EXPORT LICENCE (TEXTILES) FORM 4
Exporter (Name & Ads)
Textile Controls Registration No. (where applicable).
Consignee
ORIGINAL
Date of Receipt and Receipt No.
Date of Issue and Licence No.
Tel. No.
Issue of this licence is approved.
I,.
for Director of Trade
MANUFACTURER'S DECLARATION
ATTACHMENT B
HONG KONG GOVERNMENT Import and Export Ordinance (Cap. 60) Import and Export (General) Regulations
principal official of
(Name and Address of Manufacturer's Co.)
hereby declare that
I am the manufacturer of the goods in respect of which this application is made and that the goods are of Hong Kong origin in accordance with condition (2) overleaf. Textile Controls
Registration No.
Departure Date
Country of Final Destination
Switzerland
(Where
applicable)
Vessel/Flight No.
C.O./Form A No./Country of Manufacture (if not of Hong Kong Origin)
Tel. No.
Date
FOR CONDITIONS OF ISSUE PLEASE SEE OVERLEAF
Signature and Chop
Stamps
WARNING:—All alterations must be carried out by authorized officers. Heavy penalties are provided for
false declaration and information, unauthorized alterations and misuse of this licence.
No. of packages
Full Description of Goods
(State Country of Örigin of raw materials)
No. of Units
Value f.o.b. HK$
c.i.f. value in currency of payment
Mark(s) and Number(s)
SPECIMEN
Item
Commodity
No.
Item Code No.
TIC 353 (Rev. 1983)
I,
Approved and
against
export authorizations for export to Switzerland.
Total Amount
Total Amount
EXPORTER'S DECLARATION
principal official of
(Name and Address of Exporter's Co.)
hereby declare that I am the exporter of the
of goods in respect of which this application is made and that the particulars given herein are true.
Date
CROWN COPYRIGHT RESERVED
Signature and Chop.
packages
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