24MBAIM006492756

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FORM C.

61 A

REPUBLIC OF KENYA
KENYA REVENUE AUTHORITY
Customs Services Department
No 24MBAIM006492756
IMPORT DECLARATION FORM
Importer Name & Address PIN P051180033G
Premier Motor Spareslimited Contact Name PETER

Email premier@wananchi.com

12649 - 00100 KIRINYAGA ROAD NAIROBI CITY (NORTH) KE

Telephone Fax/Telex

0721344131

Seller Name & Address PIN

UNIVERSAL INTERTRADE FZCO Contact Name MOHAMED

Email info@universalfzco.com

P.O BOX 17391 DUBAI


Telephone Fax/Telex

048811133

Country of Supply Port of Discharge(Kenya) Port of Customs Clearance Mode of Transport Sea transport ETD

CN MSA

Local inspection N
COMESA(Y/N) Origin Certificate References Transaction Terms Inv No & Date (dd/mm/yy) 30/10/2024 Incoterm

N TT AKL20241055 FOB

Currency Exchange Rate FOB Value Freight Insurance Other Charges

AED 35.174199696 182,076.2500

Item New/Used Full description and application Origi HS Code Net mass (kg) Quantity/supplementary Unit of FOB value

CLUTCH COVER; TESON FILTERS


1 CN 87089300 10,048.2000 10,048.2000 KGM 54,108.7500
INDUSTRIES CHINA; 2,3; 0;

CLUTCH PLATE/ DISC; TESON FILTERS


2 CN 87089300 11,257.6000 11,257.6000 KGM 111,362.5000
INDUSTRIES CHINA; 5,10; 0;

TEX; SEALED BEAMS; TEX


3 CORPORATION UAE; TOYOTA; 12; 12; CN 85391000 2,160.0000 3,240.0000 UNT 16,605.0000
2025; 9.00; 0;
TOTAL 182,076.2500
Observations:
This IDF is issued by the IDF unit in accordance with the Customs services Department Regulations.The information herein is decalred by the named importer and is for the sole use of the Government of Kenya

This declaration does not in any way ralieve the named importer of its legal liabilityto comply with the Kenya laws.
I/We declare that the above particulars are true and correct.
Name: PETER Signature: Date: 30/10/2024

FOR OFFICIAL USE ONLY


GOK PROCESSING FEES ALERTS TO PORTS OF ENTRY TO VERIFY GOK AGENCIES PRIOR APPROVAL

Prepaid amount(KSH): 0 VALUE(Y/N) Applicable?(Y/N)

Receipt Number: QUANTITY(Y/N)

Serial Number: TARIFF ITEM(Y/N)

UCR No. 24AEP051180033G002760043

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