Ethiopian Revenue & Customs Authority (-B-)

(-A-)
CUSTOMS DECLARATION Please answer with a “ ” mark to the following questions.
Declaration of Personal Effects and Unaccompanied Articles 4. Are you bringing the following into Ethiopia? Yes No
Please fill in the following information and submit to Customs. 1. Prohibited Article(s) or Restricted Article(s)
(Only one written declaration per family is required.) (Please refer to No .1&2 )
Flight No. Point of embarkation 2. Goods exceeding duty-free allowance
Date of Arrival in Ethiopia Year Month Day (Please refer to No 3.)
–––––––, –––––––– , –––––– 3. Commercial goods or samples
Name Last name (or surname) First & middle name 4. Any items you have been requested from
Someone else to bring in to Ethiopia
Address in Ethiopia If your answer to any of the questions above is “Yes” Please list your
(Accommodation) Tel_________. ( ____________), __________ belongings in “Description of Personal Effects” on No 6.
Nationality Occupation
Date of Birth Year Month Day 5. Cash, Checks, Promissory Notes, Yes No
–––––––, –––––––– , –––––– Securities which exceed the amount of 3000USD
Passport No. _____________________________________ Or its equivalent.

If you choose “Yes”, please submit ‘DECLARATION OF CARRYING OF

1. PROHIBITED ARTICLES MEANS OF PAYMENT, ETC” to Customs.
(Narcotic drugs, stimulants, psychotropic substances, etc).
(Firearms such as pistols, revolvers and machine guns, and bullets or parts 6. Description of Personal Effects (If all your answers to No. 4 Of
thereof.) side B are “NO”, you need not fill in this section.)
(Explosive, gunpowder, materials for chemical weapons, germs such as
anthrax, etc). Description of goods Quantity Market value Remark
(Counterfeit, altered or imitated coins, bank notes or securities, and forged
credit cards).
(Obscene or immoral materials, and child pornography).
(Articles which infringe upon intellectual property rights. (Patent, utility,
model, design, trademark, copyright, etc.)

2. RESTRICTED ARTICLES ( require permission from responsible Customs use only

body)
(Hunting guns, air guns, swords, etc).
(Internationally protected endangered animals, plants, or their
products).
(Crocodiles, cobras, turtles, ivory, musk, cactus etc.)
(Live animals and plants, meat products etc),
Vegetable, fruits, seeds, all type of medicine, satellite cameras and 7. If your answer to any of the questions for no. 4 is ‘Yes’ please
measurement instruments etc. let you pass through the red channel.
If your answer to any of the questions for no. 4 is ‘No’ please
let you pass through Green channel.
3. Duty-Free Allowance (excluding crew member and frequently
flying Passengers).
- 2 bottles of alcoholic beverages. 8. “NOTICE”
- Cigarettes: 2 packet As regulated by pro.No.859/2014 and other laws and regulations
concerned, you are required to declare all the articles that you have
- 600ml of perfume
purchased or acquired abroad and pass through Red channel any false
- 8 men shirt, 8 Sweater and 3 men Suit & the like. declaration on failure to declare or passing through Green channel
- 6 Women shirt, 6 Sweater and 4 women Coat & the like. regardless of having articles subject to penalty in laws and regulations
There is no free allowance for alcoholic beverage and tobacco products for concerned.
those under 18 years old
I declare that the above particulars are true and correct.
Name _________________Signature________ Date ________
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