BILL OF ENTRY / EXPORT A OFFICE OF DESTINATION

1 DECLARATION
301
2 Consignor/Exporter BIN: IM 7 Custom House,Chittagong
THAI TOKUNAGA CO. LTD. Registration
THAILAND. 3 Page 4 N/A C 1497279 15/10/2018
-
1 1 Manifest 2018 2846
5 Items 6 Tot pack 7 Agent Reference

1 4.00 2018 #132

8 Consignee/Importer BIN: 18071040219 9 N/A BIN:

FB FOOTWEAR LTD. 0
ULOSHARA, KALIAKOIR
GAZIPUR.
TIN:
10 N/A 11 N/A 12 Tot other costs 13 N/A

59,721.29 7
14 Declarant/Agent AIN: 301123690 15 Country of export 15 C.E. Code 17 C.D. Code

SRS SYNDICATE Thailand a TH b a b

WALI MANSION 1ST FLOOR, 16 Country of origin 17 Country of destination
600 SK.MUJIB ROAD, CHITTAGONG.
Thailand
18 Name of Carrier / Nationality 19 C.F. 20 Delivery terms

KOTA BUANA SG no CFR

21 N/A 22 Currency Total Invoiced Value 23 Exch. rate 24 Nature of

USD 35,459.37 83.7500 0 1 transac.

25 MOT 26 N/A 27 Place of loading/unloading 28 Financial and banking data 001

Bank Code
1 BDCGP Chittagong Branch 00000001 LC No 0000000118020152
29 Office of Entry/Exit 30 Location of Goods Bank Name Agrani Bank Limited
301 Custom House, 301BD01 Sector & Fund 062 Industrial Cash
31 Packages Marks and numbers 32 Item 33 HS Code
and
TT-FBPL. NO. 1-4 -4-4 MADE IN THAIL 1 No. 41044990 000
description
of goods Fine/Penalty 34 C.O. Code 35 Gross weight (kg) 36 Agr.Cd.

Nber of Pkgs 4.00 Pkg Code PX a TH b 1,840.00

Pallet 37 CPC 38 Net weight (kg) 39 Visa Ref

Containers No(s)
7100 000 1,676.00
Description of Goods 40 Line Number/SL Number - Cargo Lading No
Tanned or crust. in the dry state other than full grains..., Excl Split leather ACCGP1809/013
FINISHED LEATHER=13133.1 SQFT 41 Quantity/Units 42 Item Price 43 V.M.

44 Add. info CRF/EXP No UP/UD 35,459.37 cod

Documents Dec.U.Price Ass.U.Price A.I. Code 45 Adjustment
Produced
0.00+0.00+29,696.91+30,024.38-0.00
Certificates A.D. 203 101 102 21.16 21.16 1.0000
and autho- 46 Item Assessable Value
rization
INV IV1808-031 DT-290818 3,029,443.53
47 Calcul- Type Tax base Rate Amount MP 48 Deferred payment 49 Identification of warehouse
ation of
taxes CD 3,029,443.53 5.00 151,472.18 0 301P0693 SB801080444 180
RD 3,029,443.53 0.00 0.00 0 B ACCOUNTING DETAILS
SD 3,180,915.71 0.00 0.00 0 ACCOUNT PAYMENT
Mode of payment
VAT 3,180,915.71 0.00 0.00 0
Assessment number / Date
AIT 3,029,443.53 5.00 151,472.18 0
Receipt number Date

Guarantee 302,944.36 BDT Date

DF/CVAT/FP 1,787.99 BDT

Total 302,944.36 0 Total declaration 1,787.99 BDT
51. N/A 52. N/A

53. N/A 54. N/A

(FOR OFFICIAL USE ONLY)

56. DECLARATION: I/We confirm that the documents relating
to this consignment are genuine and correct. All these records
and documentation will be preserved and produced before
Customs authorities, if and when demanded, within three years

Name of Importer/Exporter Designation Signature Date

Name of Examination/Assessment Officer Signature Date Name of Authorized Person Card No. Signature Date