24MBAIM006492756
24MBAIM006492756
24MBAIM006492756
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
Telephone Fax/Telex
0721344131
Email info@universalfzco.com
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
Item New/Used Full description and application Origi HS Code Net mass (kg) Quantity/supplementary Unit of FOB value
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