Sultanate of Oman ‫ﺳﻠﻄﻨﺔ ﻋﻤﺎﻥ‬

Royal Oman Police ‫ﺷﺮﻃﺔ ﻋﻤﺎﻥ ﺍﻟﺴﻠﻄﺎﻧﻴﺔ‬

Directorate General of Customs ‫ﺍﻻﺩﺍﺭﺓ ﺍﻟﻌﺎﻣﺔ ﻟﻠﺠﻤﺎﺭﻙ‬

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PORT ‫ﺍﻟﻤﻨﻔﺬ‬ DEC TYPE ‫ﻧﻮﻉ ﺍﻟﺒﻴﺎﻥ‬ DEC DATE ‫ﺗﺎﺭﻳﺦ ﺍﻟﺒﻴﺎﻥ‬ DEC NO. ‫ﺭﻗﻢ ﺍﻟﺒﻴﺎﻥ‬
Customs Declaration ‫ﺑﻴﺎﻥ ﺍﻟﺠﻤﺮﻛﻲ‬
Wajajah Land Border Statistical Import 12/09/2025 DECIMP12092511198505
NET WEIGHT ‫ﺍﻟﻮﺯﻥ ﺍﻟﺼﺎﻓﻲ‬ IMPORTER / EXPORTER ‫ﺍﻟﻤﺼﺪﺭ‬/‫ﺍﻟﻤﺴﺘﻮﺭﺩ‬ DELIVERY ORDER NO. ‫ﺭﻗﻢ ﺇﺫﻥ ﺍﻟﺘﺴﻠﻴﻢ‬
16,500.000 SAH-SML Joint Venture Company LLC -- NIL --

GROSS WEIGHT ‫ﺍﻟﻮﺯﻥ ﺍﻟﻘﺎﺋﻢ‬ INTERCESSOR CO. ‫ﺍﻟﺸﺮﻛﺔ ﺍﻟﻮﺳﻴﻄﺔ‬ CAR / CAPT. / DRIVER ‫ﺍﻟﺴﺎﺋﻖ‬/‫ﺍﻟﻘﺒﻄﺎﻥ‬/‫ﺍﻟﻨﺎﻗﻠﺔ‬
16,500.000 Alsi Global LLC ‫ﺧﻂ ﺍﻟﻤﻨﻴﺐ‬

Website: www.customs.gov.om :
MEASUREMENT ‫ﺍﻟﻘﻴﺎﺱ‬ COMMERCIAL REG. NO. ‫ﺭﻗﻢ ﺍﻟﺴﺠﻞ ﺍﻟﺘﺠﺎﺭﻱ‬ CARRIER'S NAME ‫ﺍﺳﻢ ﺍﻟﻨﺎﻗﻠﺔ‬
KG 1516295

NO. OF PACKAGES ‫ﻋﺪﺩ ﺍﻟﻄﺮﻭﺩ‬ EXPORT TO ‫ﺍﻟﻤﺼﺪﺭ ﺇﻟﻴﻪ‬ VOYAGE / FLIGHT NO. ‫ﺭﻗﻢ ﺍﻟﺮﺣﻠﺔ‬
66927/AE
CARRIER'S AGENT USE

TIN No. ‫ﺍﻟﺮﻗﻢ ﺍﻟﻀﺮﻳﺒﻲ‬

MARKS & NUMBERS ‫ﺍﻟﻌﻼﻣﺎﺕ ﻭﺍﻷﺭﻗﺎﻡ‬ B/L - AWB NO. / MANIF. ‫ﺍﻟﻤﻨﺎﻓﺴﺖ‬/‫ﺭﻗﻢ ﺍﻟﺒﻮﻟﻴﺼﺔ‬
OM1100371507
66927DXB
PORT OF LOADING ‫ﻣﻴﻨﺎﺀ ﺍﻟﺸﺤﻦ‬

PORT OF DISCHARGE ‫ﻣﻴﻨﺎﺀ ﺍﻟﺘﻔﺮﻳﻎ‬ /

Wajajah Land Border
DESTINATION ‫ﺟﻬﺔ ﺍﻟﻤﻘﺼﺪ‬

‫ﺇﺟﻤﺎﻟﻲ ﺍﻟﺮﺳﻮﻡ‬ ‫ﻓﺌﺔ ﺍﻟﺮﺳﻢ‬ ‫ﺍﻟﻘﻴﻤﺔ ﺑﺎﻟﻌﻤﻠﺔ ﺍﻟﻤﺤﻠﻴﺔ‬ CURRENCY ‫ﺍﻟﻌﻤﻠﺔ‬ ‫ﺍﻟﻘﻴﻤﺔ ﺑﺎﻟﻌﻤﻠﺔ ﺍﻻﺟﻨﺒﻴﺔ‬ ‫ﺑﻠﺪ‬ ‫ﻭﺻﻒ ﺍﻟﺒﻀﺎﻋﺔ‬ ‫ﺑﻨﺪ ﺍﻟﺘﻌﺮﻓﺔ‬
TOTAL DUTY DUTY CIF LOCAL VALUE ‫ﺍﻟﺴﻌﺮ‬ ‫ﺍﻟﻨﻮﻉ‬ CIF FOREIGN
ORIGIN GOODS DESCRIPTION H.S. CODE
OMR RATE OMR RATE TYPE VALUE
CONSIGNEE OR CLEARING

E-mail : info@customs.gov.om :
0.000 5.000 12,349.526 0.1048247 AED 117,811.221 AE Other 730890909999 1

Total : 12,349.526

AIP CUSTOMS RESTRICTIONS ‫ﺍﻟﻘﻴﻮﺩ ﺍﻟﺠﻤﺮﻛﻴﺔ‬

‫ﺭﻣﺰ ﺍﻹﻋﻔﺎﺀﺍﺕ‬ ‫ ﺿﺎﺭﺓ‬.‫ ﻡ‬.‫ ﻡ‬WEIGHT ‫ ﺍﻟﻮﺯﻥ‬CLASSIFICATION ‫ ﺍﻟﺼﻨﻒ‬PACKAGES ‫ﺍﻟﻄﺮﻭﺩ‬
‫ﺍﻟﺮﺳﻢ‬ ‫ﺍﻟﻨﺸﺮﺓ‬ ‫ﺍﻟﻘﺎﺋﻢ‬ ‫ﺍﻟﺼﺎﻓﻲ‬ ‫ﻭﺣﺪﺓ‬ ‫ﺍﻟﻜﻤﻴﺔ‬ ‫ﺍﻟﻨﻮﻉ‬ ‫ﺍﻟﻜﻤﻴﺔ‬ ‫ﻣﺮﺟﻊ ﺍﻟﻔﺴﺢ‬ ‫ﺍﻟﺠﻬﺔ‬
EXEMPTION OF DUTY CODE
Duty No GROSS NET UNIT QTY. TYPE QTY. RELEASE REF. AGENCY
GCC 16,500.000 16,500.000 KGM 16,500.000 Package 35.0
FRT INS
120.000 122.273

OMR ‫ ﺭﻳﺎﻝ ﻋﻤﺎﻧﻲ‬DUTY ‫ﺍﻟﺮﺳﻮﻡ‬ CLEARING AGENT ‫ﺍﻟﻤﺨﻠﺺ ﺍﻟﺠﻤﺮﻛﻲ‬ ‫ﺍﻟﺮﻗﻢ ﺍﻟﻤﺮﺟﻌﻲ ﺍﻟﻤﻮﺣﺪ‬
Unified Customs Code
0.000 CUSTOMS DUTY ‫ﺍﻟﻀﺮﻳﺒﺔ‬ ‫ﺍﻟﻤﺼﺪﺭ‬/‫ﻟﻠﻤﺴﺘﻮﺭﺩ‬
Alsi Global LLC
617.476 VAT ‫ﺿﺮﻳﺒﺔ ﺍﻟﻘﻴﻤﺔ‬
‫ﺍﻟﻤﻀﺎﻓﺔ‬
LICENCE NO. ‫ﺭﻗﻢ ﺍﻟﺮﺧﺼﺔ‬ 151629500000000C001743OM
0.000 EXCISE TAX ‫ﺍﻟﻀﺮﻳﺒﺔ ﺍﻻﻧﺘﻘﺎﺋﻴﺔ‬
Dumping Fee ‫ﺭﺳﻢ ﻣﻤﺎﺭﺳﺎﺕ‬ 10799
‫ﺿﺎﺭﺓ‬
HANDLING ‫ﺭﺳﻮﻡ ﺍﻟﻤﻨﺎﻭﻟﺔ‬ ‫ﺭﻣﺰ ﺍﻟﻤﺸﻐﻞ ﺍﻻﻗﺘﺼﺎﺩﻱ‬
GCC AEO Code
OTHER ‫ﺃﺧﺮﻯ‬ ‫ﺍﻟﻤﻌﺘﻤﺪ ﺍﻟﺨﻠﻴﺠﻲ‬
EXIT PORT ‫ﺟﻤﺮﻙ ﺍﻟﺨﺮﻭﺝ‬
DEFINIT 632.480 ‫ﻗﻄﻌﻰ‬ ‫ﺍﺟﻤﺎﻟﻰ‬
INSURED 0.000 ‫ﺗﺄﻣﻴﻦ‬ TOTAL FEE

PAYMENT Online ‫ﻃﺮﻳﻘﺔ ﺍﻟﺪﻓﻊ‬

CUSTOMS USE

GUARANTEE/CHEQUE ‫ﺷﻴﻚ‬/‫ﺿﻤﺎﻥ‬
NO. ‫ﺭﻗﻢ‬
Other Remarks ‫ﻣﻼﺣﻈﺎﺕ ﺍﺧﺮﻯ‬
‫ﺭﻣﺰ ﺍﻻﺳﺘﺠﺎﺑﺔ ﺍﻟﺴﺮﻳﻌﺔ‬
QR CODE

DATE ‫ﺍﻟﺘﺎﺭﻳﺦ‬

RECEIPT PTN12092512237368 ‫ﺭﻗﻢ ﺇﻳﺼﺎﻝ ﺍﻟﺪﻓﻊ‬

DATE 12/09/2025 ‫ﺍﻟﺘﺎﺭﻳﺦ‬
BANK ‫ﺑﻨﻚ‬

: ‫ﺗﺄﺷﻴﺮﺓ ﺟﻤﺮﻙ ﺑﻠﺪ ﺍﻟﻤﻘﺼﺪ‬ : ‫ﺭﻗﻢ ﺍﻟﺴﻴﻞ ﺍﻟﺠﻤﺮﻛﻲ‬

I/We, Importer/Clearing Agent hereby declare that
all data and documents submitted are true and ‫ ﻭﻛﻴﻞ ﺍﻟﺘﺨﻠﻴﺺ ﺑﺄﻥ ﺍﻟﺒﻴﺎﻧﺎﺕ‬/‫ﻧﺤﻦ ﺍﻟﻤﺴﺘﻮﺭﺩ‬/‫ﺃﻗﺮ ﺃﻧﺎ‬ ‫ﻧﺆﻛﺪ ﻭﺻﻮﻝ ﺍﻟﺒﻀﺎﻋﺔ ﺗﻔﺎﺻﻴﻠﻬﺎ ﺃﻋﻼﻩ‬ ‫ﻧﺸﻬﺪ ﺑﺨﺮﻭﺝ ﺍﻟﺒﻀﺎﻋﺔ ﺗﻔﺎﺻﻴﻠﻬﺎ ﺃﻋﻼﻩ‬
REMARKS

complete. /‫ﻭﺍﻟﻤﺴﺘﻨﺪﺍﺕ ﺍﻟﻤﺮﻓﻘﺔ ﺻﺤﻴﺤﺔ ﻭﻛﺎﻣﻠﺔ ﻭﺳﻮﻑ ﺃﺗﺤﻤﻞ‬ :‫ﺑﺠﻤﺮﻙ‬ :‫ﺑﺠﻤﺮﻙ‬

I/We will bear any legal responsibility if the above
informations are not true. .‫ﻧﺘﺤﻤﻞ ﺃﻳﺔ ﻣﺴﺆﻭﻟﻴﺔ ﻗﺎﻧﻮﻧﻴﺔ ﻓﻲ ﺣﺎﻟﺔ ﺛﺒﻮﺕ ﻏﻴﺮ ﺫﻟﻚ‬ :‫ﺑﺘﺎﺭﻳﺦ‬ :‫ﺑﺘﺎﺭﻳﺦ‬
‫ﺍﻟﺨﺘﻢ ﻭ ﺍﻟﺘﻮﻗﻴﻊ‬ ‫ﺍﻟﺨﺘﻢ ﻭ ﺍﻟﺘﻮﻗﻴﻊ‬
Sultanate of Oman ‫ﺳﻠﻄﻨﺔ ﻋﻤﺎﻥ‬
Royal Oman Police APPENDIX ‫ﺷﺮﻃﺔ ﻋﻤﺎﻥ ﺍﻟﺴﻠﻄﺎﻧﻴﺔ‬
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Directorate General of Customs ‫ﺍﻻﺩﺍﺭﺓ ﺍﻟﻌﺎﻣﺔ ﻟﻠﺠﻤﺎﺭﻙ‬

PORT ‫ﺍﻟﻤﻨﻔﺬ‬ DEC TYPE ‫ﻧﻮﻉ ﺍﻟﺒﻴﺎﻥ‬ DEC DATE ‫ﺗﺎﺭﻳﺦ ﺍﻟﺒﻴﺎﻥ‬ DEC NO. ‫ﺭﻗﻢ ﺍﻟﺒﻴﺎﻥ‬
Wajajah Land Border Statistical Import 12/09/2025 DECIMP12092511198505

CONVAYANCE DETAILS

S/No Gate Pass Number Plate Number Vehicle Plate Type Chassis Number Driver Name
‫ﺍﻟﺮﻗﻢ ﺍﻟﺘﺴﻠﺴﻠﻲ‬ ‫ﺭﻗﻢ ﺇﺫﻥ ﺍﻟﺒﻮﺍﺑﺔ‬ ‫ﺭﻗﻢ ﻟﻮﺣﺔ‬ ‫ﻧﻮﻉ ﻟﻮﺣﺔ ﺍﻟﻤﺮﻛﺒﺔ‬ ‫ﺭﻗﻢ ﺍﻟﺸﺎﺻﻲ‬ ‫ﺍﺳﻢ ﺍﻟﺴﺎﺋﻖ‬

1 2092411 66927 COMMERCIAL VF624GPA000074604

CONTAINER DETAILS
CONTAINER ‫ﺣﺎﻟﺔ‬
SL. NO. ‫ ﺍﻟﺘﺴﻠﺴﻞ‬NO. ‫ ﺣﺎﻭﻳﺔ ﺭﻗﻢ‬LOAD STATUS CONTAINER CODE ‫ ﻛﻮﺩ ﺍﻟﺘﺤﻤﻴﻞ‬CONTAINER CODE ‫ ﻛﻮﺩ ﺍﻟﺘﺤﻤﻴﻞ‬GROSS WEIGHT ‫ﺍﻟﻮﺯﻥ ﺍﻟﻘﺎﺋﻢ‬
‫ﺍﻟﺘﺤﻤﻴﻞ‬

1 66927DXB Empty general container ‫ﺣﺎﻭﻳﺔ ﻋﺎﺩﻳﺔ‬ 0.0

ITEM SUMMARY
Duty OMR CIF VALUE OMR COO HS CODE
GROSS NET UNIT QTY. DESCRIPITION SL. NO.
‫ﺍﻟﻀﺮﻳﺒﺔ ﺍﻟﺠﻤﺮﻛﻴﺔ‬ ‫ ﺑﺎﻟﺮﻳﺎﻝ‬CIF ‫ﺍﻟﻘﻴﻤﺔ‬ ‫ﺷﻬﺎﺩﺓ ﺑﻠﺪ‬ ‫ﺭﻣﺰ ﺍﻟﻨﻈﺎﻡ‬
‫ﺍﻟﻮﺯﻥ ﺍﻟﻘﺎﺋﻢ‬ ‫ﺍﻟﻮﺯﻥ ﺍﻟﺼﺎﻓﻲ‬ ‫ﻭﺣﺪﺓ‬ ‫ﺍﻟﻜﻤﻴﺔ‬ ‫ﺍﻟﻮﺻﻒ‬ ‫ﺍﻟﺘﺴﻠﺴﻞ‬
‫ﺑﺎﻟﺮﻳﺎﻝ ﺍﻟﻌﻤﺎﻧﻲ‬ ‫ﺍﻟﻌﻤﺎﻧﻲ‬ ‫ﺍﻟﻤﻨﺸﺄ‬ ‫ﺍﻟﻤﻨﺴﻖ‬

0.000 12349.526 16500 16500.0 KGM 16500.0 AE Other 730890909999 1

‫ﻟﻠﺘﺤﻘﻖ ﻣﻦ ﺍﻟﻮﺛﻴﻘﺔ ﻳﺠﺐ ﻣﺴﺢ ﺭﻣﺰ ﺍﻻﺳﺘﺠﺎﺑﺔ ﺍﻟﺴﺮﻳﻊ ﻟﻼﻃﻼﻉ ﻋﻠﻰ ﺍﻟﻮﺛﻴﻘﺔ ﺍﻻﺻﻠﻴﺔ ﻣﻦ ﻧﻈﺎﻡ ﺑﻴﺎﻥ‬

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