SCHEDULE II

CUSDEC I SRI LANKA CUSTOMS - GOODS DECLARATION 1 DECLARATION Customs - 53

Header 2 Exporter TIN: IM 4 KTCC2 Colombo Cargo Office-Katu.

Information Customs Reference Number:
BEUMER MASCHINEN FABRIC GMBH & CO.,KG
OELDER STR.40 3 Forms 4 Load List I 9679 09/10/2023
BECKUM 59269 1 2 Manifest
GERMANY. 5 Items 6 Total Packages 7 Declarant's Sequence Number

3 1.00 2023 1495

8 Consignee TIN: 2940016117000 9 Person Responsible for Financial Settlement TIN:

SIAM CITY CEMENT LANKA LTD

278/4 LEVEL 25 ACCESS TOWER II
UNION PLACE COLOMBO 02
LAX 31/10/2025 10 Cty of Last 11 Trading 12 Value Details 13 C.A.P.
DDC RMU ORDER Cons/First Dst.
DE DE Cty. 44,028
14 Declarant/Representative TIN: 103189373 15 Country of Export 15 Cty. Ex. Code 17A Cty. Dst. Code

A K W GLOBE LINK (PVT) LTD Germany a DE b a LK b

293/A/1, WIMALATHISSA MAWATHA 16 Country of origin 17 Country of destination
THALANGAMA SOUTH, BATTARAMULLA Germany Sri Lanka
18 Vessel/Flight 19 Ctr. 20 Delivery Terms

8D822 no FOB
21 Voyage No./Date 22 Currency & Total Amount Invoiced 23 Exchange Rate 24 Nature of

05/10/2023 EUR 369.00 346.7871 Transt.

25 Mode Trans. 26 Inland Mode 27 Place of Loading/Discharging 28 Financial and banking data Bank Code 7092
4 at Border Transport Terms of payment 10 Advanced payment
29 Office of Entry/Exit 30 Location of Goods Bank Name : Hongkong & Shanghai Bank
KTCC2 Colombo Cargo Office- SLAL Branch : 001 Ref. No: TT CBH912845FRH

31 Packages Marks and numbers - Containers No(s) - Number and kind 32 Item No. 33 Commodity (HS) Code
and 319 0138 8402 1 84313900 00
Marks & Nos
Description
of Goods
of Packages: 3949639713 34 Cty. Orig. Code 35 Gross Mass (Kg) 36 Preference
Number & 0.30 PK a DE b 2.01
Kind Package 37 Procedure Code 38 Net Mass (Kg) 39 Quota
Containers No(s)
4000 000 1.60
Description:
40 Previous Pocument / BL No. / AWB No. S/L
IDLER
319 0138 8402 ( 9713 )
41 UOM & Qty. 1 42 Item Price(FOB/CIF) 43 V.M.

44 Add. Info Licence No D.Val D.Qty 2 KGM 1.60 74 cod

Documents
8,708+0+125+0-0 41 UOM & Qty. 2 A.I. 45 Adjustment
Produced
Certificates A.D. 1.0000
and Autho- 41 UOM & Qty. 3 46 Statistical Value
rization
34,499
Type Tax Base Rate Amount MP 48 A.C. Number 49 Identification of warehouse & period
ation of
Taxes CID 34,499 0.00 0 1
PAL 34,499 5.00 1,725 1 B ACCOUNTING DETAILS
SSL 39,673 2.50 992 1 CASH
Mode of Payment :
VAT 39,673 15.00 5,951 1
Assessment Number : A 9628 Date : 09/10/2023
Receipt Number : Date :

Guarantee : 0 LKR Date :

Total Fees : Rs. 550 LKR

Total 8,668 1 Total Declaration : Rs. 27,396 LKR
50. C. (Total Invoiced Amount) Currency Amount
Invoice Value: EUR 369.00
Freight: EUR 125.19
Office
Use 51. Insurance: EUR 1.77

Other: EUR 0.00

(For manual submissions to be filled by the declarant)
52. 53. I do hereby confirm that all particulars entered by me or on my behalf in
the CusDec and electronically transferred to the Sri Lanka Customs are
true & correct, and that the same particulars appear in print form on this
document.

D.
SIGNATURE OF IMPORTER / EXPORTER / AGENT: ..............................
DATE: ...........................

54. DECLARATION SUBMITTED BY

WMAS
.................................................................... ...........................................
SIGNATURE OF CUSTOMS HOUSE AGENT ID NUMBER
 SRI LANKA CUSTOMS - GOODS DECLARATION - CONTINUATION SHEET 1 DECLARATION
CUSDEC II Customs - 53
2940016117000 IM 4
SIAM CITY CEMENT LANKA LTD KTCC2 I 9679
278/4 LEVEL 25 ACCESS TOWER II 09/10/2023
UNION PLACE COLOMBO 02 3 Pages
LAX 31/10/2025 2 2 2023 1495

31 Packages Marks and numbers - Containers No(s) - Number and kind 32 Item No. 33 Commodity (HS) Code
and. . 2 85444299 00
Marks & Nos
Description
of Packages 34 Cty. Orig. Code 35 Gross Mass (Kg) 36 Preference
of Goods
Number & 0.30 PK a DE b 1.32
Kind: Package 37 Procedure 38 Net Mass (Kg) 39 Quota
Containers No(s):
4000 000 1.05
Description:
40 Previous Pocument / BL No. / AWB No. S/L
AS-I-CABLE
319 0138 8402 ( 9713 )
41 UOM & Qty. 1 42 Item Price(FOB/CIF) 43 V.M.

44 Add. info Licence No D.Val D.Qty 1 KGM 1.05 49 cod

Documents
5,722+0+80+0-0 41 UOM & Qty. 2 A.I. 45 Adjustment
Produced
Certificates A.D. 1.0000
and autho- IM-4-655-2023003043 41 UOM & Qty. 3 46 Statistical Value
rization
22,670
31 Packages Marks and numbers - Containers No(s) - Number and kind 32 Item No. 33 Commodity (HS) Code
and. . 3 90318000 00
Marks & Nos
Description
of Packages 34 Cty. Orig. Code 35 Gross Mass (Kg) 36 Preference
of Goods
Number & 0.40 PK a DE b 6.67
Kind: Package 37 Procedure 38 Net Mass (Kg) 39 Quota
Containers No(s):
4000 000 5.35
Description:
40 Previous Pocument / BL No. / AWB No. S/L
INDUCT TYPE PULSE GENER
319 0138 8402 ( 9713 )
41 UOM & Qty. 1 42 Item Price(FOB/CIF) 43 V.M.

44 Add. info Licence No D.Val D.Qty 2 NIU 2.00 246 cod

Documents
28,984+0+409+0-0 41 UOM & Qty. 2 A.I. 45 Adjustment
Produced
Certificates A.D. 1.0000
and autho- 41 UOM & Qty. 3 46 Statistical Value
rization
114,824
31 Packages Marks and numbers - Containers No(s) - Number and kind 32 Item No. 33 Commodity (HS) Code
and. Marks & Nos
Description
of Packages 34 Cty. Orig. Code 35 Gross Mass (Kg) 36 Preference
of Goods
Number & a b
Kind:
37 Procedure 38 Net Mass (Kg) 39 Quota
Containers No(s):

Description:
40 Previous Pocument / BL No. / AWB No. S/L

41 UOM & Qty. 1 42 Item Price(FOB/CIF) 43 V.M.

44 Add. info Licence No D.Val D.Qty cod

Documents
41 UOM & Qty. 2 A.I. 45 Adjustment
Produced
Certificates A.D.
and autho- 41 UOM & Qty. 3 46 Statistical Value
rization

Type Tax base Rate Amount MP Type Tax base Rate Amount MP
ation of
taxes CID 22,670 20.00 4,534 1 CID 114,824 0.00 0 1
EIC 22,670 10.00 2,267 1 SSL 126,305 2.50 3,158 1
PAL 22,670 10.00 2,267 1 VAT 126,305 0.00 0 1
SSL 34,004 2.50 851 1
VAT 34,004 15.00 5,101 1

null 2 15,020 null 3 3,158

Type Tax base Rate Amount MP Type Summary of Taxes 53 A

CID 4,534
PAL 3,992
SSL 5,001
VAT 11,052
EIC 2,267

Total Page 26,846 Signature and Date

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