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TEFJIPORARY EXFCRTA "i)
Ti,}N/ IMPORTATIOFJ OF RO,ED VEHICLE ^ ._..I*gu,tation 1 36 (2)
TEMPORARY I[,]FORTAT! O$.. S WITHIru EAC AND
FROM COM Es4 SADC AT{D COUT,{T
ARRANI{ iEMEilIT'S WITH TI-{E RIIES WITH BILATERAL
PART${ER STAT ES

n I ECLARATION GF IMpoRTATtoN
r""J/rcn+fl\
h't*0" ' hereby dectare that r am the *owner/dury
authoiisecr asent of
i .r," no,.n-,riffhlel ,; in;1 . is ihe owne; vehicle(s) o".",iiuo hereunder
temporary 'corrr.,nrt,,
stay in tn*
l:n" ";;; ano tna-t *r/ he
,nJ I irnJertur<e i; ,?;:,yJ"?;i;{;i[rffir"#";
of *,* , ,htJi"l.l n" irrrril"rr;". ;:l^I.,[
vehicle(s) if the own:rship
not exported within iourteen I another person, or if the said rehicre(s) is/are
davu" ,r'tiriilrin .u"r'. i*t,"io-r,"d
Officer may allow. ,"t
"i*"jinE-ir,ru* months ,=1r* i,rop",.
It is my present
at
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Dated this td"

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Log irro .
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Registiarion i'.ic. ."
Country of registraric-,."
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I\roder .\I*49,t e.0 EE

Engine irro. ?. ft 75
7 *?lh:? . $t/gez^a t^J nl^hvute
chassis r'ro. ...l*cu ?rm o.q.h.oa 1..
Enginecapacity_. 22...{.p. . .....cc
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colour. ..5.1.,^.V.il...
Seating Capacity *f.-.
Perror/Dieset la2til)
Pofi of lmporlation
AnLr

1. See overleaf trrr Cu:i:.. ,ts er,

_Jorser.rreilt
2. This fornr is fc; r"nultiple use
.,ithin EAC.
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EXIT
,
1 of exit.
1 Port of E ntrrr
Datc of Fxit.... .. ...... I
Date of Ent ,v !.
Rotation Nurnber
Rotation NLln':ter,
Nar,e and Signaturie of Customs
Narne and Sig, of
Officer.
IR d7
Port of exit
Port of En
Date of Exit....
Date of Entry .

Rotation Number.
Rotation Nr:mirer.
Nan:e and Signature of Customs
Name and Signature of Custorns Officer
Officer.
a
J Port of exit. J2 Port o[ E nt;'y....
Date o[ [xit.. Date of Entry.
Rotalion Number.
Rotation Nurll,er.
Narne and Signatuie of Customs Officer
Name and Signature of Cusioms Officer

4 Fort of exit. "

4 Port of Ent: ,r
Date of Exit.... . .. .. Date of Entry.
Rota'icn irluinbei-..
Rotatiori iriurnr.,er... _.

Name ;rr--,d Sie, tature of Customs Cfficei

r ,rt ! utc/iil-
i) Prit ci Entl ,r..
Date. oi Exit... Date of Entry.
Rote,rion Number.
Rotatior-t Numi,er.
Nanre oI Signature of Customs Offrcer..
Name anC Sig rature oi Custonrs OFficer
Forl of exit.. b Port of Ent,y..
Datc of Exit...
Date of Entry.
Rotation Number.
Rotation Numirer.
Nanre and Signature of Custorns
Name and Sigrrature of Custorns Officer. -
Officer.