Vessel/ Manifest -Master / House Airway bill , Bill of Lading

Notify Received Control Number

1

2

3

5

4

13

Permit No.

Permit Issue Authority

Issue Date

E X E M P T

5

9 9 4 0 0 1 6 1 4 5 0

Permit 1 Permit 2

Permit n

Permit 1 Permit 2

Permit n

16

Permit No.

Tariff Classification

Tariff Statistical

Permit Issue Authority

Issue Date

17 18

19

20

X

X

26

27 28