SCHEDULE II

SRI LANKA CUSTOMS - GOODS DECLARATION

CUSDEC I
2 Exporter

TIN:

DECLARATION

IM

Customs - 53

CBHQ1

3 Pages

4 List

01 03
5 Items

Text
TIN:

1940107617000

63884

16/05/2014

Manifest
6 Total Packages

06

8 Consignee

Colombo Head Quaters

Customs Reference Number:

REHAU POLMERS PVT LTD

KHED-PABAL ROAD,HOLEWADI,
RAJGURUNAGAR,TAL-KHED,
MAHARASHTA,INDIA.

7 Declarant's Sequence Number

08 2014

#313

9 Person Responsible for Financial Settlement

TIN:

HAFELE INDIA PVT LTD

885 ETUL KOTTE RD ETUL KOTTE
Header
Information

14 Declarant/Representative

TIN:

7427612667000-1

S C K FREIGHT SYSTEMS
51-E-1 LEVEL 2 FORT BLDG
BRISTOL ST COL 01

12 Value Details

IN

180,988

IN

Cty.

India

16 Country of origin

17 Country of destination

India

Sri Lanka

19 Ctr.

20 Delivery Terms

no

FOB

21 Voyage No./Date

22 Currency & Total Amount Invoiced

113E OF 11/05/2014

USD

at Border

27 Place of Loading/Discharging

30 Location of Goods

SLPA

23 Exchange Rate

RPPL-HIPL
08 PALLETS LCL (NYKU2708148)
03
PX
Pallet

24 Nature of
Transt.

7047

Bank Code

33 Commodity (HS) Code

39204390

00

34 Cty. Orig. Code

35 Gross Mass (Kg)

IN

Description:

38 Net Mass (Kg)

000

39 Quota

1,963.52

40 Previous Pocument / BL No. / AWB No.

PVC PROFILE EDGEBANDING TAPE (PLAIN)

SIZE: 30 X 0.45

S/L

120614001040
42 Item Price(FOB/CIF)

41 UOM & Qty. 1

D.Val

36 Preference

2,069.36

37 Procedure

4000

Licence No

131.9753

32 Item No.

Containers No(s)

44 Add. Info
Documents
Produced
Certificates
and Authorization

LK

10
Advanced payment
Bank Name : Citi Bank N.A.
: 001 Ref. No: 3144099227
Branch

Marks and numbers - Containers No(s) - Number and kind

Kind

17A Cty. Dst. Code

Terms of payment

CBHQ1 Colombo Head

Number &

IN

19,723.50

28 Financial and Banking Data

Transport

29 Office of Entry/Exit

Marks & Nos

of Packages:

15 Cty. Ex. Code

ACX CRYSTAL

26 Inland Mode

13 C.A.P.

15 Country of Export

18 Vessel/Flight

25 Mode Trans.

31 Packages
and
Description
of Goods

10 Cty of Last 11 Trading

Cons/First Dst.

KGM

D.Qty

72,181+0+2,027+0-0

1,963.46

43 V.M.

8,087.00

41 UOM & Qty. 2

A.I.

41 UOM & Qty. 3

46 Statistical Value

cod

45 Adjustment

1.00

A.D.

1,141,492.00
47 Calculation of
Taxes

Type

CID
EIC
PAL
NBT
VAT

Tax Base

Rate

1,141,492.00
1,963.46
1,141,492.00
1,778,459.20
1,778,459.20

15.00
150.00
5.00
2.00
12.00

Total
50.

Office
Use

51.

Amount MP 48 A.C. Number

171,224.00
294,519.00
57,075.00
35,570.00
213,416.00

1
1
1
1
1

771,804.00 1

49 Identification of warehouse &

B ACCOUNTING DETAILS
Mode of Payment

CASH

Assessment Number

A 63906

Receipt Number

Guarantee

Total Fees

: Rs.

550.00 LKR

Total Declaration

: Rs.

1,614,850.00 LKR

C.

Date :

16/05/2014

Date :

0.00 LKR

(Total Invoiced Amount) Currency

Date :

Amount

Invoice Value:

USD

19,723.50

Freight:

USD

1333.91

Insurance:

USD

37.47

Other:

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
....................................................................
SIGNATURE OF CUSTOMS HOUSE AGENT

M
N JOHORAN
...........................................
ID NUMBER

SRI LANKA CUSTOMS - GOODS DECLARATION - CONTINUATION SHEET

DECLARATION

IM

CUSDEC II

Customs - 53

Consignee/Exporter
HAFELE INDIA PVT LTD
885 ETUL KOTTE RD ETUL KOTTE

TIN:

1940107617000

A. OFFICE USE
Customs Ref : CBHQ1
Date
: 16/05/2014
Manifest:
Declarant's Ref No:
2014

3 Pages

02 03
31 Packages
and.
Description
of Goods

Marks and numbers - Containers No(s) - Number and kind

Marks & Nos
of Packages

RPPL-HIPL

Number &
Kind:

03

33 Commodity (HS) Code

39203090

00

34 Cty. Orig. Code

35 Gross Mass (Kg)

IN

4000

Description:

38 Net Mass (Kg)

000

2,218.24

31 Packages
and.
Description
of Goods

Marks and numbers - Containers No(s) - Number and kind

KGM

42 Item Price

D.Qty

80,865+0+2,271+0-0

41 UOM & Qty. 2

A.I.

41 UOM & Qty. 3

46 Statistical Value

cod

1,278,832.00
RPPL-HIPL

Marks & Nos

32 Item No.

33 Commodity (HS) Code

48205000

00

34 Cty. Orig. Code

35 Gross Mass (Kg)

of Packages

00

PX
Pallet

Kind:

IN

4000

Description:

38 Net Mass (Kg)

000

39 Quota

80.00

COLOUR SAMPLE CHAINS FOR UNI AND DECORE,

SAMPLE CHIAN FOR ROLLER SUTTER METERIAL

40 Previous Pocument / BL No. / AWB No.

(PROMOTIOM MATERILS)

41 UOM & Qty. 1

44 Add. info
Documents
Produced
Certificates
and Authorization

Licence No

31 Packages
and.
Description
of Goods

Marks and numbers - Containers No(s) - Number and kind

D.Val

36 Preference

86.00

37 Procedure

Containers No(s):

S/L

120614001040
42 Item Price

KGM

D.Qty

242+0+7+0-0

43 V.M.

27.00

80.00

41 UOM & Qty. 2

A.I.

41 UOM & Qty. 3

46 Statistical Value

cod

A.D.

3,812.00
RPPL-HIPL

Marks & Nos

32 Item No.

33 Commodity (HS) Code

49111090

00

34 Cty. Orig. Code

35 Gross Mass (Kg)

of Packages

00

Number &

PX
Pallet

Kind:

IN

4000

Description:

38 Net Mass (Kg)

000

18.24
S/L

120614001040

(PROMOTION MATERILS)

42 Item Price

41 UOM & Qty. 1

D.Val

39 Quota

40 Previous Pocument / BL No. / AWB No.

REHAU CATLOUGES,RABBET LEDGE

SELF ADHESIVE SCREW CAP LEAFLTETS,

Licence No

36 Preference

19.23

37 Procedure

Containers No(s):

47 Calculation of
taxes

43 V.M.

9,060.00

2,218.24

A.D.

Number &

44 Add. info
Documents
Produced
Certificates
and Authorization

S/L

120614001040
41 UOM & Qty. 1

D.Val

39 Quota

40 Previous Pocument / BL No. / AWB No.

PVC PROFILE EDGEBANDING TAPE (PRINTED)

SIZE: 30 X 0.45

Licence No

36 Preference

2,329.41 ISFTA

37 Procedure

Containers No(s):

63884

#313

32 Item No.

PX
Pallet

44 Add. info
Documents
Produced
Certificates
and Authorization

KGM

D.Qty

669+0+18+0-0

43 V.M.

75.00

18.22

41 UOM & Qty. 2

A.I.

41 UOM & Qty. 3

46 Statistical Value

cod

A.D.

10,585.00
Type

CID
EIC
PAL
NBT
VAT

Tax base

Rate

1,278,832.00
2,218.24
1,278,832.00
1,803,393.20
1,803,393.20

0.00
150.00
5.00
2.00
12.00

CID
PAL
NBT
VAT

Tax base

Rate

10,585.00
10,585.00
12,173.50
12,173.50

0.00
5.00
2.00
12.00

Total Third Item

191,825.00
332,736.00
63,942.00
36,068.00
216,408.00

Type

3
1
1
1
1

CID
EIC
PAL
NBT
VAT

Amount MP

Type

649,154.00

Total First Item

Type

Amount MP

0.00
530.00
244.00
1,461.00

2,235.00

Tax base

Rate

3,812.00
80.00
3,812.00
13,337.20
13,337.20

25.00
100.00
5.00
2.00
12.00

Amount MP

953.00
8,000.00
191.00
267.00
1,601.00

11,012.00

Total Second Item

1
1
1
1

CID
EIC
PAL
NBT
VAT

Total

Summary of Taxes

53 A

192,778.00
340,736.00
64,663.00
36,579.00
219,470.00

662,401.00

Signature and Date

1
1
1
1
1

SRI LANKA CUSTOMS - GOODS DECLARATION - CONTINUATION SHEET

DECLARATION

IM

CUSDEC II

Customs - 53

Consignee/Exporter

TIN:

A. OFFICE USE
Customs Ref : CBHQ1
Date
: 16/05/2014
Manifest:
Declarant's Ref No:
2014

3 Pages

03 03
31 Packages
and.
Description
of Goods

Marks and numbers - Containers No(s) - Number and kind

Marks & Nos
of Packages

RPPL-HIPL

Number &
Kind:

00

#313

32 Item No.

33 Commodity (HS) Code

39269090

00

34 Cty. Orig. Code

35 Gross Mass (Kg)

PX
Pallet

IN

4000

Description:

36 Preference

6.00

37 Procedure

Containers No(s):

63884

38 Net Mass (Kg)

39 Quota

000

5.00

40 Previous Pocument / BL No. / AWB No.

RAUKANTEX SOFT,
(PROMOTION MATERILS)

S/L

120614001040
43 V.M.

41 UOM & Qty. 1

44 Add. info
Documents
Produced
Certificates
and Authorization

Licence No

31 Packages
and.
Description
of Goods

Marks and numbers - Containers No(s) - Number and kind

D.Val

KGM

D.Qty

4+0+0+0-0

41 UOM & Qty. 2

cod

A.I.

KNS

A.D.

0.50

5.00
1.00

46 Statistical Value

41 UOM & Qty. 3

70.00
Marks & Nos

RPPL-HIPL

32 Item No.

33 Commodity (HS) Code

83024200

00

34 Cty. Orig. Code

35 Gross Mass (Kg)

of Packages
Number &

01

PX
Pallet

Kind:

IN

37 Procedure

Containers No(s):

4000

Description:

36 Preference

220.00

b
38 Net Mass (Kg)

000

39 Quota

185.00

C-BOX FRAME 4,RVL VETRO LINE,EASY LINE

EASY LINE TRACK,METALLIC ALU EASY LINE

40 Previous Pocument / BL No. / AWB No.

(FURNITURE FITTINGS)

41 UOM & Qty. 1

44 Add. info
Documents
Produced
Certificates
and Authorization

Licence No

31 Packages
and.
Description
of Goods

Marks and numbers - Containers No(s) - Number and kind

D.Val

S/L

120614001040
43 V.M.

KGM

D.Qty

22,082+0+620+0-0

2,474.00

185.00

41 UOM & Qty. 2

A.I.

41 UOM & Qty. 3

46 Statistical Value

cod

A.D.

349,209.00
32 Item No.

33 Commodity (HS) Code

Marks & Nos

of Packages

34 Cty. Orig. Code

Number &

Kind:

37 Procedure

35 Gross Mass (Kg)

36 Preference

38 Net Mass (Kg)

39 Quota

Containers No(s):
Description:

40 Previous Pocument / BL No. / AWB No.

S/L

43 V.M.

41 UOM & Qty. 1

44 Add. info
Documents
Produced
Certificates
and Authorization
47 Calculation of
taxes

Licence No

D.Val

cod

D.Qty
41 UOM & Qty. 2

A.I.

41 UOM & Qty. 3

46 Statistical Value

A.D.

Type

Tax base

Rate

CID
EIC
PAL
NBT
VAT

5.00
5.00
70.00
556.00
556.00

20.00
75.00
5.00
2.00
12.00

Type

Tax base

Amount MP

100.00
375.00
4.00
12.00
67.00

Type

1
1
1
1
1

CID
EIC
PAL
NBT
VAT

Amount MP

Type

558.00

Total First Item

Rate

Rate

25.00
30.00
5.00
2.00
12.00

Amount MP

87,303.00
5,550.00
17,461.00
9,889.00
59,334.00

179,537.00

Total Second Item

CID
EIC
PAL
NBT
VAT

Total Third Item

Tax base

349,209.00
185.00
349,209.00
494,443.90
494,443.90

Total

Summary of Taxes

53 A

259,580.00
641,180.00
139,203.00
82,050.00
492,287.00

1,614,300.00

Signature and Date

1
1
1
1
1