By submitting this disposition we are authorizing SCHENKER to represent our company in customs clearance and related services, with reference to the information mentioned below.

Disposition number:


Company issuing this disposition: (full name and address):

Registration number:

Tax (PIB) number:

Contact person:

Telephone:

Fax:

E-mail:


Customs clearance:
import     export

Foreign partner (name, city, country):



Type of goods:

Weight (kg):

Number of cases:



Purpose of  import/export:

Number and date of the import control document:

Land of origin:

Value of the goods (in currency):

Country of dispatch/export:

Tariff number with detailed description of merchandise:

Customs duty rate:

Terms of delivery - parity (incoterms 2000):

Insurance of the goods:

Border crossing / code:



Transporter / registered at:

Vehicle registration number:

Driver:

Type of the vehicle / vessel:

Passport (number and issuing country):

Number of customs seals:



Additional services (logistics, transport, warehousing, customs duty, taxes, etc):



Customs guarantee (CG):
Own CG      Schenker's CG*      Without CG

* if using SCHENKER customs guarantee, importer is obliged to pay full amount of customs duties and related costs, within 3 days of clearance, directly to the bank account of customs office and to provide certified copy of payment. Customs guarantee can not be used for paying taxes when clearing promotional materials and samples (article 194/2 of customs law).


attached document:**



** If more convenient, add your documents to this disposition by sending them over through fax or e-mail. Please state your disposition number on your fax or e-mail message.

** please have in mind size of your documents before sending them through this system. Due to the size of attached documents and speed of your Internet connection, submission may take some time.


Special notes and comments:



Disposition sent by:
Name:

Telephone:

Fax:

E-mail:



Place and date: