CUSTOMS WORKSHEET
1. Entry No : 11. Port of Lading : LHR 12. Port of Unlading : CPT
2. Entry Type : FRMLDEC 13. Office of Exit : 14. Office of Entry : DFM
3. Declaration Date : 03/12/2021 4. Release Date : 15. Country of Origin : 16. Import Date : 04/12/2021
5. B / L : 15774593901 6. Waybill No : 1858227011 17. Export Country : GB 18. Export Date : 03/12/2021
7. Import Carrier : 0004 8. Mode of Transport : AIR 19. Gross Wt : 11.55 20. No.of Packages : 1
9. Location of Goods : 10. Receipt No : 21. Incoterms : FOB
22. 23. HS No 24. Product Code 25. 26. 27. 28.Entered Value in 29. Exchange Rate 30. 31. 32. Duties and Taxes 33.Other Fees
Line Origin Net Mfst Qty & Foreign Currency Declared Invoice (Lineitem)
No Wt UOM Value in No
Type Rate Unit Amount Type Amount
CUR Value CUR Rate ConFt Local
Currency
Orig
1 8708.99.90(1) GB 10.00 1.00 KG GBP 1,313.00 ZAR 21.55 21.5450 28,289.00 NV120473 DUTY 20% 1.00 5657.80
VAT 5,516.40 1.00 5516.40
1.00
Total 1,313.00 Total 28,289.00 11,174.20 0.00
34. Other Non Dut ZAR 0.00 37.Totals : ZAR 11,174.20
35. Other Dut ZAR 0.00 OTHER FEES(Lineitem) ZAR 0.00 TOTAL 12A/Excise ZAR 0.00
TOTAL VAT ZAR 5,516.40 TOTAL 12B/Ad Val. ZAR 0.00
36. Shipment Freight & Insurance GBP 99.90 ZAR 2,152.37
TOTAL CIF&C/CDV ZAR 30,441.00
TOTAL DUTY ZAR 5,657.80
TOTAL DecVal ZAR 28,289.00
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