DGDA/SYDONIAWorld A OFFICE OF DESTINATION

1 DECLARATION
603B
2 Exporter No. IM 4 GOMA/VILLE
AL-SADIQ GARMENTS Customs Reference
KARASHI PAKISTAN 3 Forms 4 Load E 12698 04/09/2024
1 1 8 Manifest 2024 7391
5 Items 6 Nbr packages 7 Reference number

1 552 2024 ALSGARMS7391

8 Consignee No. A2298181T 9 Financial No. A2298181T

KHIJI YOUSUF KHIJI YOUSUF

Q MURARA C/KARISIMBI C/KARISIMBI Q MURARA C/KARISIMBI C/KARISIMBI
-- --
SALICO
10 Cty f. dest 11 Trading 12 Value details 13 C.A.P.
NORD-KIVU
PK of RW cty. 19,958,495
14 Declarant No. 000285 15 Country of export 15 C.E. 17 C.D. Code

IMMO SERKAS SARL Pakistan a PK b a CD b NK

7639, BLVD DU 30 JUIN IMM. SERKAS 16 Country of origin 17 Country of destination
KINSHASA / GOMBE
Etat-Unis République Démocratique du
18 Identity and nationality of means of transport at arrival / at 19 20 Delivery terms

T264EDE/T201ECP TZ yes CIF GOMA-VILLE

21 Identity and nationality of active means of transport crossing the 22 Currency & total amount 23 Exch. rate 24 Nature of

T264EDE/T201ECP TZ USD 14,222.00 2,826.3577 1 1 transac.

25 Mode 26 Inland mode 27 Place of loading/unloading 28 Financial and banking data Bank 9172
30 at border 30 Transport PKBQM Muhammad Bin Terms of CPT Comptant
29 Office of entry/exit 30 Location of goods CADECO / GOMA
603B GOMA/VILLE 603B013 91 2022 246004 0010
31 Packages Marks and numbers - Containers No(s) - Number and kind 32 Item 33 Commodity code
and
Marks & no USED CLOTHING GRADE C 1 No 63090031 00 VUS1
descriptio
of goods 552 1X40'TCNU1808637 34 Cty. orig. 35 Gross mass (kg) 36 Prefer.
of

Number and 552 BL a US b 24,950

Kind Balle compressee 37 PROCEDURE 38 Net mass (kg) 39 Quota

Containers No
4000 000 24,950
40 Summary declaration / Previous document S/L
Vêtements imperméables, manteaux, pardessus et articles similaires, de D8892
NON RENSEIGNEE VETEMENTS USAGES 41 Supplementary units 42 Item Price 43 V.M.

44 Add. info Licence No DEC1085878-D34A-IB D.Val D.Qty 14,222 1 cod

Document
Produced
19,784,504+0+173,991+0-0 A.I. Code 45 Adjustment

Certificate A.D. FCM TTR FRI 1.0000

and autho- 46 Statistical value
rization
60,154,954
47 Calcul- Type Tax base Rate Amount M 48 Deferred payment 49 Identification of warehouse
ation of
taxes DDI 60,154,954 10.0000 6,015,495 1
TVA 66,170,449 16.0000 10,587,272 1 B ACCOUNTING DETAILS
RLS 240,240 1.0000 240,240 1 COMPTANT
Mode of payment
QFR 24,950 0.0250 1,762,940 1
Assessment number L 12772 / Date 05/09/2024
TPI 66,170,449 1.8400 1,217,536 1
Receipt number Q 12666 Date 06/09/2024
COG 60,154,954 0.4570 274,907 1
RCO 60,154,954 0.0250 15,038 1 Guarantee 0 CDF Date

CSO 60,154,954 0.0180 10,827 1 Total fees 105,871 CDF

Total 21,826,639 1 Total 21,932,510 CDF
50 Principal No. Signatur C OFFICE OF DEPARTURE

51 Intended Represented by
offices of Place and date
transit
country

52 Code 53 Office of destination and country

not valid

D CONTROL BY OFFICE OF DESTINATION Stamp: 54 Place and date

Signatur Declarant name/representative