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10 views2 pages

Declaration Print

Uploaded by

imran.maan055
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Sultanate of Oman ‫ﺳﻠﻄﻨﺔ ﻋﻤﺎﻥ‬

Royal Oman Police ‫ﺷﺮﻃﺔ ﻋﻤﺎﻥ ﺍﻟﺴﻠﻄﺎﻧﻴﺔ‬


Directorate General of Customs ‫ﺍﻻﺩﺍﺭﺓ ﺍﻟﻌﺎﻣﺔ ﻟﻠﺠﻤﺎﺭﻙ‬

Page 1 of 2
PORT ‫ﺍﻟﻤﻨﻔﺬ‬ DEC TYPE ‫ﻧﻮﻉ ﺍﻟﺒﻴﺎﻥ‬ DEC ‫ﺗﺎﺭﻳﺦ‬ DEC NO. ‫ﺭﻗﻢ ﺍﻟﺒﻴﺎﻥ‬
Customs Declaration ‫ﺑﻴﺎﻥ ﺍﻟﺠﻤﺮﻛﻲ‬
Wajajah Land Border Statistical Import 22/09/2025 DECIMP22092511236185
NET WEIGHT ‫ﺍﻟﻮﺯﻥ ﺍﻟﺼﺎﻓﻲ‬ IMPORTER / EXPORTER ‫ﺍﻟﻤﺼﺪﺭ‬/‫ﺍﻟﻤﺴﺘﻮﺭﺩ‬ DELIVERY ORDER NO. ‫ﺭﻗﻢ ﺇﺫﻥ ﺍﻟﺘﺴﻠﻴﻢ‬
5,191.000 ‫ﻋﺎﻟﻢ ﺍﻟﻠﺪﺍﺋﻦ‬ -- NIL --

GROSS WEIGHT ‫ﺍﻟﻮﺯﻥ ﺍﻟﻘﺎﺋﻢ‬ INTERCESSOR CO. ‫ﺍﻟﺸﺮﻛﺔ ﺍﻟﻮﺳﻴﻄﺔ‬ CAR / CAPT. / DRIVER ‫ﺍﻟﺴﺎﺋﻖ‬/‫ﺍﻟﻘﺒﻄﺎﻥ‬/‫ﺍﻟﻨﺎﻗﻠﺔ‬
5,191.000 ‫ﻣﺆﺳﺴﺔ ﺳﻌﻴﺪ ﺍﻟﻮﺷﺎﺣﻲ ﻟﻠﺘﺠﺎﺭﺓ‬

Website: www.customs.gov.om :
MEASUREMENT ‫ﺍﻟﻘﻴﺎﺱ‬ COMMERCIAL REG. NO. ‫ﺭﻗﻢ ﺍﻟﺴﺠﻞ ﺍﻟﺘﺠﺎﺭﻱ‬ CARRIER'S NAME ‫ﺍﺳﻢ ﺍﻟﻨﺎﻗﻠﺔ‬
KG 1577611

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

TIN No. ‫ﺍﻟﺮﻗﻢ ﺍﻟﻀﺮﻳﺒﻲ‬


MARKS & NUMBERS ‫ﺍﻟﻌﻼﻣﺎﺕ ﻭﺍﻷﺭﻗﺎﻡ‬ B/L - AWB NO. / MANIF. ‫ﺍﻟﻤﻨﺎﻓﺴﺖ‬/‫ﺭﻗﻢ ﺍﻟﺒﻮﻟﻴﺼﺔ‬

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 3,474.873 0.1048218 AED 33,150.290 AE Bowls to save ice 392410100001 1

0.000 5.000 2,275.526 0.1048218 AED 21,708.519 AE Other 392490909999 2

0.000 5.000 1,227.321 0.1048218 AED 11,708.642 AE Other 940370009999 3

Total : 6,977.720

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 2,235.000 2,235.000 XUN 600.000 600.0

GCC 1,739.000 1,739.000 XUN 1,508.000 1,508.0

GCC 1,217.000 1,217.000 XUN 150.000 150.0


FRT INS
119.999 69.086

OMR ‫ ﺭﻳﺎﻝ ﻋﻤﺎﻧﻲ‬DUTY ‫ﺍﻟﺮﺳﻮﻡ‬ CLEARING AGENT ‫ﺍﻟﻤﺨﻠﺺ ﺍﻟﺠﻤﺮﻛﻲ‬ ‫ﺍﻟﺮﻗﻢ ﺍﻟﻤﺮﺟﻌﻲ ﺍﻟﻤﻮﺣﺪ‬
Unified Customs Code
0.000 CUSTOMS DUTY ‫ﺍﻟﻀﺮﻳﺒﺔ‬ ‫ﺍﻟﻤﺼﺪﺭ‬/‫ﻟﻠﻤﺴﺘﻮﺭﺩ‬
348.886 VAT ‫ﻣﺆﺳﺴﺔ ﺳﻌﻴﺪ ﺍﻟﻮﺷﺎﺣﻲ ﻟﻠﺘﺠﺎﺭﺓ‬
‫ﺿﺮﻳﺒﺔ ﺍﻟﻘﻴﻤﺔ‬
‫ﺍﻟﻤﻀﺎﻓﺔ‬
LICENCE NO. ‫ﺭﻗﻢ ﺍﻟﺮﺧﺼﺔ‬ 157761100000000C000097OM
0.000 EXCISE TAX ‫ﺍﻟﻀﺮﻳﺒﺔ ﺍﻻﻧﺘﻘﺎﺋﻴﺔ‬
Dumping Fee ‫ﺭﺳﻢ ﻣﻤﺎﺭﺳﺎﺕ‬ 2019/25239
‫ﺿﺎﺭﺓ‬
HANDLING ‫ﺭﺳﻮﻡ ﺍﻟﻤﻨﺎﻭﻟﺔ‬ ‫ﺭﻣﺰ ﺍﻟﻤﺸﻐﻞ ﺍﻻﻗﺘﺼﺎﺩﻱ ﺍﻟﻤﻌﺘﻤﺪ‬
GCC AEO Code
OTHER ‫ﺃﺧﺮﻯ‬ ‫ﺍﻟﺨﻠﻴﺠﻲ‬
EXIT PORT ‫ﺟﻤﺮﻙ ﺍﻟﺨﺮﻭﺝ‬
DEFINIT 363.890 ‫ﻗﻄﻌﻰ‬ ‫ﺍﺟﻤﺎﻟﻰ‬
INSURED 0.000 ‫ﺗﺄﻣﻴﻦ‬ TOTAL FEE

PAYMENT ‫ﻃﺮﻳﻘﺔ ﺍﻟﺪﻓﻊ‬


CUSTOMS USE

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

DATE ‫ﺍﻟﺘﺎﺭﻳﺦ‬
BANK ‫ﺑﻨﻚ‬
RECEIPT
DATE ‫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
Directorate General of Customs
APPENDIX ‫ﺷﺮﻃﺔ ﻋﻤﺎﻥ ﺍﻟﺴﻠﻄﺎﻧﻴﺔ‬
Page 2 of 2
‫ﺍﻻﺩﺍﺭﺓ ﺍﻟﻌﺎﻣﺔ ﻟﻠﺠﻤﺎﺭﻙ‬

PORT ‫ﺍﻟﻤﻨﻔﺬ‬ DEC TYPE ‫ﻧﻮﻉ ﺍﻟﺒﻴﺎﻥ‬ DEC DATE ‫ﺗﺎﺭﻳﺦ ﺍﻟﺒﻴﺎﻥ‬ DEC NO. ‫ﺭﻗﻢ ﺍﻟﺒﻴﺎﻥ‬
Wajajah Land Border Statistical Import 22/09/2025 DECIMP22092511236185

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

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 3474.873 2235 2235.0 XUN 600.0 AE Bowls to save ice 392410100001 1

0.000 2275.526 1739 1739.0 XUN 1508.0 AE Other 392490909999 2

0.000 1227.321 1217 1217.0 XUN 150.0 AE Other 940370009999 3

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