Form C86 - Jamaica The Customs Act Goods Declaration Form

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C86
JAMAICA
THE CUSTOMS ACT
GOODS DECLARATION FORM
(For use with the C78X Form)
The recipient of all consigned goods via air/sea freight, is required to complete this form.
IMPORTER
DECLARANT
1. Name ______________________________________
6. Name _______________________________
2. Address ____________________________________ 7. Address ______________________________
______________________________________________
_______________________________________
3. ID Type & Number ___________________________
8. ID Type & Number ____________________
4. TRN _______________________________________
_______________________________________
5. TCC & Expiry Date ___________________________
Other Information
9. Vessel Name/Flight No.________________________ 12. Port of Entry _________________________
10. Date of Report __________/ __________ / ________ 13. No. of Packages ______________________
(Year/month/day)
11. Bill of Lading/Air Waybill Number/Document No.
14. No. of pages including C86 _____________
______________________________________________
15)
LIST ALL ITEMS IN THIS CONSIGNMENT BELOW
ITEM
QUANTITY
DESCRIPTION OF GOODS
CLASSIFICATION
CURRENCY
TOTAL PRICE
#
TYPE
(in currency paid)
1
2
3
4
5
6
7
I understand that failure to make a full declaration is an offence and can result in seizure of
the goods, fines and/or imprisonment.
Signed: _____________________________
Date: _____________________
(Importer/Declarant)
(yyyy/mm/dd)
For Official Use Only
_______________________
Date: _____________________
Proper Officer
ID Number
(yyyy/mm/dd)

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