Annex 1 Form for Consolidated Declaration of Import Goods of the Customs of the People's Republic of China Customs File No.: XXXX-XXXX-I-XXXXXXXXX Port of Date of import: Date of declaration: Recordation No.: Entity engaging in import Mode of Name of means of B/L No.: trade: transport: transport: Consignee: Category of trade: License No.: Country/region of Container No.: Port of loading: departure: Number of Type of Gross weight (kg): Net weight (kg): packages: packing: Documents attached: Remarks: Item No./Commodity Code/Commodity Name/Spec&Model/Quantity&Unit/Country or Region of Origin/Unit Price/Total/Currency Data entry staff: I hereby declare that Customs’ remarks noted on the above declaration documents inspected & date of Data entry organization: is made faithfully and I release (Signature/Seal) Customs broker: will assume the legal Documents inspection: liabilities arising Company address: therefrom. Goods examination: Zip code: Tel: Declaring organization: Release: Date:
Annex 1 Form for Consolidated Declaration of Import Goods of the Customs of the People's Republic of China Customs File No.: XXXX-XXXX-I-XXXXXXXXX Port of Date of import: Date of declaration: Recordation No.: Entity engaging in import trade: Mode of transport: Name of means of transport: B/L No.: Consignee: Category of trade: License No.: Container No.: Country/region of departure: Port of loading: Number of packages: Type of packing: Gross weight (kg): Net weight (kg): Documents attached: Remarks: Item No./Commodity Code/Commodity Name/Spec&Model/Quantity&Unit/Country or Region of Origin/Unit Price/Total/Currency Data entry staff: Data entry organization: I hereby declare that the above declaration is made faithfully and I will assume the legal liabilities arising therefrom. Declaring organization: Date: Customs’ remarks noted on documents inspected & date of release (Signature/Seal) Documents inspection: Customs broker: Company address: Zip code: Tel: Goods examination: Release:
20141025152616_0813.docx