BOC SINGLE ADMINISTRATIVE DOCUMENT

Office of DISPATCH/EXPORT
1 DECLARATION Office Code P02B
2 Exporter / Supplier Address TIN: 200757388000 Manila Intl Container Port
EX3 1
1 PHILIPPINE BATTERIES, INC.
Sta Maria Industrial Park, SEZ 3 Page 4
Manifest Number

Bo Bulac, Sta. Maria, Bulacan, Phils 1 1 Entry Number Date 09/30/2020

C 5 Items
1
6 Tot Pack
4885
7 Declarant Reference Number
2020 / PH9ED200930034
8 Importer / Consignee, Address 9 Registry Office :
U CENTURY MOTOLITE BATTERY SDN. BHD.
Sta. Maria Industrial Park
13 JALAN JURUTERA U1/23
HICOM GLENMARIE INDUSTRIAL PARK,
S 40150 SHAH ALAM, SELANGOR DARUL EHSAN
10 11 12 Tot. F/I/O 13 T. Ref.

14 Declarant address TIN: 139266450000 15 Country of Export 15 C.E. Code 17 C.D. Code
T MELINDA T. GIMMI PHILIPPINES PH MY
MBT CUSTOMS BROKERAGE
16 Country of Origin 17 Country of Destination
2nd floor, NYS Building, 1156 Chino
O Roces Ave., San Antonio Vill., 1203 PHILIPPINES MALAYSIA
18 Vessel / Aircraft Registry No. 19 Ct 20 Terms of Delivery
SEASPAN NEW YORK V. 006 FOB | Free on board
M 21 Local Carrier (if any) 22 F. Cur. Total Customs Value 23 Exch Rate 24 Forex
USD 104,101.95 48.545 0
S 25 26 Province of Origin
031400000
27 Port of Loading
PHMN2
MANILAINTL.CONTAINERPORT
28 Financial and Banking Data - Bank Code 998
BULACAN Terms of Payment 01 - Basic
29 Port of Departure 30 Location of Goods
1 P02B
Manila Intl Container Port
999-IMPORTER'SPREMI
SE
Bank Name

Branch
PCHC
NA Bank Ref Number: 0

31 Packages Marks and Numbers - Container No(s) - Number and Kind 32 Item No. 33 HS Code Tar Spec
and 1 85071090 000 15 %
Marks & No AS ADDRESSED 2X20
Description of Packages 34 C.O. Code 35 Item Gross Weight 36 Pref
of Goods
Number and Kind 4885 PE PH 39,373.91 Kg. None
PIECES 37 Procedure 38 Item Net Weight 39 Val Code
Container No(s) HJMU2029053 1000 000 38,773.91 Kg. NNNNN
TCKU1569348 40a AWB / BL 40b Previous Doc No.

--Goods Desc
CMB GP 2X20 - 23834
AUTOMOTIVE LEAD STORAGE BATTERIES, UNFORMED BATTERIES
41 Suppl. Units 42 Item Customs Value (F. Cur) 43 Val Method.
1 104,101.95 1
44 Add Infos Export Clearance No. : XSMIP39552820I
Doc / Product 45 Adjustment
Certif. &
Aut

46 Statistical (PHP) Value

5,053,629.16
Invoice No. : 23834
47 Calculation Type Tax Base Rate Amount MP 48 Prepaid Account No. 49 Identification of Warehouse
of Taxes
/

47b ACCOUNTING DETAILS

Method of Payment : CASH

Assessment Number : Date :

Date/Time Approved: 09/30/2020 9:28:00 PM

Total Fees 0.00
Date/Time Allowed to Exit: 09/30/2020 9:58:00 PM
Total Assessment 0.00

50 Declarant

51 AUTHORIZATION
Printed Name and Signature of Declarant
Name of Agency:

Place and Date

52 Bureau of Customs (BOC) Control
Printed Name Position

Printed Name and Signature Position

Date Valid Until

Date
53 INTERNAL REVENUE (TAX PER BOX #45 & #47)

TAXABLE VALUE PH 5,053,629.16 WHARFAGE 0 OTHERS 0

BANK CHARGES 0 TOTAL 5,053,629.16

ARRASTRE CHARGE 0
CUSTOMS DUTY 0 LANDED COST PH x 12%

BROKERAGE FEE DOCUMENTARY STAMP TOTAL VAT PH

DESCRIPTION IN TARIFF TERMS SHOULD BE

54 SECTION 55 NO. OF PACKAGES EXAMINED 56 DATE RECIEVED 57 DATE RELEASED

EXAMINATION RETURN

58
ITEM TARIFF
NO DESCRIPTION IN TARIFF TERMS SHOULD BE QTY UNIT UNIT VALUE HEADING RATE

PLEASE REFER TO RIDERS FOR FINDINGS ON OTHER ITEMS

REVISED CHARGES LIQUIDATION

59 CHARGES 60 DECLARATION 61 FINDINGS 62 DIFFERENCES 65 LIQUIDATED Amount

Duty
BIR Taxes 66 SHORT/EXCESS
VAT
Excise Tax/Ad Valorem 67 REMARKS
Others
Surcharges
TOTAL
63 ACTION DIRECTED/RECOMMENDED 64 68

DATE COO III DATE

69

DATE COO V DATE

CONTINUATION FROM BOX # 31 FREE DISPOSAL

Container Numbers continuation: