This sample saleable form is for reference only. Downloading this form for submission will not be accepted.
此 樣 本 表 格 僅 供 參 考 ,不 能 下 載 用 作 遞 交 之 用 。
EXPORT LICENCE FORM | ORIGINAL |
Exporter (Name & Address) Business Reg. No. Tel. No. |
Licence No. Date of Issue |
Fee |
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THE GOVERNMENT OF THE HONG KONG |
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Consignee (Name and Address) |
EXPORTER'S DECLARATION Date..........................................
I , ......................................................................................................
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Registration No. under the Ozone Layer Protection Ordinance |
Country of Final Destination |
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Intended Date of Departure |
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Vessel/Flight/ Vehicle No. |
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Item No.
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Marks & Number (1) |
No. & Kinds of Packages (2) |
Country of Origin (3) |
Full Description of Goods including Brand Names (4) |
Net Weight of Goods in Kg (See overleaf) (5) |
Schedule Substances contained in the goods |
FOB Value HK$ (9) |
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Common Name (See overleaf) (6) |
Percentage by weight (7) |
Weight Quantity in Kg (8)=(5)x(7)xODP (See overleaf) |
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For Official Use Only |
Issue of this licences is approved
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COPYRIGHT RESERVED