CNG HO X HI CH NGHA VIT NAM

c lp T do Hnh phc

Mu 3

H Ni, ngy 15 thng 05 nm 2015

GIY NG K KIM DCH
S:............./K-KDTS
Knh gi: Trm kim dch ng vt Ni Bi
Tn t chc, c nhn ng k: Cng ty TNHH trang tri nng nghip k thut cao Nht Vit
a ch: Sui Thng, Rn, n Dng, Lm ng
in thoi: ............................. Fax..............................E-mail ...............................................
ngh qu C quan kim dch l hng (***) : nhp khu (xut khu, nhp khu) ................
1.
Tn hng/Tn khoa hc: C hi ti nguyn con p lnh ..........................................
2.
Ni sn xut: NORWAY............................................................................................
3.
S lng: 965,30 kg / 50 kin ..................................................................................
4.
Kch c c th (i vi hng ho l thu sn): 6-7 kg/con.
5.
Trng lng tnh: 965,30 kg / 50 kin
6.
Trng lng c b:...........................................................................................
7.
Loi bao b: thng xp ...............................................................................................
8.
S hp ng hoc s chng t thanh ton (L/C, TTr ...): 54971
9.
T chc, c nhn xut khu : OCEAN QUALITY AS
10.
Nc xut khu: Na Uy, giy php kim dch s ... ngy
11.
Ca khu xut: OSLO
12.
T chc, c nhn nhp khu: Cng ty TNHH trang tri nng nghip k thut cao Nht Vit
13.
Nc nhp khu: Vit Nam.........................................................................................
14.
Phng tin vn chuyn: My bay...............................................................................
15.
Ca khu nhp: Ni Bi...............................................................................
16.
Mc ch s dng: Kinh doanh thc phm..................................................................
17.
Giy cho php kim dch nhp khu (nu c): 512/TY-KDTS ngy 24/03/2015
18.
a im kim dch: Sn bay Ni Bi................................................................
19.
a im nui trng (nu c): ...................................................................................
20.
Thi gian kim dch:15/05/2015................................................................................
21.
a im gim st (nu c): S 6, l D1, KDT Trung Yn, Trung Ha, Cu Giy, HN
22.
Thi gian gim st: 15/05/2015.................................................................................
23.
S bn giy chng nhn kim dch cn cp: .................................................................

Chng ti xin cam kt: bo m nguyn trng hng ho nhp khu, a v ng a im,
ng thi gian c ng k v ch a hng ho ra lu thng sau khi c qu C quan cp
Giy chng nhn kim dch (****).
T CHC/C NHN NG K
(K, ng du, ghi r h tn)

XC NHN CA C QUAN KIM DCH NG VT:

ng a hng ho v a im : Kho hng Ni Bi
lm th tc kim dch vo hi ........ gi, ngy 15 thng 05 nm 2015
Vo s s ............., ngy 15 thng 05 nm 2015
Trm kim dch ng vt Ni Bi (**)
(K, ng du, ghi r h tn)

XC NHN CA C QUAN HI QUAN:

(Trong trng hp l hng khng c nhp khu)
L hng khng c nhp khu vo Vit Nam v l do.........................................................
.................................................................................................................................................
.................................................................................................................................................
..............., ngy ...... thng ..... nm .........
CHI CC HI QUAN CA KHU ......................
(K, ng du, ghi r h tn)

Giy ng k c lm thnh 03 bn;

(*) ng k theo mu ny c th hin trn 2 mt ca t giy kh A4;
(**) Tn C quan Kim dch;
(***) Phi c y cc tiu ch theo ng th t v khai cc tiu ch thch hp i vi l hng;
(****) Cam kt ny ch ghi khi ng k kim dch i vi hng ho nhp khu;
Lu : C nhn ng k khng c con du phi ghi r s Giy Chng minh nhn dn, ngy thng v
ni cp