Universal Data Form Page 2

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39
Producer/Manufacturer's physical address: City/Region
40
Year of Manufacture
41
Mode of transport
42
Transportation No (Vehicle/Vessel/Flight)
43
Ship/vessel name
44
Place of loading
45
Date of loading
46
Place of discharge (to_Port)
47
Expected date of shipment
48
For transshipment_by
49
Declarant/Agent Name
50
Agent/Declarant's address1
51
Agent/Declarant's address2
52
Agent/Declarant's address3
53
Declarant's company name
54
Declarant company seal
55
Declarant's telephone number
56
Declarant's fax number
57
Declarant_Ref_Number
58
Declarant's date(YYYY.MM.DD)
59
Freight Forwarder Company
60
PortofExit
61
Ex Aircraft/Road/Ship
62
Electricity_overhead_cost
63
Number_of_machine_overlock
64
Number_of_employees_in_production process
65
Number_of_machine_button_hole
66
Number_of_machine_double_needle
67
Number_of_machine_flap_pattern_cutter
68
Number_of_machine_FOA
69
Number_of_Machine_single_needle
70
Wage_salary_cost
71
Water_overhead_cost
72
Nationality_of_transport_at_arrival
73
Nationality_of_transport_at_frontier
74
Date_of_arrival of_transport_at arrival
75
Date_of_arrival of_transport_at frontier
76
Identity_of_transport_at_arrival
77
Identity_of_transport_at_frontier
78
Supplementary unit1 (DZN)
79
Supplementary unit2 (PCS)
80
Declarant/Agent TIN
81
BofE No
82
Customs FOB place
83
COC
84
CRO
85
Preference group
86
Preference_code
87
Quota
2

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