CHEKLIST L/C

1. Type of L/C : ……………………………………………………………...

2. Issuing Bank : ……………………………………………………………...

3. Number and Date of L/C : ……………………………………………………………...

4. L/C Amount : ……………………………………………………………...

5. Shipping/Trade Term : ……………………………………………………………...

6. Buyer : ……………………………………………………………...

7. Seller : ……………………………………………………………...

8. Shipment Date : ……………………………………………………………...

9. Presentation Date : ……………………………………………………………...

10. Expairy Date : ……………………………………………………………...

11. Availability Credit : ……………………………………………………………...

12. Bentuk Pembayaran : ……………………………………………………………...

a. Draft : ……………………………………………………………...

b. Tenor Draft : ……………………………………………………………...

13. Document Required :

 ……………………………………………… Pcs

 ……………………………………………… Pcs

 ……………………………………………… Pcs

14. Reimbursing Bank : ……………………………………………………………...

15. Shipping From – To : ……………………………………………………………...

16. Partial Shipment : ……………………………………………………………...

17. Transhipment : ……………………………………………………………...

18. Description of Goods : ……………………………………………………………...

19. Reimbursment Clause : ……………………………………………………………...

20. Others/Special Conditions : ……………………………………………………………...

21. Notes : ……………………………………………………………...

 EXPORT CALCULATION
1. COMMODITY = ……………………………………………………………………………………………… HS :.………………

2. Sales Price CFR = …………………………………………………………………………………………… = ………………........

3. Freight = ………………………………………...………………………………………............ =

 Discount = ………………………. %(-)

 Bunker Surcharge = ………………………. (+)

……………………….

………………………. x ……………………….. = ……………………………

…………………………………………………………

…………….............. = ……………………….

4. Sales Price FOB ……………………………………………………………………………………………….. = ……………………....

5. Devisa Umum = …………………….. x ………………………….. x …………………........ = Rp. ………………….

 Provisi Bank = 0,25% x ………………………….. ………………………. = Rp. ………………….

 Export Tax (ET) = …………………….. x ……………………………………………………………. = Rp. ………………….

……………………………

6. Export Draft Result ……………………………………………………………………………………………….. = Rp. ………………….

Rp. ………………….

1. Buying Price and Other Charges

 Buy = …………………….. x ………………………….. = Rp. ………………….

 Transport = …………………….. x ………………………….. = Rp. ………………….

 Package Bag = …………………% x ………………………….. = Rp. ………………….

Price
 EMKL Fee etc. = …………………% x ………………………….. = Rp. ………………….

 Unplanning Cost = …………………….. x ………………………….. = Rp. ………………….

 ……………………… = ………………………………………………………….. = Rp. ………………….

 ……………………… = ………………………………………………………….. = Rp. ………………….

 ……………………… = ………………………………………………………….. = Rp. ………………….

……………………….

8. Cost Price FOB ……………………………………………………………………………………………….. = Rp. ………………….

……………………………

9. Benefit ……………………………………………………………………………………………….. Rp. ………………….

10. % Benefit = …………………….. x 100% = ……………………..%

11. Total FOB = ………………….FOB x ………………….(Com. Unit) = ……………………..

12. Total Freight = …………………….. x ………………….(Com. Unit) = ……………………..

13. Total Export Tax = …………………….. x …………………………. = ……………………..

 SALES CONTRACT

1. Seller/Exporter 2. Sales Contract No. 3. Date

4. Seller’s Bank

5. Buyer’s Bank

6. Buyer/Importer 7. Date Shipment 8. Expiry Date

9. Country of Origin 10. Country of

Destination

11. Partial Shipment 12. Transhipment 15. Term of Delivery and Payment

13. Port of Loading 14. Port of Destination

17. No. and Kind 18. Description of

16. Shipping Mark 19. Quantity 20. Unit Price 21. Amount
of Packages Good

22. Special Condition 23. Quantity and Amount 24. Total Quantity 25. Invoice Total
Tolerance

Documents Stipulated:

 SIGNED COMMERCIAL INVOICE IN QUINTUPLICATE

 PACKING LIST IN QUADRUPLICATE
 FULL SET CLEAN ON BOARD OCEAN BILL OF LADING MADE OUT TO THE ORDER OF NEGOTIATING BANK AND
SET ENDORSED TO BANK MAJU INTERNATIONAL, JAKARTA MARKED FREIGHT PREPAID AND NOTIFY ADDRESS
APLICANT
 BENEFICIARY CERTIFICATE CERTIFIES THAT
COPIES OF ALL DOCUMENTS HAS BEEN DISPATCHED
DIRECLY TO APLICANT AND THE RELATIVED
CURRIER RECEIT MUST BE ACCOMPANIED
Aproved by

Buyer’s Authorized Signature Seller’s Authorized Signature

Presentation document period

Documents ust be presented to the negoitating Bank
Within 15 days after shipment date but within validaty of The
Credits
 INVOICE
1. Exporter/Seller 2. Invoice No. 3. Date

4. L/C No. 5. Date

6. Issuing Bank

7. Importer/Buyer 8. Origin Country 9. Destination City

10. Pre Carriage 11. Departure Date 12. Terms of Deliverey and Payment

13. Ocean Vessel 14. Port of Loading 15. Port of Destination

16. Marks and 17. No. and Kind of Packages and 18. Quantity 19. Unit Price 20. Amount
Container No. Description of Good

21. Total 22. Nett Wt 23. Gross Wt 24. Cube M3 25. Quantity Total 26. Invoice Total
Package (Kgs) (Kgs)

Exporter’s Declaration

Authorized Signature
 PACKING LIST

1. Exporter/Seller 2. Packing List No. 3. Date

4. L/C No. 5. Date

6. Importer/Buyer 7. Issuing Bank

8. Origin Country 9. Destination Country

10. Pre Carriage 11. Departure Date 12. Terms of Deliverey and Payment

13. Ocean Vessel 14. Port of Loading 15. Port of Destination

16. Marks and 17. No. and Kind of Packages and 18. Package 19. Quantity 20. Total
Container No. Description of Good Number Per Pckg Package

21. Total 22. Nett Wt 23. Gross Wt 24. Cube (M3) 25. Quantity Total 26. Package Total
Package (Kgs) (Kgs)

Exporter’s Declaration

Authorized Signature
 Bill of Lading

1. Shipper 2. B/L No. 3. Date

O.M SHIPPING
Received in appearent good order and condition
4. Consignee
axcept as otherwise noted the total number or
Containers or other packages or units
enumberasted blow for transportation from the
place of receipt to the place of delivery subject to
the terms detailed on the reverse side of the bills of
5. Nortity Party
lading. One of the signed bills or lading must be
summondered duly endorsed in exchange for goods
or delivery onder oon presentation to this document
(duly endonsad) to the country by or on behalf of the
holders, the rights. And realibiltiesarising in
6. Pre Carriage by 7. of
accordance with the terms her of shall (without)
prejudiceto any rute of common law or statue
Place
endereing them binding on the Marchant become
8. Ocean Vessel Receipt
9. Prof. of binding in the respects between the carrier and the
Voy No. Loading
holder as through the contract evidence hareby had
been made between them IN WITNESS where of the
10. Port of 11. of stated number or origional bills of lading all of the
Discharge lenor and that have been signed, one of which being
Place accomplished, the other shatl stand word.
Delivery

12. Owner’s 13. 14. Gross 15.

Mark/Container Descripti Weight Measure
No. on of Kgs ment 3
M
goods
16. Total No.
of Container
or Packages (in
words)
17. Freight 18. Prepaid 19. Collect 20. Type Of Service
and
charges
etc.

21. Delivery to be Effective

Through
........................
......
As agent
 Shipping Instruction
1. Shipper 2. Shipping Instruction 3. Date
No.

4. L/C No. 5. Date

6. Consignee 7. Issuing Bank

8. Origin Country 9. Destination City

10. Pre Carriage Voy No. 11. Port of Loading 12. Port of Discharge

13. Ocean Vessel Voy No. 14. Port of Delivery 15. Final Destination

16. Owner’s Marks 17. No. and Kind of Packages and 18. Gross 19. Nett
20. Cube M3
and Marks & No. Description of Good Weight Weight

21. Container No. 22. Seal No. 23. Total Container

Fax to : …………………………………

Attn : …………………………………

From : …………………………………

Message : …………………………………

Authorized Signature
 Original l

1. Goods consigned from (Export’s business name,

address country)
REPUBLIK OF INDONESIA
DEPARTEMENT OF TRADE
CERTIFICATE FOREIGN
2. Goods Consigen to (Consignee's name, address,
country) FORM B
Reference No.

3. Means of transport and route (as far as known) 4. For official use
Shipped by :

From :

To :

Date of Shipment :

5. Item 6. Marks 7. No. and Kind of 8. Gross weight or 9. Number & date of
number and Packages and other quantity invoices
number Description of
of goods Good

10. Certification
It is hereby certified, on the basis control out, that the goods stated above were produced in
Indonesia

11. Competent authority (name, full address)

………………………………………………………………
(Signature) (Stamp)
 BC 3.0 PEMBERITAHUAN EKSPOR BARANG
Nomor Pengajuan : Halaman
1 dari ...
A. KANTOR PABEAN H. KOLOM KHUSUS
BEA DAN CUKAI
1. Kantor Pabean Pemuatan : 1. Nomor : Tanggal :
HEADER

2. Kantor Pabean Ekspor : Pendaftaran : Tanggal :

B. JENIS EKSPOR : 2. Nomor
C. KATEGORI EKSPOR: :
D. CARA PERDAGANGAN BC.1.1
E. CARA PEMBAYARAN :
Pos/Sub

Pos

EKSPORTIR PENERIMA
1. Identitas (NPWP, Passport/lainnya) 9. Nama :
10. Alamat :
2. Nama : 11. Negara :
3. Alama :
4. NIPER :
5. Status :
F. DATA PERDAGANGAN

PPJK PEMBELI
6. NPWP : 12. Nama :
7. Nama : 13. Alamat :
8. Alamat : 14. Negara :
DATA PENGANGKUTAN DATA PELABUHAN/TEMPAT MUAT EKSPOR
15. Cara Pengangkutan 19. Pelabuhan Muat Asal :
16. Nama & Bendera Sarana Pengangkut 20. Pelabuhan Muat :
Ekspor
17. No. Pengangkut (Voy/Flight/Nopol) /Tempat Muat Ekspor :
18. Tanggal Perkiraan Ekspor 21. Pelabuhan Bongkar :
22. Pelabuhan Tujuan :
23. Negara Tujuan Ekspor
DOKUMEN PELENGKAP PABEAN DATA TEMPAT PEMERIKSAAN
24. Nomor & Tgl Invoice 27. Lokasi Pemeriksaan :
25. Nomor & Tgl Packing LIst 28. Kantor Pabean :
26. Jenis, Nomor & Tgl Dokumen Pemeriksaan :
lainnya Kantor Bea Cukai 29. Gudang PLB
pendaftaran CK-5 DATA PENYERAHAN
30. Cara Penyerahan :
Barang
DATA TRANSAKSI EKSPOR

31. Bank Devisa Hasil : 34. Freight :

Ekspor : 35. Asuransi (LN/DN) :
32. Jenis Valuta : 36. Nilai Maklon (Jika Ada) :
33. FOB
DATA PETI KEMAS DATA KEMASAN
37. Jumlah Peti Kemas : 39. Jenis, Jumlah dan Merek Kemasan :
38. Nomor, Ukuran dan Status Peti :
Kemas
DATA BARANG EKSPOR
40. Berat Kotor (kg) : 41. Berat Bersih (kg) :
42. 43. Pos Tarif/HS, 44. HE barang dan 45. Jumlah & Jenis 46. Negara 48. Jumlah Nilai
No. Uraian Jumlah dan Tarif BK pada tgl sat., berat Asal FOB
jenis barang secara Pendaftaran bersih (kg), Barang
lengkap, merk, volume (m3)
tipe, ukuran, 47. Daerah
spesifikasi lain dan Asal
kode barang Barang

49. Nilai Tukar Mata : DATA PENERIMAAN NEGARA

Uang
50. Nilai Bea Keluar :
51. Penerimaan Pajak :
Lainnya
G. TANDA TANGAN EKSPORTIR / PPJK
Dengan ini saya menyatakan bertanggung jawab atas kebenaran hal-hal yang diberitahukan dalam Pemberitahuan Ekspor
Barang ini, serta bersedia dikenakan sanksi sesuai dengan ketentuan di bidang kepabeanan apabila terdapat kesalahan.
..............................Tanggal
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