Export Declaration Form

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EXPORT DECLARATION
Or Application Under Subsection 162A(6A)
Approved Form for Customs Act Sections 114(3)(c) & 162AA(3)(a) - B957
NOTICE
- we require this information under the Customs Act 1901, so we can ensure that your goods are property cleared for export. The
information you provide will be given to the Australian Bureau of Statistics and the Australia Taxation Office. If you are required to hold a permit
to export these goods, the permit details will also be given to the relevant permit issuing agency.
EDN Customs to provide
1. Reference:
2. Reporting Party Type
Customs Use Only
Owner
Agent
3. Your Reference
4. Reporting Party ID
5. Intended Date of Export
6. Unique Consignment Reference No.
7. Customable/Excisable Indicator
8. Prescribed Goods Indicator
Yes
No
Yes
No
9. Warehouse Est. ID
10. Goods Owner Party ID (ABN/CCID)
11. Branch ID: Confirming export only
12. Confirming Exporter Type (N,Y,C)
13. Export Goods Type
ST
PO
SP
AB
OP
OT
14. Consignee Name:
17. First Port of Discharge
15. Consignee City
16. Port of Loading
18. Final Destination Country Code
19. Mode of Transport
20. Vessel ID/Flight No.
Air
Sea
21. Voyage No
22. Cargo Type
23. Total No. Packages
24. Total No. Containers
C
CO
N
B
25. Invoice Currency
26. FOB Currency
27. Total FOB Value
LINE DETAILS
28A. Line No. (Use a separate B957a supplementary page for each
28. Commodity Classification
additional export commodity (each line))
Code (AHECC)
29. Goods Description
30. Goods Origin Code
31. Goods Origin Country Code(s)
32. Temporary Import No.
33. Net Quantity
a.) Amount
b.) Unit
34. Gross Weight
a.) Amount
b.) Unit
35. Line FOB Value
36. Permit Prefix
Permit Header
DECLARATION
I, the undersigned, make this export declaration (comprising a B957 Header Page and ______ B957(a) Supplementary Page(s)
(not including “notes” Pages)) and hereby declare I am the (please tick)
Owner/authorised Principal exporter (including) an employee of the Principal)
Authorised agent of the Owner and that the information provided is complete and correct.
Name of Person making the Entry
Contact Address
Contact Phone No.
Contact Email
Contact Fax No.
Company Name
Signature
Date
Position in Company
/
/
B957 (APR 2010)

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