal Information Act 4 of 2013
(“POPIA”) may be collected and stored by ITAC. Should it be necessary, including but not limited to, circumstances wherein
the application is dependent on a ‘recommendation’ by a select industry stakeholder or another state department or public
entity, the Applicant also consents to such information being shared accordingly.
Should the Applicant not consent to the above, the Applicant is requested not to submit this application and to liaise with the
relevant ITAC officials regarding the aforementioned issue.

13. 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…………………………………….