P02b-E-Xcaip00118420a.ed Lodgement

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OFFICE OF DISPATCH/ EXPORT

Export Single Administrative Document


1 DECLARATION Office code : P02B

2 Exporter/ Address: 006317633000 TIN: Manila Int`l Container Port


EX3 1
Manifest :
STEPAN PHILIPPINES QUATERNARIES, INC.
COCOCHEM AGRO INDUSTRIAL PARK CAIP BRGY. SAN 3 Page Entry Number:
ANTONIO SAN PASCUAL BATANGAS 4204 Date : 09/30/2020
1
5 Items 6 Ttl Pckg. 7 Declarant Reference No.

1 500 XCAIP00118420A
8 Importer/ Consignee/ Address: 9 Registry Office
PT CATALITE INDONESIA Cocochem Agro-Industrial Park - SEZ
JL KUPANG JAYA 1 NO 40 60189 SURABAYA INDONESIA
10 11 12 13

XX XXXXX
14 Declarant Address TIN: 235669634000 15 Country of Export 15 C.E. Code 17 C.D. Code

NINO BEB A. VIRTUDAZO PHILIPPINES PH b ID


a XX a b
16 17 Country of Destination

PHILIPPINES INDONESIA

18 Vessel/ Aircraft 19 Ct 20 Delivery terms

SEASPAN NEW YORK V 006S 1 CIF - Cost, Insurance And Freight XX


21 Local carrier (If Any) 22 Cur. & Total amt. invoiced 23 Exch. Rate 24 FOREX

USD 23,750.00 48.545 0 0


27 Port of Loading 28 Financial and Banking Data Bank Code : 000
25 26

XX XX PHMN2 PH Modes of Payment : 01 - Basic


29 Port Of Departure 30 Province of Origin Bank Name : Bank not Registered
P02B - Manila Int`l Container BAT - BATANGAS
Port XXXXXXX Terms of Payment :

31 Marks and Numbers - Containers No(s) - Number and Kind 32 Item 33 HS Code
Packages Marks & Nos :
and Desc. 1X20 CONTAINER 1 No 3402.1110.000 XXXXXXXX XXXX
Of Goods No. Of Packages : 500
Number and Kind : BG - BAG 34 35 Gr. mass kg 36 Pref
Containers No(s) : PH 13,039.00 Kg(s)
XX
BMOU1584410
- - - Sulphated fatty alcohols 37 PROCEDURE Net mass kg 39
STEPWET DF 95
1000 000 12,500.00 Kg(s) XXXXXX
40 Air Way Bill/Bill Of Lading

XXXXXXXXXXXXXXXXXXXXXXXXXXXXXX

41 Suppl. Units 42 Item Customs Value (F.C.) 43


44 Add Export Clearance No. : 500.00 23,750.00
Infos Doc /
Produ. 0-0
Certif. & 45
Aut. A.D. : XCAIP00118420A
Corresponding import document number
46 Statistical PHP Value
01-VIII/72/2020 FOB value of imported raw materials

48 Account Number 49 CBW Number


47 Calcula Type Tax Base Rate Amount MP
-tion of
Taxes
47b ACCOUNTING DETAILS
.............................................................................................................................

Mode Of Payment :

Approval Number : Date :

.............................................................................................................................
Total Fees :
Total
Total Declaration :

Date/ Time Approved : 2020-09-30 09:26 AM


Date/ Time Allowed to Exit : 2020-09-30 09:56 AM 50 Declarant

Printed Name and Signature of Declarant

Place and Date

51 AUTHORIZATION 52 Bureau of Customs (BOC) Control


Name of Agency :

Printed Name/ Signature Position Printed Name/ Signature Position

Date Valid Until Date

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