SAD 500 - CUSTOMS DECLARATION FORM 1. DECLARATION A.

OFFICE OF DESTINATION OR DEPARTURE

0
2. EXPORTER / CONSIGNOR TIN 00105588 OFF. MANIFEST NUMBER
1 P&G SOUTH AFRICAN CODE
2 H60 RCD 1861403
TRADING (PTY) LTD, BSIC 4890101597 BBR
3 15 ALICE LANE
3. FORMS 4. REGISTRATION NO & DATE ASSESSMENT NO & DATE
4 TOWERS,ALICE
5 LANE,SANDTON ,2196 1 2 9
6
8. IMPORTER / CONSIGNEE TIN 5. ITEMS 6. TOT PACK 7. DECLARATION REF. NO RECEIPT NO & DATE
7
BRANDS AFRICA (PVT) LTD,
8 809 PROSPECT INDUSTRIAL BSIC
9 PARK CRANBO,HARARE,, 2 2830 COM 2314
9 10 11 12. VALUE DETAILS 13 13A. INVOICE NO & DATE

1066517401 2022/04/26
14. DECLARANT / AGENT TIN 21434256 15. COE 16. COO 17. COD 17A. OWNER CODE 17B. REBATE USER CODE
Imperial Managed Solutions
Southern Africa a Division of
Imperial Logistics Africa
Regions Pty Ltd, ZA ZW
Gajima Office Park,47 20. DELIVERY TERMS
19. CONT-
18. IDENTIFICATION, DATE AND NATIONALITY OF AINER
TRANSPORT AT ARRIVAL
11
22. CURRENCY AND TOTAL VALUE 23. RATE OF EXCHANGE
BY ROAD 1.0000
21. IDENTIFICATION, DATE AND NATIONALITY OF TRANSPORT AT 28. FINANCIAL DATA
FRONTIER 24. OTHER COSTS DETAIL
2ZA00105588CINV1066517401S

771083 ZAR CURRENCY AMOUNT

25. TMF 26. TMI 27. PLACE OF DISCHARGE
FRB 002 FREIGHT
3 3
INSURANCE
29. OOE 30. LOCATION OF GOODS 30 VAT Claim N
OTHER
BBR COST
31. STC 2830 CASES- MIXED ITEMS AS PER INVOICE 32. ITEM NO 33. COMMODITY CODE
PACKAGES
AND MARKS
DESCR. AND 1 3402.50/2
3004.90.90 (6)
OF GOODS NUMBERS
34. COC 35. GROSS MASS (KGS) 36. PREF-
ERENCE
ZA 10,667.30
NUMBER &
TYPE OF 37. CPC 38. NETT MASS (KGS) 39. QUOTA
PACKAGES 2830.00 BREAKBULK
60 00 10,667.30
CONTAINER 40. SUMMARY DECLARATION/PREV. DOCUMENT
NUMBERS

DESCRIPTION:
41. SUPP UNITS 42. CUSTOMS
Organic Surface-Active Agents (Excluding Soap): Surface-Active Preparations, Washing VAL(FCY)
2,280.00 KG 43. V.M
Preparations (Including Auxiliary Washing Preparations) And Cleaning Preparations, Whether Or
Not Containing Soap (Excludingthose Of He
42,050
44. LICENCE NUMBER DEDUCTED VALUE DEDUCTED QUANTITY EX WAREHOUSE CODE 45. OTHER
ADD. QUANTITIES
INFO. SAD S695309
1
PRODUCED REBATE CODE
REMOVAL IN BOND (R.I.B) NO, DATE & OFFICE 46. STATISTICAL VALUE
DOCS.
42,050
47. CALC
TYPE DUTY/TAX BASE RATE AMOUNT MP 48. ACCOUNT CODE 49. IDENTIFICATION OF WAREHOUSE/TIME LIMIT
OF DUTIES
& TAXES

SUMMARY OF TOTAL DUTIES AND TAXES

TOTAL DUTIES AND TAXES

AMOUNT OVERPAID
AMOUNT UNDERPAID
OTHER
TOTAL PAYABLE
TOTAL OF FIRST ITEM OF THIS PAGE GUARANTEE CODE AMOUNT
FOR OFFICIAL USE
DECLARATION
Imperial Managed Solutions LRN: 21434256BBR20220510175742
Southern Africa a Division of
I. SANELE the undersigned of Imperial Logistics Africa being the (Agent) hereby declare that the particulars herein
MSIMANGO Regions Pty Ltd MRN: BBR202205105006367
are true and correct and comply with the provisions of the Customs and Excise Act.
EXPORT ADMINISTRATOR Acknowledgment:

CASE:
5 2020-11-10
2022/05/10
Signature I.D Number Date

1066517401 Page 1 of 2
 SAD 501- CUSTOMS DECLARATION FORM(Continuation Sheet)
OFFICE CODE 3. FORMS REGISTRATION AND DATE 7. DECLARENT REFRENCE
1. IMPORTER OR EXPORTER
TIN 00105588
BBR 2 2 COM 2314
P&G SOUTH AFRICAN TRADING (PTY) LTD
31. 32. ITEM NO. 33. COMMODITY CODE
PACKAGES MARKS AND

ITEM
AND NUMBERS
DESCRIPTION
2 9619.00.13/2
OF GOODS
34. COC 35. GROSS MASS 36. PREFERENCE
NUMBER & TYPE (KGS)
OF PACKAGES ZA 10,667.30
37. CPC 38. NET MASS 39. QUOTA
CONTAINER (KGS)
NUMBERS 60 00 8,387.30

SEGMENT
DESCRIPTION 40. SUMMARY DECLARATION PREVIOUS DOC
Sanitary Towels (Pads) And Tampons, Napkins (Diapers), Napkin Liners And Similar
Articles, Of Any Material: Other, Of Paper Pulp, Paper, Cellulose Wadding Or Webs Of 41. SUPP. UNITS 42. CUSTOMS VALUE
Cellulose Fibres 43. V.M.
8,387.30 KG (FCY)

701,838
44. LICENCE NUMBER DEDUCTED VALUE DEDUCTED QUANTITY EX WAREHOUSE CODE 45. OTHER QUANTITIES
ADDITIONAL SAD S695310
INFORMATION
PRODUCED 1
DOCUMENTS
REMOVAL IN BOND(R.I.B)No. DATE & OFFICE REBATE CODE 46. STATISTICAL VALUE
701,838

ITEM
31. 32. ITEM NO. 33. COMMODITYCODE
PACKAGES MARKS AND
AND NUMBERS
DESCRIPTION
OF GOODS 34. COC 35. GROSS MASS 36. PREFERENCE
NUMBER & TYPE (KGS)
OF PACKAGES

37. CPC 38. NET MASS 39. QUOTA

CONTAINER (KGS)

SEGMENT
NUMBERS

DESCRIPTION 40. SUMMARY DECLARATION PREVIOUS DOC

41. SUPP. UNITS 42. CUSTOMS VALUE

43. V.M.
(FCY)

44. LICENCE NUMBER DEDUCTED VALUE DEDUCTED QUANTITY EX WAREHOUSE CODE 45. OTHER QUANTITIES
ADDITIONAL
INFORMATION
PRODUCED
DOCUMENTS
REMOVAL IN BOND(R.I.B)No. DATE & OFFICE REBATE CODE 46. STATISTICAL VALUE

ITEM
31. 32. ITEM NO. 33. COMMODITYCODE
PACKAGES MARKS AND
AND NUMBERS
DESCRIPTION
OF GOODS
34. COC 35. GROSS MASS 36. PREFERENCE
NUMBER & TYPE (KGS)
OF PACKAGES

37. CPC 38. NET MASS 39. QUOTA

CONTAINER (KGS)

SEGMENT
NUMBERS

DESCRIPTION 40. SUMMARY DECLARATION PREVIOUS DOC

41. SUPP. UNITS 42. CUSTOMS VALUE 43. V.M.

(FCY)

44. LICENCE NUMBER DEDUCTED VALUE DEDUCTED QUANTITY

ADDITIONAL EX WAREHOUSE CODE 45. OTHER QUANTITIES
INFORMATION
PRODUCED
DOCUMENTS
REMOVAL IN BOND(R.I.B)No. DATE & OFFICE REBATE CODE 46. STATISTICAL VALUE

47. TYPE DUTY TAX BASE RATE AMOUNT MP TYPE DUTY TAX BASE RATE AMOUNT MP
CALCULATIONS
OF DUTIES AND
TAXES

TOTAL ON FIRST ITEM OF THIS PAGE TOTAL ON SECOND ITEM OF THIS PAGE

TYPE DUTY TAX BASE RATE AMOUNT MP TYPE AMOUNT MP

GRAND TOTAL FOR

TOTAL ON THIRD ITEM OF THIS PAGE ALL PAGES

1066517401 Page 2 of 2