EAST AFRICAN COMMUNITY SINGLE ADMINISTRATIVE DOCUMENT(SAD)-ICMS A CUSTOMS OFFICE C.
17C
1DECLARATION
25MBAIM404443861
1 2 Consignor/Exporter PIN/TIN IM4
KE MBA FFK
CN 3 Page Of 4 Total gr. mass
18/07/2025
ZHENGZHOU GUCHEN INDUSTRY CO LTD 1 2 3,688.0000
5 Total Items 6 Total packages 7 Reference number
ZHENGZHOU CITY 2 175 25CNA012647400Z003576077
8 Consignee PIN/TIN 9a Total freight 9b Total insurance
KE A012647400Z 19,387.3600 3,877.4700
BRIAN SILA KISOI 9c Total Other Charges 9d Total Customs Value
0.0000 637,159.5600
167 - 90119 n/a nairobi KE 12 Valuation method
CUSTOMS OFFICE
1
14 Declarant/Representative PIN/TIN 15a Country of Last Consignment 16 Date of exit/arrival
KE P051992594A CN
Benlink Logistics Ltd
17a Country of Destination 17b Region of destination code (Kenya
811 - 80100 MOI AVENUE NA KE KE county)
01 Mombasa County
Declarant ref.number CAL/001030/22
18 Identity and nationality of means of transport at departure/on 19 Ctr. 20 Delivery terms
arrival
0 FOB CONSOLBASE LIMITED
21 Identity and nationality of active means of transport crossing the border 22 Currency and total amount invoiced 23 Exchange rate
USD 4750 129.240994778
25 Mode of transport 26 Inland mode 27 Place of 28 Financial and banking data
loading/unloading
1 Sea at the border of transport Anping
29 Office of exit / entry 30 Location of goods
1
Marks and numbers - Container No(s) - Number and kind 32 Item 33 Commodity HS Code
001 No 39031100
Type Reference Quantity Marks Gross weight Description of 34 Country origin Code 35 Gross mass (kg) 36 Preference
EXPANDABLE a CN 1660
PK 1 75 LCL 1660
POLYSTERENE
31 37 P R O C E D U R E 38 Net mass (kg) 39 Quota
Packages 1650
4001 400
and
structured 40 Previous document 41a Supplementary units
description Z - IM -
25MBAIM004443744-
of goods 1650 KGM
1
41b Supplementary units 42 Item price
Manifest registration Prefix of the TD 2250
Bill code Commercial description of the goods
number
GLL25100 EXPANDABLE POLYSTERENE;
2025MSAHI094048A KEMBA
ZHENGZHOU; BG; 75; 0;
Tariff
description of Expansible polystyrene.
the goods
44 NAME AVALUE NAME AVALUE
Additional 45a FOB value 45b Freight value 45c Insurance cost
information CommonName EXPANDABLE IDFCondition N
Document Manufacturer ZHENGZHOU PackagingMode BG
s 290792.24 8764.15 1836.7
QuantityOrNbOfPacka 75
produced/
Certificat 45d Other Charges 46 Customs value
0 301393.09
Tax Type Tax Base Rate Amount MP 48 Deferred payment 49 Identification of warehouse
1002/ Import Duty 301,393.09 0 0.00 A
1102/ Excise Duty 301,393.09 0 0.00 A B ACCOUNTING DETAILS Tax Type TAX_AMOUNT MP
1202/ Vat Imports 301,393.09 0.16 48,223.00 A Totals all item 131,217.00 1002/ Import Duty 0.00 A
47 1801/ IDF Fees 301,393.09 0.025 7,535.00 A 1102/ Excise Duty 0.00 A
Calculation 6001/ Kenya Railway 1202/ Vat Imports 101,946.00 A
of taxes Development Levy(RDL) 301,393.09 0.02 6,028.00 A
1801/ IDF Fees 15,930.00 A
6401/ Merchant Shipping 161.551 B.No
1.66 269.00 A 6001/ Kenya Railway
Superitendent (MSS) Levy 2 12,744.00 A
Development Levy(RDL)
Total Tax due for this item: 62,055.00 6401/ Merchant Shipping
597.00 A
Superitendent (MSS) Levy
Amount Total Tax due : 131,217.00
50 Principal No C OFFICE OF DEPARTURE
51
Intended
Represented
offices of
transit Place and
52 Remarks 53 Office of destination (and country)
D/J CONTROL BY OFFICE OF DEPARTURE/DESTINATION Stamp: 54 Place and date:
Result:
Seals affixed: Signature and name of declarant/representative:
Identity:
Time limit (date):
Signature:
I/We CSAP051992594AA the undersigned of Benlink Logistics Ltd being the agent/principal of BRIAN SILA KISOI do hereby declare that the information and particulars declared herein
are true and complete.
Signature and stamp
Place: 811 - 80100 MOI AVENUE NA KE
Tel/Fax:
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EAST AFRICAN COMMUNITY SINGLE ADMINISTRATIVE DOCUMENT(SAD)-ICMS A CUSTOMS OFFICE C.17C(Cont.)
CUSTOMS
1DECLARATION
IM4
3 Page Of
1
2 2
Marks and numbers - Container No(s) - Number and kind 32 Item 33 Commodity HS Code
002 No 32064900
Type Reference Quantity Marks Gross weight Description of 34 Country origin Code 35 Gross mass (kg) 36 Preference
PK 1 100 LCL 2028 RED OXIDE a CN 2028
37 P R O C E D U R E 38 Net mass (kg) 39 Quota
31 2000
4001 400
Packages
and 40 Previous document 41a Supplementary units
description Z - IM - 25MBAIM004443744-
of goods 2000 KGM
2
41b Supplementary units 42 Item price
Manifest registration Prefix of the TD 2500
Bill code Commercial description of the goods
number
GLL25100 100; RED OXIDE; ZHENGZHOU; BG; 100;
2025MSAHI094048A KEMBA
1; 1; 100; 0;
Tariff
description of Other colouring matter and other preparations.
the goods
44 NAME AVALUE NAME AVALUE
Additional 45a FOB value 45b Freight value 45c Insurance cost
information BrandName 100 CommonName RED OXIDE
Document IDFCondition N Manufacturer ZHENGZHOU
s 323102.49 10623.21 2040.77
PackagingMode BG QuantityOrNbOfPacka 100
produced/
Certificat SizeOfPiecesLength 1 SizeOfPiecesWidth 1 45d Other Charges 46 Customs value
Volume 100 0 335766.47
Type Tax Base Rate Amount MP
1002/ Import Duty 335,766.47 0 0.00 A
1102/ Excise Duty 335,766.47 0 0.00 A
1202/ Vat Imports 335,766.47 0.16 53,723.00 A
1801/ IDF Fees 335,766.47 0.025 8,395.00 A
47 6001/ Kenya
Calculation Railway
of taxes Development Levy 335,766.47 0.02 6,716.00 A
(RDL)
6401/ Merchant
Shipping
2.03 161.5512 328.00 A
Superitendent
(MSS) Levy
Total Tax due for this item : 69,162.00
2 of 2
