JABATAN KASTAM DAN EKSAIS DIRAJA MALAYSIA / ROYAL MALAYSIAN CUSTOMS AND EXCISE DEPARTMENT

PERMINTAAN / PERMIT UNTUK MEMINDAHKAN BARANG-BARANG BERDUTI

Kastam No. 9 Pin.4/92
REQUISITION / PERMIT TO REMOVE DUTIABLE GOODS
Customes No.9 Rev.4/92

1.Konsainer /Pengeksport (Nama dan Alamat )

UNTUK KEGUNAAN RASMI/FOR OFFICIAL USE
Consignor / Exporter (Name and Address)
6. Tarikh dan Waktu Terima 7. Nombor Pendaftaran
ABLE DAIRIES SDN BHD Date and Time of Receipt Registration Number

LOT 2259,JLN HELANG,OFF JLN KEBUN

BARU, 9TH MILE JALAN KLANG-BANTING 8. Stesen / Station
42500 TPG,KUALA LANGAT,SELANGOR Kod / Code
2. Pemohon (Name dan Alamat)
Applicant (Name and Address)
B313359W PAGE :1/1 CAWANGAN PERINDUSTRIAN SEL B56
I000847ZZ BEST WISE SDN. BHD. Kod Pemohon / Applicant Code 9. Penerimaan Duti / Cukai sebagaimana yang dilevi diberikuasa oleh:
Receipt of Duty / Tax as levied authorized by:
Page 1 MILE 7, JALAN TUARAN,LOT 8, KINAPAR B/P PENGARAH KASTAM
CODE: LIGHT INDUSTRIAL, 88450 INANAM IMPORT PERGUDANGAN
Salinan:1 KOTA KINABALU, SABAH,EAST MALAYSIA ...............................
Tarikh / Date
...........................................................................................
Pegawai Kastam Yang Hak / Proper Officer of Customs

BF0618
3. Nama dan Alamat Ejen Yang Diberikuasa
Name and Address of Authorised Agent
10. Borang Kastam No. 1 berkenaan / Relevant Customs Form No.1

IAS FREIGHT SYSTEMS (M) SDN BHDKod Agent / Agent Code Tarikh
Date
Nombor Pendaftaran
Registration Number
Stesen
Station
11. No Resit Deposit Gudang dan Tarikh / Warehouse Deposit Receipt No. and Date
CENTRO 0506 NO: 8
JALAN BATU TIGA LAMA 12. No Rujukan C.J.5/S.T.5 Reference No. 13. Kod Mata Wang Asing
Foreign Currency Code
14. Kadar Pertukaran MYR
Exchange Rate

SELANGOR DARUL EHSAN MYR 1.0000

4. Nama dan Alamat Pengimport (jika berlainan)
Name and Address of Import (if different)
B313359W 15. Layanan Khas / Special Treament

BEST WISE SDN. BHD. Kod Pengimport / Importer Code

MILE 7, JALAN TUARAN,LOT 8, KINAPAR 16. Tempat dan Alamat di mana barang-barang disimpan/ Place and Address where goods are
LIGHT INDUSTRIAL, 88450 INANAM ABLE DAIRIES SDN BHD
deposited

LOT2259,JLN HELANG, OFF JLN KEBUN

5. Tempat Import / Place of Import
Kod / Code
BARU, 9TH MILE JLN KLANG-BANTING
CAWANGAN PERINDUSTRIAN SELANGOR B56 42500 TPG,KUALA LANGAT,SELANGOR
17. Tanda dan No. / 18.Bil./ 19. No. dan Jenis Bungkusan 20. Perihal Barang (Dokumen berkenaan hendaklah dikemukakan) Tarif Kastam Malaysia / Malaysian Customs Tariff
No. Kontena No. No. and Type of Packages Description of Goods (Relevant document must be submitted)
Marks and Nos./ 21. No Kod / Code No. 22. Unit / Unit
Container Nos.
Invoice No :608983A 1000 CARTON STC: SWEETENED CREAMER
N/M
1) BRAND WIYA SWEETENED CREAMER 0402.99.00 00 KGM
SIZE 24 X 1KG
FOB MYR 128200.0000 = RM 128200.0000 EXCH: 1.0000
---------------
CIF = RM 128200.0000
---------------
FOM = RM 128200.0000

Cukai-Cukai Lain Yang Kena Dibayar

23. Kod Negeri 24. Kuantiti mengikut Nilai / Value MYR Duti Import / Import Duty Duti Eksais / Excise Duty Other Taxes Payable
Asal Unit Tarif Kastam
Preview Copy

Country of Qty. Based on

25. Satu Unit 26 Jumlah / Total 27. Kadar 28. Amaun / Amount 29. Kadar 30. Amaun / Amount 31. Jenis 32. Kadar 33. Amaun / Amount
Origin Code Customs Tariff Unit
Per Unit Rate (RM) Rate (RM) Type Rate (RM)

1) MY 24000.0000/KGM 128200.0000 NIL 0.00 NIL 0.00 NIL 0.00

24000.0000/KGM 5.34167

Ex. Vessel : -
BL. No :
Grs Wt : 26600.0000/KGM Volume : 0.0000/MTQ
Invoice No : 608983A
Allotment : CF
Location : B14

38.Nama Pembuat Akaun/Name of 24000.0000034. JUMLAH 128200.0000 35. JUMLAH 0.00 36. JUMLAH 0.00 37. JUMLAH 0.00
Declarant TOTAL TOTAL TOTAL TOTAL

43. Jumlah Amaun Kena Dibayar 0.00

UNTUK KEGUNAAN RASMI /FOR OFFICIAL USE Total Amount Payable RM
39. No.Kad Pengenalan / Pasport I I.C./Passport No. 42.Pelepasan daripada Kawalan Kastam dibenarkan oleh / 44. No Resit Manuskrip (jika berkenaan) Tarikh / Date
Release from Customs Control authorized by : Manuscript Receipt No. (if applicable)

40. Jawatan / Designation

B/P PENGARAH KASTAM

41. Saya mengeshakan ikrar ini benar dan lengkap
I hereby certify that this declaration is true and complete IMPORT PERGUDANGAN
.............. ..........................
.............. ........................ Tarikh / Date Pegawai Kastam Yang Hak
Tarikh / Date Tandatangan / Signature Proper Officer of Customs
Nota: pengakuan ini dikehendaki di bawah dan mengikut Akta Kastam 1967/Note: This declaration is required under and in accodance with Customs Act 1967
 JABATAN KASTAM DAN EKSAIS DIRAJA MALAYSIA / ROYAL MALAYSIAN CUSTOMS AND EXCISE DEPARTMENT
PERMINTAAN / PERMIT UNTUK MEMINDAHKAN BARANG-BARANG BERDUTI
Kastam No. 9 Pin.4/92
REQUISITION / PERMIT TO REMOVE DUTIABLE GOODS
Customes No.9 Rev.4/92

1.Konsainer /Pengeksport (Nama dan Alamat )

UNTUK KEGUNAAN RASMI/FOR OFFICIAL USE
Consignor / Exporter (Name and Address)
6. Tarikh dan Waktu Terima 7. Nombor Pendaftaran
ABLE DAIRIES SDN BHD Date and Time of Receipt Registration Number

LOT 2259,JLN HELANG,OFF JLN KEBUN

BARU, 9TH MILE JALAN KLANG-BANTING 8. Stesen / Station
42500 TPG,KUALA LANGAT,SELANGOR Kod / Code
2. Pemohon (Name dan Alamat)
Applicant (Name and Address)
B313359W PAGE :1/1 CAWANGAN PERINDUSTRIAN SEL B56
I000847ZX BEST WISE SDN. BHD. Kod Pemohon / Applicant Code 9. Penerimaan Duti / Cukai sebagaimana yang dilevi diberikuasa oleh:
Receipt of Duty / Tax as levied authorized by:
Page 1 MILE 7, JALAN TUARAN,LOT 8, KINAPAR B/P PENGARAH KASTAM
CODE: LIGHT INDUSTRIAL, 88450 INANAM IMPORT PERGUDANGAN
Salinan:1 KOTA KINABALU, SABAH,EAST MALAYSIA ...............................
Tarikh / Date
...........................................................................................
Pegawai Kastam Yang Hak / Proper Officer of Customs

BF0618
3. Nama dan Alamat Ejen Yang Diberikuasa
Name and Address of Authorised Agent
10. Borang Kastam No. 1 berkenaan / Relevant Customs Form No.1

IAS FREIGHT SYSTEMS (M) SDN BHDKod Agent / Agent Code Tarikh
Date
Nombor Pendaftaran
Registration Number
Stesen
Station
11. No Resit Deposit Gudang dan Tarikh / Warehouse Deposit Receipt No. and Date
CENTRO 0506 NO: 8
JALAN BATU TIGA LAMA 12. No Rujukan C.J.5/S.T.5 Reference No. 13. Kod Mata Wang Asing
Foreign Currency Code
14. Kadar Pertukaran MYR
Exchange Rate

SELANGOR DARUL EHSAN MYR 1.0000

4. Nama dan Alamat Pengimport (jika berlainan)
Name and Address of Import (if different)
B313359W 15. Layanan Khas / Special Treament

BEST WISE SDN. BHD. Kod Pengimport / Importer Code

MILE 7, JALAN TUARAN,LOT 8, KINAPAR 16. Tempat dan Alamat di mana barang-barang disimpan/ Place and Address where goods are
LIGHT INDUSTRIAL, 88450 INANAM ABLE DAIRIES SDN BHD
deposited

LOT2259,JLN HELANG, OFF JLN KEBUN

5. Tempat Import / Place of Import
Kod / Code
BARU, 9TH MILE JLN KLANG-BANTING
CAWANGAN PERINDUSTRIAN SELANGOR B56 42500 TPG,KUALA LANGAT,SELANGOR
17. Tanda dan No. / 18.Bil./ 19. No. dan Jenis Bungkusan 20. Perihal Barang (Dokumen berkenaan hendaklah dikemukakan) Tarif Kastam Malaysia / Malaysian Customs Tariff
No. Kontena No. No. and Type of Packages Description of Goods (Relevant document must be submitted)
Marks and Nos./ 21. No Kod / Code No. 22. Unit / Unit
Container Nos.
Invoice No :608983C 1043 CARTON STC: EVAPORATED FILLED MILK
N/M
1) BRAND WIYA EVAPORATED 0402.99.00 00 KGM
FILLED MILK SIZE 48 X 390G
FOB MYR 155824.2000 = RM 155824.2000 EXCH: 1.0000
---------------
CIF = RM 155824.2000
---------------
FOM = RM 155824.2000

Cukai-Cukai Lain Yang Kena Dibayar

23. Kod Negeri 24. Kuantiti mengikut Nilai / Value MYR Duti Import / Import Duty Duti Eksais / Excise Duty Other Taxes Payable
Asal Unit Tarif Kastam
Preview Copy

Country of Qty. Based on

25. Satu Unit 26 Jumlah / Total 27. Kadar 28. Amaun / Amount 29. Kadar 30. Amaun / Amount 31. Jenis 32. Kadar 33. Amaun / Amount
Origin Code Customs Tariff Unit
Per Unit Rate (RM) Rate (RM) Type Rate (RM)

1) MY 19524.9600/KGM 155824.2000 NIL 0.00 NIL 0.00 NIL 0.00

19524.9600/KGM 7.98077

Ex. Vessel : -
BL. No :
Grs Wt : 21955.1500/KGM Volume : 0.0000/MTQ
Invoice No : 608983C
Allotment : CF
Location : B14

38.Nama Pembuat Akaun/Name of 19524.9600034. JUMLAH 155824.2000 35. JUMLAH 0.00 36. JUMLAH 0.00 37. JUMLAH 0.00
Declarant TOTAL TOTAL TOTAL TOTAL

43. Jumlah Amaun Kena Dibayar 0.00

UNTUK KEGUNAAN RASMI /FOR OFFICIAL USE Total Amount Payable RM
39. No.Kad Pengenalan / Pasport I I.C./Passport No. 42.Pelepasan daripada Kawalan Kastam dibenarkan oleh / 44. No Resit Manuskrip (jika berkenaan) Tarikh / Date
Release from Customs Control authorized by : Manuscript Receipt No. (if applicable)

40. Jawatan / Designation

B/P PENGARAH KASTAM

41. Saya mengeshakan ikrar ini benar dan lengkap
I hereby certify that this declaration is true and complete IMPORT PERGUDANGAN
.............. ..........................
.............. ........................ Tarikh / Date Pegawai Kastam Yang Hak
Tarikh / Date Tandatangan / Signature Proper Officer of Customs
Nota: pengakuan ini dikehendaki di bawah dan mengikut Akta Kastam 1967/Note: This declaration is required under and in accodance with Customs Act 1967
 JABATAN KASTAM DAN EKSAIS DIRAJA MALAYSIA / ROYAL MALAYSIAN CUSTOMS AND EXCISE DEPARTMENT
PERMINTAAN / PERMIT UNTUK MEMINDAHKAN BARANG-BARANG BERDUTI
Kastam No. 9 Pin.4/92
REQUISITION / PERMIT TO REMOVE DUTIABLE GOODS
Customes No.9 Rev.4/92

1.Konsainer /Pengeksport (Nama dan Alamat )

UNTUK KEGUNAAN RASMI/FOR OFFICIAL USE
Consignor / Exporter (Name and Address)
6. Tarikh dan Waktu Terima 7. Nombor Pendaftaran
ABLE DAIRIES SDN BHD Date and Time of Receipt Registration Number

LOT 2259,JLN HELANG,OFF JLN KEBUN

BARU, 9TH MILE JALAN KLANG-BANTING 8. Stesen / Station
42500 TPG,KUALA LANGAT,SELANGOR Kod / Code
2. Pemohon (Name dan Alamat)
Applicant (Name and Address)
B313359W PAGE :1/1 CAWANGAN PERINDUSTRIAN SEL B56
I000847ZZABEST WISE SDN. BHD. Kod Pemohon / Applicant Code 9. Penerimaan Duti / Cukai sebagaimana yang dilevi diberikuasa oleh:
Receipt of Duty / Tax as levied authorized by:
Page 1 MILE 7, JALAN TUARAN,LOT 8, KINAPAR B/P PENGARAH KASTAM
CODE: LIGHT INDUSTRIAL, 88450 INANAM IMPORT PERGUDANGAN
Salinan:1 KOTA KINABALU, SABAH,EAST MALAYSIA ...............................
Tarikh / Date
...........................................................................................
Pegawai Kastam Yang Hak / Proper Officer of Customs

BF0618
3. Nama dan Alamat Ejen Yang Diberikuasa
Name and Address of Authorised Agent
10. Borang Kastam No. 1 berkenaan / Relevant Customs Form No.1

IAS FREIGHT SYSTEMS (M) SDN BHDKod Agent / Agent Code Tarikh
Date
Nombor Pendaftaran
Registration Number
Stesen
Station
11. No Resit Deposit Gudang dan Tarikh / Warehouse Deposit Receipt No. and Date
CENTRO 0506 NO: 8
JALAN BATU TIGA LAMA 12. No Rujukan C.J.5/S.T.5 Reference No. 13. Kod Mata Wang Asing
Foreign Currency Code
14. Kadar Pertukaran MYR
Exchange Rate

SELANGOR DARUL EHSAN MYR 1.0000

4. Nama dan Alamat Pengimport (jika berlainan)
Name and Address of Import (if different)
B313359W 15. Layanan Khas / Special Treament

BEST WISE SDN. BHD. Kod Pengimport / Importer Code

MILE 7, JALAN TUARAN,LOT 8, KINAPAR 16. Tempat dan Alamat di mana barang-barang disimpan/ Place and Address where goods are
LIGHT INDUSTRIAL, 88450 INANAM ABLE DAIRIES SDN BHD
deposited

LOT2259,JLN HELANG, OFF JLN KEBUN

5. Tempat Import / Place of Import
Kod / Code
BARU, 9TH MILE JLN KLANG-BANTING
CAWANGAN PERINDUSTRIAN SELANGOR B56 42500 TPG,KUALA LANGAT,SELANGOR
17. Tanda dan No. / 18.Bil./ 19. No. dan Jenis Bungkusan 20. Perihal Barang (Dokumen berkenaan hendaklah dikemukakan) Tarif Kastam Malaysia / Malaysian Customs Tariff
No. Kontena No. No. and Type of Packages Description of Goods (Relevant document must be submitted)
Marks and Nos./ 21. No Kod / Code No. 22. Unit / Unit
Container Nos.
Invoice No :608983B 1043 CARTON STC: EVAPORATED CREAMER
N/M
1) BRAND WIYA EVAPORATED CREAMER 0402.99.00 00 KGM
SIZE 48 X 390G
FOB MYR 132982.5000 = RM 132982.5000 EXCH: 1.0000
---------------
CIF = RM 132982.5000
---------------
FOM = RM 132982.5000

Cukai-Cukai Lain Yang Kena Dibayar

23. Kod Negeri 24. Kuantiti mengikut Nilai / Value MYR Duti Import / Import Duty Duti Eksais / Excise Duty Other Taxes Payable
Asal Unit Tarif Kastam
Preview Copy

Country of Qty. Based on

25. Satu Unit 26 Jumlah / Total 27. Kadar 28. Amaun / Amount 29. Kadar 30. Amaun / Amount 31. Jenis 32. Kadar 33. Amaun / Amount
Origin Code Customs Tariff Unit
Per Unit Rate (RM) Rate (RM) Type Rate (RM)

1) MY 19524.9600/KGM 132982.5000 NIL 0.00 NIL 0.00 NIL 0.00

19524.9600/KGM 6.81090

Ex. Vessel : -
BL. No :
Grs Wt : 21955.1500/KGM Volume : 0.0000/MTQ
Invoice No : 608983B
Allotment : CF
Location : B14

38.Nama Pembuat Akaun/Name of 19524.9600034. JUMLAH 132982.5000 35. JUMLAH 0.00 36. JUMLAH 0.00 37. JUMLAH 0.00
Declarant TOTAL TOTAL TOTAL TOTAL

43. Jumlah Amaun Kena Dibayar 0.00

UNTUK KEGUNAAN RASMI /FOR OFFICIAL USE Total Amount Payable RM
39. No.Kad Pengenalan / Pasport I I.C./Passport No. 42.Pelepasan daripada Kawalan Kastam dibenarkan oleh / 44. No Resit Manuskrip (jika berkenaan) Tarikh / Date
Release from Customs Control authorized by : Manuscript Receipt No. (if applicable)

40. Jawatan / Designation

B/P PENGARAH KASTAM

41. Saya mengeshakan ikrar ini benar dan lengkap
I hereby certify that this declaration is true and complete IMPORT PERGUDANGAN
.............. ..........................
.............. ........................ Tarikh / Date Pegawai Kastam Yang Hak
Tarikh / Date Tandatangan / Signature Proper Officer of Customs
Nota: pengakuan ini dikehendaki di bawah dan mengikut Akta Kastam 1967/Note: This declaration is required under and in accodance with Customs Act 1967
 JABATAN KASTAM DAN EKSAIS DIRAJA MALAYSIA / ROYAL MALAYSIAN CUSTOMS AND EXCISE DEPARTMENT
PERMINTAAN / PERMIT UNTUK MEMINDAHKAN BARANG-BARANG BERDUTI
Kastam No. 9 Pin.4/92
REQUISITION / PERMIT TO REMOVE DUTIABLE GOODS
Customes No.9 Rev.4/92

1.Konsainer /Pengeksport (Nama dan Alamat )

UNTUK KEGUNAAN RASMI/FOR OFFICIAL USE
Consignor / Exporter (Name and Address)
6. Tarikh dan Waktu Terima 7. Nombor Pendaftaran
ABLE DAIRIES SDN BHD Date and Time of Receipt Registration Number

LOT 2259,JLN HELANG,OFF JLN KEBUN

BARU, 9TH MILE JALAN KLANG-BANTING 8. Stesen / Station
42500 TPG,KUALA LANGAT,SELANGOR Kod / Code
2. Pemohon (Name dan Alamat)
Applicant (Name and Address)
B313359W PAGE :1/1 CAWANGAN PERINDUSTRIAN SEL B56
I000847ZY BEST WISE SDN. BHD. Kod Pemohon / Applicant Code 9. Penerimaan Duti / Cukai sebagaimana yang dilevi diberikuasa oleh:
Receipt of Duty / Tax as levied authorized by:
Page 1 MILE 7, JALAN TUARAN,LOT 8, KINAPAR B/P PENGARAH KASTAM
CODE: LIGHT INDUSTRIAL, 88450 INANAM IMPORT PERGUDANGAN
Salinan:1 KOTA KINABALU, SABAH,EAST MALAYSIA ...............................
Tarikh / Date
...........................................................................................
Pegawai Kastam Yang Hak / Proper Officer of Customs

BF0618
3. Nama dan Alamat Ejen Yang Diberikuasa
Name and Address of Authorised Agent
10. Borang Kastam No. 1 berkenaan / Relevant Customs Form No.1

IAS FREIGHT SYSTEMS (M) SDN BHDKod Agent / Agent Code Tarikh
Date
Nombor Pendaftaran
Registration Number
Stesen
Station
11. No Resit Deposit Gudang dan Tarikh / Warehouse Deposit Receipt No. and Date
CENTRO 0506 NO: 8
JALAN BATU TIGA LAMA 12. No Rujukan C.J.5/S.T.5 Reference No. 13. Kod Mata Wang Asing
Foreign Currency Code
14. Kadar Pertukaran MYR
Exchange Rate

SELANGOR DARUL EHSAN MYR 1.0000

4. Nama dan Alamat Pengimport (jika berlainan)
Name and Address of Import (if different)
B313359W 15. Layanan Khas / Special Treament

BEST WISE SDN. BHD. Kod Pengimport / Importer Code

MILE 7, JALAN TUARAN,LOT 8, KINAPAR 16. Tempat dan Alamat di mana barang-barang disimpan/ Place and Address where goods are
LIGHT INDUSTRIAL, 88450 INANAM ABLE DAIRIES SDN BHD
deposited

LOT2259,JLN HELANG, OFF JLN KEBUN

5. Tempat Import / Place of Import
Kod / Code
BARU, 9TH MILE JLN KLANG-BANTING
CAWANGAN PERINDUSTRIAN SELANGOR B56 42500 TPG,KUALA LANGAT,SELANGOR
17. Tanda dan No. / 18.Bil./ 19. No. dan Jenis Bungkusan 20. Perihal Barang (Dokumen berkenaan hendaklah dikemukakan) Tarif Kastam Malaysia / Malaysian Customs Tariff
No. Kontena No. No. and Type of Packages Description of Goods (Relevant document must be submitted)
Marks and Nos./ 21. No Kod / Code No. 22. Unit / Unit
Container Nos.
Invoice No :608984 1043 CARTON STC: EVAPORATED CREAMER
N/M
1) BRAND WIYA EVAPORATED CREAMER 0402.99.00 00 KGM
SIZE 48 X 390G
FOB MYR 132982.5000 = RM 132982.5000 EXCH: 1.0000
---------------
CIF = RM 132982.5000
---------------
FOM = RM 132982.5000

Cukai-Cukai Lain Yang Kena Dibayar

23. Kod Negeri 24. Kuantiti mengikut Nilai / Value MYR Duti Import / Import Duty Duti Eksais / Excise Duty Other Taxes Payable
Asal Unit Tarif Kastam
Preview Copy

Country of Qty. Based on

25. Satu Unit 26 Jumlah / Total 27. Kadar 28. Amaun / Amount 29. Kadar 30. Amaun / Amount 31. Jenis 32. Kadar 33. Amaun / Amount
Origin Code Customs Tariff Unit
Per Unit Rate (RM) Rate (RM) Type Rate (RM)

1) MY 19524.9600/KGM 132982.5000 NIL 0.00 NIL 0.00 NIL 0.00

19524.9600/KGM 6.81090

Ex. Vessel : -
BL. No :
Grs Wt : 21955.1500/KGM Volume : 0.0000/MTQ
Invoice No : 608984
Allotment : CF
Location : B14

38.Nama Pembuat Akaun/Name of 19524.9600034. JUMLAH 132982.5000 35. JUMLAH 0.00 36. JUMLAH 0.00 37. JUMLAH 0.00
Declarant TOTAL TOTAL TOTAL TOTAL

43. Jumlah Amaun Kena Dibayar 0.00

UNTUK KEGUNAAN RASMI /FOR OFFICIAL USE Total Amount Payable RM
39. No.Kad Pengenalan / Pasport I I.C./Passport No. 42.Pelepasan daripada Kawalan Kastam dibenarkan oleh / 44. No Resit Manuskrip (jika berkenaan) Tarikh / Date
Release from Customs Control authorized by : Manuscript Receipt No. (if applicable)

40. Jawatan / Designation

B/P PENGARAH KASTAM

41. Saya mengeshakan ikrar ini benar dan lengkap
I hereby certify that this declaration is true and complete IMPORT PERGUDANGAN
.............. ..........................
.............. ........................ Tarikh / Date Pegawai Kastam Yang Hak
Tarikh / Date Tandatangan / Signature Proper Officer of Customs
Nota: pengakuan ini dikehendaki di bawah dan mengikut Akta Kastam 1967/Note: This declaration is required under and in accodance with Customs Act 1967
 JABATAN KASTAM DAN EKSAIS DIRAJA MALAYSIA / ROYAL MALAYSIAN CUSTOMS AND EXCISE DEPARTMENT
PERMINTAAN / PERMIT UNTUK MEMINDAHKAN BARANG-BARANG BERDUTI
Kastam No. 9 Pin.4/92
REQUISITION / PERMIT TO REMOVE DUTIABLE GOODS
Customes No.9 Rev.4/92

1.Konsainer /Pengeksport (Nama dan Alamat )

UNTUK KEGUNAAN RASMI/FOR OFFICIAL USE
Consignor / Exporter (Name and Address)
6. Tarikh dan Waktu Terima 7. Nombor Pendaftaran
ABLE DAIRIES SDN BHD Date and Time of Receipt Registration Number

LOT 2259,JLN HELANG,OFF JLN KEBUN

BARU, 9TH MILE JALAN KLANG-BANTING 8. Stesen / Station
42500 TPG,KUALA LANGAT,SELANGOR Kod / Code
2. Pemohon (Name dan Alamat)
Applicant (Name and Address)
A2231137A PAGE :1/2 CAWANGAN PERINDUSTRIAN SEL B56
I000847ZZBGUI BROTHERS TRADING (S) Kod Pemohon / Applicant Code 9. Penerimaan Duti / Cukai sebagaimana yang dilevi diberikuasa oleh:
Receipt of Duty / Tax as levied authorized by:
Page 1 LOT NO 5 COMPLEX CENTENARY B/P PENGARAH KASTAM
CODE: JALAN SABAR PO BOX 680 IMPORT PERGUDANGAN
Salinan:1 89157 KOTA BELUD SABAH ...............................
Tarikh / Date
...........................................................................................
Pegawai Kastam Yang Hak / Proper Officer of Customs

BF0618
3. Nama dan Alamat Ejen Yang Diberikuasa
Name and Address of Authorised Agent
10. Borang Kastam No. 1 berkenaan / Relevant Customs Form No.1

IAS FREIGHT SYSTEMS (M) SDN BHDKod Agent / Agent Code Tarikh
Date
Nombor Pendaftaran
Registration Number
Stesen
Station
11. No Resit Deposit Gudang dan Tarikh / Warehouse Deposit Receipt No. and Date
CENTRO 0506 NO: 8
JALAN BATU TIGA LAMA 12. No Rujukan C.J.5/S.T.5 Reference No. 13. Kod Mata Wang Asing
Foreign Currency Code
14. Kadar Pertukaran MYR
Exchange Rate

SELANGOR DARUL EHSAN MYR 1.0000

4. Nama dan Alamat Pengimport (jika berlainan)
Name and Address of Import (if different)
A2231137A 15. Layanan Khas / Special Treament

GUI BROTHERS TRADING (S) Kod Pengimport / Importer Code

LOT NO 5 COMPLEX CENTENARY 16. Tempat dan Alamat di mana barang-barang disimpan/ Place and Address where goods are
JALAN SABAR PO BOX 680 ABLE DAIRIES SDN BHD
deposited

LOT2259,JLN HELANG, OFF JLN KEBUN

5. Tempat Import / Place of Import
Kod / Code
BARU, 9TH MILE JLN KLANG-BANTING
CAWANGAN PERINDUSTRIAN SELANGOR B56 42500 TPG,KUALA LANGAT,SELANGOR
17. Tanda dan No. / 18.Bil./ 19. No. dan Jenis Bungkusan 20. Perihal Barang (Dokumen berkenaan hendaklah dikemukakan) Tarif Kastam Malaysia / Malaysian Customs Tariff
No. Kontena No. No. and Type of Packages Description of Goods (Relevant document must be submitted)
Marks and Nos./ 21. No Kod / Code No. 22. Unit / Unit
Container Nos.
Invoice No :609008 950 CARTON STC: SWEETENED CREAMER & EVAPORATED CREAMER
N/M
1) BRAND TARIK-TARIK SWEETENED CREAMER 0402.99.00 00 KGM
SIZE 48 X 500G
2) BRAND TARIK-TARIK SWEETENED CREAMER 0402.99.00 00 KGM
SIZE 24 X 1KG

Cukai-Cukai Lain Yang Kena Dibayar

23. Kod Negeri 24. Kuantiti mengikut Nilai / Value MYR Duti Import / Import Duty Duti Eksais / Excise Duty Other Taxes Payable
Asal Unit Tarif Kastam
Preview Copy

Country of Qty. Based on

25. Satu Unit 26 Jumlah / Total 27. Kadar 28. Amaun / Amount 29. Kadar 30. Amaun / Amount 31. Jenis 32. Kadar 33. Amaun / Amount
Origin Code Customs Tariff Unit
Per Unit Rate (RM) Rate (RM) Type Rate (RM)

1) MY 2400.0000/KGM 12000.0000 NIL 0.00 NIL 0.00 NIL 0.00

2400.0000/KGM 5.00000
2) MY 10800.0000/KGM 53775.0000 NIL 0.00 NIL 0.00 NIL 0.00
10800.0000/KGM 4.97917

38.Nama Pembuat Akaun/Name of 13200.0000034. JUMLAH 65775.0000 35. JUMLAH 0.00 36. JUMLAH 0.00 37. JUMLAH 0.00
Declarant TOTAL TOTAL TOTAL TOTAL

43. Jumlah Amaun Kena Dibayar 0.00

UNTUK KEGUNAAN RASMI /FOR OFFICIAL USE Total Amount Payable RM
39. No.Kad Pengenalan / Pasport I I.C./Passport No. 42.Pelepasan daripada Kawalan Kastam dibenarkan oleh / 44. No Resit Manuskrip (jika berkenaan) Tarikh / Date
Release from Customs Control authorized by : Manuscript Receipt No. (if applicable)

40. Jawatan / Designation

B/P PENGARAH KASTAM

41. Saya mengeshakan ikrar ini benar dan lengkap
I hereby certify that this declaration is true and complete IMPORT PERGUDANGAN
.............. ..........................
.............. ........................ Tarikh / Date Pegawai Kastam Yang Hak
Tarikh / Date Tandatangan / Signature Proper Officer of Customs
Nota: pengakuan ini dikehendaki di bawah dan mengikut Akta Kastam 1967/Note: This declaration is required under and in accodance with Customs Act 1967
 JABATAN KASTAM DAN EKSAIS DIRAJA MALAYSIA / ROYAL MALAYSIAN CUSTOMS AND EXCISE DEPARTMENT
PERMINTAAN / PERMIT UNTUK MEMINDAHKAN BARANG-BARANG BERDUTI
Kastam No. 9 Pin.4/92
REQUISITION / PERMIT TO REMOVE DUTIABLE GOODS
Customes No.9 Rev.4/92

1.Konsainer /Pengeksport (Nama dan Alamat )

UNTUK KEGUNAAN RASMI/FOR OFFICIAL USE
Consignor / Exporter (Name and Address)
6. Tarikh dan Waktu Terima 7. Nombor Pendaftaran
ABLE DAIRIES SDN BHD Date and Time of Receipt Registration Number

LOT 2259,JLN HELANG,OFF JLN KEBUN

BARU, 9TH MILE JALAN KLANG-BANTING 8. Stesen / Station
42500 TPG,KUALA LANGAT,SELANGOR Kod / Code
2. Pemohon (Name dan Alamat)
Applicant (Name and Address)
A2231137A PAGE :2/2 CAWANGAN PERINDUSTRIAN SEL B56
I000847ZZBGUI BROTHERS TRADING (S) Kod Pemohon / Applicant Code 9. Penerimaan Duti / Cukai sebagaimana yang dilevi diberikuasa oleh:
Receipt of Duty / Tax as levied authorized by:
Page 2 LOT NO 5 COMPLEX CENTENARY B/P PENGARAH KASTAM
CODE: JALAN SABAR PO BOX 680 IMPORT PERGUDANGAN
Salinan:1 89157 KOTA BELUD SABAH ...............................
Tarikh / Date
...........................................................................................
Pegawai Kastam Yang Hak / Proper Officer of Customs

BF0618
3. Nama dan Alamat Ejen Yang Diberikuasa
Name and Address of Authorised Agent
10. Borang Kastam No. 1 berkenaan / Relevant Customs Form No.1

IAS FREIGHT SYSTEMS (M) SDN BHDKod Agent / Agent Code Tarikh
Date
Nombor Pendaftaran
Registration Number
Stesen
Station
11. No Resit Deposit Gudang dan Tarikh / Warehouse Deposit Receipt No. and Date
CENTRO 0506 NO: 8
JALAN BATU TIGA LAMA 12. No Rujukan C.J.5/S.T.5 Reference No. 13. Kod Mata Wang Asing
Foreign Currency Code
14. Kadar Pertukaran MYR
Exchange Rate

SELANGOR DARUL EHSAN MYR 1.0000

4. Nama dan Alamat Pengimport (jika berlainan)
Name and Address of Import (if different)
A2231137A 15. Layanan Khas / Special Treament

GUI BROTHERS TRADING (S) Kod Pengimport / Importer Code

LOT NO 5 COMPLEX CENTENARY 16. Tempat dan Alamat di mana barang-barang disimpan/ Place and Address where goods are
JALAN SABAR PO BOX 680 ABLE DAIRIES SDN BHD
deposited

LOT2259,JLN HELANG, OFF JLN KEBUN

5. Tempat Import / Place of Import
Kod / Code
BARU, 9TH MILE JLN KLANG-BANTING
CAWANGAN PERINDUSTRIAN SELANGOR B56 42500 TPG,KUALA LANGAT,SELANGOR
17. Tanda dan No. / 18.Bil./ 19. No. dan Jenis Bungkusan 20. Perihal Barang (Dokumen berkenaan hendaklah dikemukakan) Tarif Kastam Malaysia / Malaysian Customs Tariff
No. Kontena No. No. and Type of Packages Description of Goods (Relevant document must be submitted)
Marks and Nos./ 21. No Kod / Code No. 22. Unit / Unit
Container Nos.
Invoice No :609008 950 CARTON STC: SWEETENED CREAMER & EVAPORATED CREAMER
N/M
3) BRAND TARIK-TARIK 0402.99.00 00 KGM
EVAPORATED CREAMER SIZE 48 X 390G
FOB MYR 111775.0000 = RM 111775.0000 EXCH: 1.0000
---------------
CIF = RM 111775.0000
---------------
FOM = RM 111775.0000

Cukai-Cukai Lain Yang Kena Dibayar

23. Kod Negeri 24. Kuantiti mengikut Nilai / Value MYR Duti Import / Import Duty Duti Eksais / Excise Duty Other Taxes Payable
Asal Unit Tarif Kastam
Preview Copy

Country of Qty. Based on

25. Satu Unit 26 Jumlah / Total 27. Kadar 28. Amaun / Amount 29. Kadar 30. Amaun / Amount 31. Jenis 32. Kadar 33. Amaun / Amount
Origin Code Customs Tariff Unit
Per Unit Rate (RM) Rate (RM) Type Rate (RM)

3) MY 7488.0000/KGM 46000.0000 NIL 0.00 NIL 0.00 NIL 0.00

7488.0000/KGM 6.14316

Ex. Vessel : -
BL. No :
Grs Wt : 23066.0000/KGM Volume : 0.0000/MTQ
Invoice No : 609008
Allotment : CF
Location : B14

38.Nama Pembuat Akaun/Name of 20688.0000034. JUMLAH 111775.0000 35. JUMLAH 0.00 36. JUMLAH 0.00 37. JUMLAH 0.00
Declarant TOTAL TOTAL TOTAL TOTAL

43. Jumlah Amaun Kena Dibayar 0.00

UNTUK KEGUNAAN RASMI /FOR OFFICIAL USE Total Amount Payable RM
39. No.Kad Pengenalan / Pasport I I.C./Passport No. 42.Pelepasan daripada Kawalan Kastam dibenarkan oleh / 44. No Resit Manuskrip (jika berkenaan) Tarikh / Date
Release from Customs Control authorized by : Manuscript Receipt No. (if applicable)

40. Jawatan / Designation

B/P PENGARAH KASTAM

41. Saya mengeshakan ikrar ini benar dan lengkap
I hereby certify that this declaration is true and complete IMPORT PERGUDANGAN
.............. ..........................
.............. ........................ Tarikh / Date Pegawai Kastam Yang Hak
Tarikh / Date Tandatangan / Signature Proper Officer of Customs
Nota: pengakuan ini dikehendaki di bawah dan mengikut Akta Kastam 1967/Note: This declaration is required under and in accodance with Customs Act 1967