申请人身份类别 进/出境日期 包装种类 体积 标箱数
Status of Applicant Entry/Exit Date Type of Package Volume Number of TEU
内包装件数 受托方名称及海关代码
Quantity of Inside Packages Agency/Agent and Customs Code No.
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本人申报进/出境下列行李物品，并保证所有申报属实。
I， the undersigned， hereby apply for the importation /exportation of the following luggage items and guarantee that all my declaration is true.
项号
Item No.
| 物品税号
Tariff Code
| 物品名称
Descriptions
| 规格/型号
Speci./ Model
| 数量
Quantity
| 单位
Unit
| 币制
Currency
| 总价
Total Value
| 备注
Remarks
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申请人签名
Applicant’s Signature
机构签章
Seal of Organization
申报日期 附 页
Date of Application Pages Attached
| 海关批注
Customs Remarks
海关签章
Customs Seal
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