12

FORM Z.

Re-Export Declaration.

Name of ship, aircraft agent or other means of transport

Date of departure

Country to

which consigned

Country of Origin

Commodity Description

FORM 3.

13

Export Declaration.

Official use only

Class

Name of ship, aircraft agent or other means of transport

Date of departure

Means of transport

Country Code No,

Country Code No.

Commodity Item Code No.

Country to

which consigned

Country of Origin HONG KONG

Commodity Description

Official use only Class ......................................................

Means of transport

Country Code No.

Commodity Item Code No.

Unit of Quantity

Quantity

B/L No.

Name of Firm or person

Address

Unit of Quantity

Quantity

B/L No.

No. of Packages

Value (fo.b. Hong Kong) HKS

SHIPPING MARKS

Tel. No.

1 confirm that the information declared above is true i and correct to the best of my knowledge,

Official use only

No. of Packages

Name of Firm or person an Address

Value (fo.b. Hong Kong) HK$

SHIPPING MARKS

Tel. No.

I confirm that the information declared above is true And correct to the best of my knowledge,

Date

Signature and

Official use only

Date

Signature and Chop.

COUNCIL CHAMBER,

Clerk of Councils.

13th September, 1966.

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