GOODS DECLARATION. GD-I                                      X                                                                               Custom File No.
[ ] BILL OF ENTRY                [ ]      BILL OF EXPORT                      [ ] BAGGAGE DECLARATION                                         [ ] TRANSSHIPMENT PERMIT
                                                                                                               2.DECLARATION TYPE          3.VALUATION                      4.PREVIOUS REF
1.EXPORTER'S/CONSIGNOR'S NAME AND ADDRESS
                                                                     1200
                                                                                                            SB                             METHOD
AMSA INTERNATIONAL                                                                                          5.PAGE 1 OF                    6.CUSTOM OFFICE                  7.BANK CODE
SHAHAB PURA ROAD OPP. TAQ CARGO                                                                                1                            Sialkot Air Freight Unit - Export
                                                                                                               8.IGM/EGM NO & DT            --                                                   INDEX
10.IMPORTER'S/CONSIGNEE'S/PASSENGER NAME & ADDRESS                                                             9.DRY PORT IGM/EGM NO &                                                           INDEX
                                                                                                               DT
BARCELONA                                                                                                      11.DECLARANT (OTHER THAN IMPORTER/EXPORTER)
                                                                                                               CH.BASIR & SONS NORTH LAKHANWAL KHURD P/O KHAS 0
SPAIN
                                                                                                               12.TEL       0526522833
14.NTN                                            15.STR.No / PASSPORT NO & DATE                               13.C.H.A.L. No 1200                                      Job No
                                                                                                               16.WAREHOUSE LIC NO                                      17.TRANSACTION TYPE
1745115                                           0905420328019
                                                                                                                                                                        False
18.DOCUMENTS ATTACHED                        E-Form No                 Date              Value
                                                                                                               19.LC/DD NO. & DATE                                      20.COUNTRY OF DESTINATION
    INV        [ ] B/G                       UBL1186965                03/19/2015        3600.0000
                                                                                                                                                                        Spain
      BL/AWB/        [    ] IT EXMP
                                                                                                               21.CURRENCY NAME & CODE                                  30.MARKS/ CONTAINER NOS.
      CO             [    ]
                                                                                                               EURO         998                                         01-----33
      PL             [    ]
22.VESSEL MODE OF                              23.BL.AWL.CON.NO & DATE                                         24.EXCHANGE RATE
TRANSPORT                                      157-8824-6863 3/19/2015 12:00:00 AM                             108.400000
                                               25.PORT OF SHIPMENT                                             26.PAYMENT TERMS
                                               Sialkot Air Freight Unit - Export                               Without LC
27.PORT OF DISCHARGE                           28.PLACE OF DELIVERY                                            29.DELIVERY TERMS
Barcelona                                      BARCELONA SPAIN                                                 CIF
31.NUMBER OF PACKAGES                                            32.TYPE OF PACKAGE                                       33.GR OSS WT            34.Volume M3
33.000                                                           CARTONS                                                  649.00000 KG
35.GENERAL DESCRIPTION OF GOODS
SPORTS GOODS                                                                                                              NET WT
                                                                                                                          649.00000KG
 36.IN THE CASE OF DANGEROUS GOODS INDICATE HAZARD CLASS/DIV:FLASH                                                                                                     Containers detail as per attached sheet
 POINT
37.ITEM NO      38.QUANTITY                       38(b).NO OF UNITS               39.CO CODE          40.SRO NO                                                                                 41.HS Code
                (a)Unit Type                                                                          SRO209(I)/2009-3-05/03/2009
1                                                 282.0000                         Pakistan           SRO209(I)/2009-5-05/03/2009                                                               6103.4200
                    NO
42.ITEM DESCRIPTION OF GOODS                                                                                                                      46.LEVY        47.RATE                         48.SUM PAYABLE (PKR)
SPORTS GOODS
                                                                                                       42(a)
43.UNIT VALUE                              44.TOTAL VALUE                                     45.CUSTOM VALUE (PKR)
     Declared            Assessed            Declared                  Assessed                 Declared                  Assessed
12.7600            12.7600                 3598.32                   3598.32                  390057.8880               390057.8880
37.ITEM NO           38.QUANTITY                  38(b).NO OF UNITS               39.CO CODE          40.SRO NO                                                                                 41.HS Code
                     (a)Unit Type
2
42.ITEM DESCRIPTION OF GOODS                                                                                                                      46.LEVY        47.RATE                         48.SUM PAYABLE (PKR)
                                                                                                       42(a)
43.UNIT VALUE                              44.TOTAL VALUE                                     45.CUSTOM VALUE (PKR)
     Declared            Assessed            Declared                  Assessed                 Declared                  Assessed
49.SRO / Test Report No & Dt           50.FOB VALUE          2600.0000                                                       54.LANDING CHARGES @ 1%
                                       51.FREIGHT            1000.0000                                                       55.OTHER CHARGES                          0.0000
                                       52.CFR VALUE          3600.0000                                                                                                 390057.8880
                                                                                                                             56.ASSESSED VALUE PKR
                                       53.INSURANCE          1.0000                                                          57.TOTAL REBATE CLAIM/ PROV. ASSMNT U/S 81
58.MACHINE NO.            59REVENUE RECOVER            60.AMOUNT (PKR)                                                       (PKR)
                                                                                                                             64.I/we declare that the above particulars are true & corrcect.
 & DATE                       CODE         LEVY
SPEF-SB-8639-
24-03-2015
                                                                                      61.A.O's name, sig & stamp                                                                              SIG & DATE
108.400000
                                                                                                                             65..C/F/D NO & DATE
                                                                                      62.P.A.s name, sig & stamp
                                                                                     63.Out of Charge Sig & Stamp
                          Total:                                                                                             66.Bank Stamp
                              This is a system generated document, it does not require signature or stamp” as defined in sub section (kka) of Section 2 of Customs Act 1969