Seksyen 1
(1)
Peraturan-peraturan ini bolehlah dinamakan Peraturan-Peraturan
Kastam (Pindaan) 2018.
(2)
Peraturan-Peraturan ini mula berkuat kuasa pada 1 September 2018.
Pindaan Jadual Kedua
/akn/my/act/pua/2018/217
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Quick answer
PERATURAN-PERATURAN KASTAM (PINDAAN) 2018 is Malaysia P.U. (A), cited as P.U. (A) 217 2018, currently marked in force and first recorded in 2018.
Opening note
Peraturan-peraturan ini bolehlah dinamakan Peraturan-Peraturan
Kastam (Pindaan) 2018.
Peraturan-Peraturan ini mula berkuat kuasa pada 1 September 2018.
Pindaan Jadual Kedua
Peraturan-Peraturan Kastam 1977 [P.U. (A) 162/1977] dipinda dalam Jadual
Kedua di bawah tajuk “BORANG-BORANG”—
dalam Bahagian I dengan menggantikan Borang Kastam No. 1, 2, 3, 8 dan 9
dengan borang yang berikut:
P.U. (A) 217 3
PERISYTIHARAN BARANG YANG DIIMPORT / DECLARATION OF GOODS IMPORTED
Kastam No.1 (Pin. 2018)
Customs No.1 (Rev.2018)
Konsainor/Pengeksport (Nama dan Alamat)
Consignor/Exporter (Name and Address)
Tarikh dan Waktu Terima
No. Pendaftaran/ Registration No.
Date and Time of Receipt
Konsaini/Pengimport (Nama dan Alamat)
Consignee / Importer ( Name and Address)
Kod pengimport/Importer Code
Stesen / Station
Kod/Code
Manifest Registration No.
Penerimaan Duti/Cukai yang dilevi dibenarkan oleh:
Receipt of Duty/Tax as levied authorized by:
No. Pendaftaran Cukai Jualan atau Cukai Perkhidmatan/Sales Tax or
Service Tax Registration No.*
..........................................................................................................
Pegawai Kastam Yang Hak/Proper Officer Of
Customs
Nama dan Alamat Ejen Yang Diberikuasa/
Kod Ejen/Agent Code
No. Permit Import/Import Permit No.
Tarikh Luput/Expiry Date
Bayaran bagi barang akan dibuat kepada: (Negara)
Kod/Code
Manifest Page No.
No. Pendaftaran Cukai Perkhidmatan/Service Tax Registration No.*
No. Rujukan Kelulusan Pengecualian
Exemption Approval Reference No.*
Bill of Lading or Consignment Note
Mod Pengangkutan/Mode of Transport 1. Laut/Sea
Keretapi/Rail
Jalan Raya/Road
Udara/Air
Tarikh import/ Import
Date
Layanan Khas/Special Treatment
Insurans/Insurance RM
No./Nama Kapal/Penerbangan/Kenderaan
Pelabuhan/ Tempat Import Kod/Code 23. Caj Lain RM
Other charges
Nilai CIF RM
CIF Value
No./Name of Vessel/Flight/Conveyance
Port/Place of Import
Pelabuhan/Tempat Dimuatkan Kod/Code
Port/Place of Loading
Kod/Code
Berat Kasar (kg.)
Gross wt.
Ukuran (m3)
Measurement
Via (transhipment cargo only)
Marks and Nos/Container No.
Bil
No
No and Type of Packages
Description of Goods (Relevant documents must be submitted)
Tarif Kastam Malaysia/Malaysian Customs Tariff
No. Kod/Code No.
Unit/Unit
No. Invois/Invoice No.
Kod
Negara
Asal/ Country of Origin 37.Kuantiti berdasarkan
Unit
Tarif
Kastam/
Quantity
Based on
Customs Tariff Unit
Nilai/Value
Duti Import/Import Duty
Duti Eksais/Excise Duty
Cukai Jualan/Sales Tax
Cukai Lain Kena Dibayar 38.Satu Unit 39.Jumlah
Kadar
Amaun
Kadar
Amaun
Kadar
Amaun 46.Jenis 47.Kadar
Amaun
Per Unit
Total
Rate
Amount (RM)
Rate
Amount (RM)
Rate
Amount (RM)
Type
Rate
Amount (RM)
Nama Pembuat Perisytiharan
Jumlah
Jumlah
Jumlah
Jumlah
Jumlah
Name of Declarant
UNTUK KEGUNAAN RASMI
FOR OFFICIAL USE
Jumlah Amaun Kena Dibayar
No. Kad Pengenalan/Pasport/Identification Card/Passport
Total Amount Payable RM
Pelepasan daripada Kawalan Kastam dibenarkan oleh:
No. Resit Manuskrip (jika berkenaan) Tarikh/Date
Release from Customs Control authorized by:
Manuscript Receipt No. (if applicable)
Saya memperakui perisytiharan ini benar dan lengkap
I hereby certify that this declaration is true and complete
.................................. ......................................................................
.................................. ......................................................................
Tarikh/Date Tandatangan/Signature
Tarikh/Date Pegawai Kastam yang Hak
Proper Officer of Customs
Nota: Perisytiharan ini dikehendaki di bawah dan mengikut Akta Kastam 1967, Akta Eksais 1976, Akta Cukai Jualan 2018 dan Akta Cukai Perkhidmatan 2018
Note: This declaration is required under and in accordance with the Customs Act 1967, Excise Act 1976, Sales Tax Act 2018 and Service Tax Act 2018
*Jika berkenaan/If applicable
Name and address of Authorized Agent
Payment for goods to be made to: (Country)
1
P.U. (A) 217 4
PERISYTIHARAN BARANG YANG DIEKSPORT/ DECLARATION OF GOODS TO BE EXPORTED
Kastam No.2 (Pin. 2018)
Customs No.2 (Rev.2018)
Konsainor/Pengeksport (Nama dan Alamat)
Kod pengeksport/Exporter Code
Consignor/Exporter (Name and Address)
Tarikh dan Waktu Terima
No. Pendaftaran/ Registration No.
No. Pendaftaran Cukai Jualan atau Cukai Perkhidmatan/Sales
Tax or Service Tax Registration No.*
Date and Time of Receipt
Penerimaan Duti/Cukai yang dilevi dibenarkan oleh:
Konsaini/Pengimport (Nama dan Alamat)
Consignee / Importer ( Name and Address)
Receipt of Duty/Tax as levied authorized by:
……………………………..
………………………………………………………………………………….
Tarikh / Date
Pegawai Kastam Yang Hak/Proper Officer Of Customs
No. Pendaftaran Cukai Jualan atau Cukai Perkhidmatan/Sales Tax or
Service Tax Registration No.*
Layanan Khas/Special Treatment
No. Rujukan Kelulusan Pengecualian
Exemption Approval Reference No.
Nama dan Alamat Ejen Yang Diberikuasa/
Name and Address of Authorized Agent
Kod Ejen/Agent Code
STA Ya/Yes Tidak/No
No. Permit Eksport/ Export Permit No.
No. K.P.W.X
K.P.W.X. No.
Tarikh Luput/Expiry Date
Tarikh Luput/Expiry Date
Negara Destinasi Terakhir Kod/Code ii) No. Pendaftaran Cukai Perkhidmatan/Service Tax Registration No.*
Country of Origin
Country of Final Destination
Amaun telah diterima/akan diterima
Currency
Amount received/to be received
Mod Pengangkutan/Mode of Transport 1. Laut/Sea
Keretapi/Rail
Jalan Raya/Road
Udara/Air
Lain-lain (Nyatakan)/Others (Specify)
Tarikh eksport/Export Date
Kadar Pertukaran/ RM
Exchange Rate
Insurans/Insurance RM
No./Nama Vesel/Penerbangan/Kenderaan
Pelabuhan/ Tempat Dieksport Kod/Code
Bayaran bagi barang telah/akan diterima dari: Kod/Code
Tambang Muatan/Freight RM
No./Name of Vessel/Flight/Conveyance
Port/Place of Export Kod/Code
Payment for goods received/to be received from
(Negara/Country)
Pelabuhan Pemuggahan
Kod/Code 9. Melalui (kargo pindah kapal sahaja)
Kod/Code
Berat Kasar/Gross wt. (kg.) 29. Ukuran/Measurement (m3) 30. Nilai FOB/FOB Value RM
Port of Discharge
Via (transhipment cargo only)
Tanda dan No./ No. Kontena
Marks and Nos/Container
Bil
Perihal Barang (Dokumen berkenaan hendaklah dikemukakan)
Tarif Kastam Malaysia/Malaysian Customs Tariff
No and Type of Packages
Description of Goods (Relevant documents must be submitted
No. Kod/Code No.
Unit/Unit
No. Invois/Invoice No.
Bil
Kuantiti
Berdasarkan
Unit
Tarif
Kastam/
Quantity
Based on
Customs Tariff Unit
Nilai Unit FOB/Unit Value FOB
Jumlah Nilai
Total Value
Duti Eksport
Export Duty
Cukai Jualan
Sales Tax
Cukai Lain Kena Dibayar
Other Duties Payable
Sebenar
Actual
Gazetted
Kadar
Rate
Amount (RM)
Rate
Amount (RM)
Jenis
Type 47.Kadar
Rate
Amaun/
Amount (RM)
Jumlah
Jumlah
Jumlah
Jumlah
Jumlah
Jumlah Duti/Cukai Kena Dibayar
No. Kad Pengenalan/Pasport/Identification Card/Passport
Total Duty/Tax Payable RM
Pengeluaran daripada Kawalan Kastam dibenarkan oleh:
Release from Customs Control authorized by:
Caj Lain
Other Charges RM
Jawatan/Designation
Jumlah Amaun Kena Dibayar
Total Amount Payable RM
Saya memperakui perisytiharan ini benar dan lengkap
No Resit Manuskrip (jika berkenaan) Tarikh/Date
Manuscript Receipt No. (if applicable)
I hereby certify that this declaration is true and complete
.................................. ................................................................................
.................................. ......................................................................
Tarikh/Date Tandatangan/Signature
Tarikh/Date Pegawai Kastam yang Hak
Proper Officer of Customs
Nota: Perisytiharan ini dikehendaki di bawah dan mengikut Akta Kastam 1967, Akta Cukai Jualan 2018 dan Akta Cukai Perkhidmatan 2018
Note: This declaration is required under and in accordance with the Customs Act 1967, Sales Tax Act 2018 and Service Tax Act 2018
*Jika berkenaan/If applicable
2
P.U. (A) 217 5
PERMOHONAN / PERMIT UNTUK MENGANGKUT BARANG DALAM PERSEKUTUAN
APPLICATION / PERMIT TO TRANSPORT GOODS WITHIN THE FEDERATION
Kastam No.3 (Pin. 2018)
Customs No.3 (Rev.2018)
Konsainor (Nama dan Alamat) i) Kod Konsainor / Consignor Code
Consignor (Name and Address)
No. Pendaftaran Cukai Jualan atau Cukai Perkhidmatan / Sales Tax or Service Tax Registration No.*
UNTUK KEGUNAAN RASMI/ FOR OFFICIAL USE (Pejabat Penghantaran / Office of Despatch)
Tarikh dan Waktu Terima /
No. Pendaftaran/ Registration No.
Date and Time of Receipt
Konsaini (Nama dan Alamat)
Consignee ( Name and Address)
Kod Konsaini /Consignee Code
Stesen / Station
Kod/Code
Manifest Registration No.
Pengangkutan diluluskan
Transport approved:
No. Pendaftaran Cukai Jualan atau Cukai Perkhidmatan/Sales Tax or Service Tax Registration No.*
..................................
Tarikh / Date
..........................................................................................................
Pegawai Kastam Yang Hak/
Proper Officer Of Customs
Nama dan Alamat Ejen Yang Diberi Kuasa/
Kod Ejen/Agent Code
No. Permit Pergerakan /Movement Permit
Tarikh Luput/Expiry Date
Bil Muatan / No. Nota Konsainan
Tempat Penerimaan Terakhir Kod/Code
Place of Final Destination ii) No. Pendaftaran Cukai Perkhidmatan/Service Tax Registration No.*
Amaun telah diterima / akan diterima / Amount received / to be received RM
Mod Pengangkutan/Mode of Transport
Laut / Sea
Udara/ Air
Lain-lain (Nyatakan)/Others (Specify)…………………….
Tarikh penghantaran/
Date of Despatch
Jaminan / Security
Insurans/Insurance RM
No. Rujukan
Reference No.
Amaun / Amount RM
No./NamaVesel /Penerbangan/Kenderaan
Pelabuhan/ Tempat Dimuatkan Kod/Code
Tambang Muatan RM
Freight
No./Name of Vessel/Flight/Conveyance
Port/Place of Loading
Pelabuhan/Tempat Pemunggahan Kod / Code
Port/Place of Discharge
Berat Kasar (kg)
Gross wt.
Ukuran (m³)
Measurement
Tanda dan No./ No. Kontena
Marks and Nos/Container No.
Bil
No and Type of Packages
Description of Goods (Relevant documents must be submitted)
Tarif Kastam Malaysia/Malaysian Customs Tariff
No. Kod/Code No.
Unit/Unit
No. Invois/Invoice No.
Bil.
Kod Negara Asal/ Country of Origin Code
Kuantiti berdasarkan
Unit Tarif Kastam/ Quantity
Based on Customs Tariff Unit
Nilai / Value RM
Nama Pemohon / Name of Applicant
Satu Unit / Per Unit
Jumlah / Total
No. K.P. / Pasport / Identification Card / Passport No.
Jawatan / Designation
Pelepasan barang di atas dipohon
Release of the above goods is requested
Pejabat Penerimaan / Office of Destination
Date and Time of Receipt
Registration No.
Nama Pembuat Perisytiharan / Name of Declarant
Kepada Pegawai Kastam Yang Hak di:
To the Proper Officer of Customs at:
............................................................................................................
Stesen / Station
Kebenaran dipohon untuk mengangkut barang di atas / Permission is applied to transport the above goods.
No. Kad Pengenalan/Pasport/Identification Card/Passport No.
Jawatan/Designation
Saya memperakui bahawa perisytiharan ini benar
Pelepasan dari Kawalan Kastam dibenarkan oleh:
Release from Customs Control authorised by:
................................................. ..................................................................
Tarikh / Date Pegawai Kastam Yang Hak
Proper Officer of Customs dan lengkap. / I certify that this declaration is true and complete.
........................................
............................................................
Tarikh / Date
Tandatangan / Signature
Nota: Perisytiharan ini dikehendaki di bawah dan mengikut Akta Kastam 1967, Akta Cukai Jualan 2018 dan Akta Cukai Perkhidmatan 2018
Note: This declaration is required under and in accordance with the Customs Act 1967, Sales Tax Act 2018 and Service Tax Act 2018
*Jika berkenaan/If applicable
Name and address of Authorized Agent
Bill of Lading / Consignment Note 3
P.U. (A) 217 6
PERMOHONAN / PERMIT UNTUK PINDAHKAPAL / MEMINDAHKAN BARANG
APPLICATION / PERMIT TO TRANSHIP / REMOVE GOODS
Kastam No.8 (Pin. 2018)
Customs No.8 (Rev.2018)
Konsainor / Pengeksport (Nama dan Alamat) i) Kod Pengkesport / Exporter Code
Consignor / Exporter (Name and Address)
No. Pendaftaran Cukai Jualan atau Cukai Perkhidmatan / Sales Tax or
Service Tax Registration No.*
UNTUK KEGUNAAN RASMI/ FOR OFFICIAL USE (Pejabat Penghantaran / Office of
Despatch)
Tarikh dan Waktu Terima /
No. Pendaftaran/ Registration No.
Date and Time of Receipt
No. Pendaftaran Manifes
Permohonan diluluskan
Manifest Registration No.
Application approved
Pemohon / Konsaini (Nama dan Alamat)
Applicant / Consignee ( Name and Address)
Kod Pemohon /Applicant Code
.....................................
.....................................................................................................
....
Tarikh / Date
Pegawai Kastam Yang Hak /
Proper Officer Of Customs ii) No. Pendaftaran Cukai Jualan atau Cukai Perkhidmatan/Sales Tax or
Service Tax Registration No.*
Jenis Pemindahan / Type of Movement
Pindahkapal / Transhipment 2. Transit / Transit 3. Untuk Eksport / For Export
Ke Gudang Berlesen / Gudang Pengilangan Berlesen 5. Lain-lain / Others
To Licensed Warehouse / Licensed Manufacturing Warehouse
Nama dan Alamat Ejen Yang Diberi Kuasa/
i)
Kod Ejen/Agent Code
No. Jaminan /Guarantee
No. Permit /Permit No.
No. K.P.W.X. / K.P.W.X. No.
Dipindahkan dari (Nama Tempat)
Moved from (Name of Place)
Country of Final Destination
Kod/Code ii) No. Pendaftaran Cukai Perkhidmatan/Service Tax Registration No.*
Moved to (Name of Place)
Consignment Note No.
Laut / Sea
Kereta Api / Rail
Jalan Raya / Road
Udara / Air
Tarikh Pemindahan
Date of Movement
Bayaran bagi barang telah / akan diterima dari:
Insurans/Insurance RM
Payment for goods received to be received from:
(Negara/Country) Kod / Code
Lain-lain (Nyatakan)/Others (Specify)…………………….
No./Nama Vesel /Penerbangan/Kenderaan
Pelabuhan Pemunggahan Kod/Code 25. Caj lain RM
Other Charges
Nilai / Value RM
Tambang Muatan RM
Freight
No./Name of Vessel/Flight/Conveyance
Port of Discharge
Pelabuhan / Tempat Dimuatkan
Port / Place of Loading Kod / Code
Via (Transhipment cargo only) Kod/Code
Berat Kasar (kg)
Gross wt.
Ukuran
Measurement (m³)
Tanda dan
No./
Kontena/Marks and
Nos/Container No.
Bil/
No and Type of Packages
Description of Goods (Relevant documents must be submitted)
Tarif Kastam Malaysia/Malaysian Customs
Tariff
No. Kod/Code No.
Unit/Unit
No. Invois/Invoice No.
Bil
Country of Origin
Code 40.
Kuantiti
Berdasarkan
Unit
Tarif
Kastam/ Quantity Based on Customs Tariff
Unit
Nilai FOB/CIFC*/ FOB/CIFC* Value (RM)
(Pejabat Penerimaan / Office of Destination)
Satu Unit / Per Unit
Jumlah / Total
Tarikh dan Waktu Terima
Date and Time of Receipt
Registration No.
Stesen / Station
Kod/Code
dieksport dengan cara yang dinyatakan.
Certified that the above goods have been transshipped/
exported in the manner stated.
No. Resit Deposit (jika berkenaan)
Deposit Receipt No. (if applicable)
........................................ .............................................................
Tarikh / Date Tandatangan / Signature
Nama Pembuat Perisytiharan / Name of Declarant
Kepada Pegawai Kastam Yang Hak di:
To the Proper Officer of Customs at:
Caj Pemunggahan / Penimbangan RM
Handling / Weighing Charges
...................................................................................................
Handling / Weighing Charges
Warehouse Rent
Saya memperakui bahawa perisytiharan ini benar dan lengkap.
I certify that this declaration is true and complete.
Caj Lain/Other Charges RM
No. Kad Pengenalan/Pasport/Identification Card/Passport No.
Jumlah Amaun Kena Dibayar RM
Total Amount Payable
Jawatan/Designation
Sila benarkan barang di atas dipindahkan dengan cara yang dinyatakan.
Please permit the above goods to be moved in the manner stated.
No. Resit Manuskrip (jika berkenaan) Tarikh/Date
Manuscript Receipt No. (if applicable)
........................................
...........................................................
Tarikh / Date
Tandatangan / Signature
Nota: Perisytiharan ini dikehendaki di bawah dan mengikut Akta Kastam 1967, Akta Cukai Jualan 2018 dan Akta Cukai Perkhidmatan 2018
Note: This declaration is required under and in accordance with the Customs Act 1967, Sales Tax Act 2018 and Service Tax Act 2018
*Jika berkenaan/If applicable 8
Name and address of Authorized Agent
P.U. (A) 217 7
PERMINTAAN/PERMIT UNTUK MEMINDAHKAN BARANG BERDUTI
REQUISITION/PERMIT TO REMOVE DUTIABLE GOODS
Kastam No.9 (Pin. 2018)
Customs No.9 (Rev.2018)
Konsainor/Pengeksport (Nama dan Alamat)
Consignor/Exporter (Name and Address)
Tarikh dan Waktu Terima
No. Pendaftaran/Registration No.
No. Pendaftaran Cukai Jualan atau Cukai Perkhidmatan/Sales Tax or
Service Tax Registration No.*
Date and Time of Receipt
Pemohon (Nama dan Alamat)
Kod Pemohon/Applicant Code
Applicant (Name and Address)
Penerimaan Duti/Cukai yang dilevi dibenarkan oleh:
Receipt of Duty/Tax as levied authorized by:
No. Pendaftaran Cukai Jualan atau Cukai Perkhidmatan/Sales Tax or
Service Tax Registration No.*
............................................
Tarikh/Date
...................................................................................................................
Pegawai Kastam Yang Hak/Proper Officer of Customs
Nama dan Alamat Ejen Yang Diberikuasa/
Name and Address of Authorized Agent iii)
Kod Ejen/Agent Code
Borang Kastam No. 1 berkenaan/Relevant Customs Form No. 1
Tarikh
Nombor Pendaftaran
Stesen
Date
Registration No
Station
No, Resit Deposit Gudang dan Tarikh/Warehouse Deposit Receipt No. and Date iv) No. Pendaftaran Cukai Perkhidmatan/Service Tax Registration No.*
No. Rujukan Kelulusan Pengecualian/
Exemption Approval Reference No.
Matawang
Currency Kod/Code
Kadar Pertukaran RM
Exchange Rate
Nama dan Alamat Pengimport (jika berlainan)
Name and Address of Importer (if different)
Kod Pengimport/Importer Code
Layanan Khas/Special Treatment
Tempat Import/Place of Import
Kod/Code
Tempat dan Alamat di mana barang disimpan/Place and Address where goods are deposited
Tanda dan No./ No. Kontena
Marks and Nos/Container
Bil
Tarif Kastam Malaysia/Malaysian Customs Tariff
No and Type of Packages
Description of Goods (Relevant documents must be submitted
No. Kod/Code No.
Unit/Unit
No. Invois/Invoice No.
Kod
Negara Asal
Country of
Origin Code 25.Kuantiti Berdasarkan
Unit Tarif Kastam/
Quantity
Based on
Customs Tariff Unit
Nilai/Value (RM)
Duti Import/Import Duty
Duti Eksais/Excise Duty
Cukai Jualan/Sales Tax
Cukai Lain Kena Dibayar
Other Duties Payable 26.Satu unit
Per unit 27.Jumlah/
Total
Kadar
Rate
Amount (RM)
Rate
Amount (RM)
Rate
Amount (RM)
Jenis
Type 35.Kadar
Rate
Amaun/
Amount (RM)
Nama Pembuat Perisytiharan
Jumlah
Jumlah
Jumlah
Jumlah
Jumlah
Nameof Declarant
Jumlah Amaun Kena Dibayar
No. Kad Pengenalan/Pasport/Identification Card/Passport No.
Total Amount Payable RM
Pelepasan daripada Kawalan Kastam dibenarkan oleh:
Release from Customs Control authorized by:
No. Resit Manuskrp (jika berkenaan) Tarikh/Date
Manuscript Receipt No (if applicable)
Jawatan/Designation
Saya memperakui perisytiharan ini benar dan lengkap
I hereby certify that this declaration is true and complete
.................................. ................................................................................
.................................. ......................................................................
Tarikh/Date Tandatangan/Signature
Tarikh/Date Pegawai Kastam yang Hak
Proper Officer of Customs
Nota: Perisytiharan ini dikehendaki di bawah dan mengikut Akta Kastam 1967, Akta Cukai Jualan 2018 dan Akta Cukai Perkhidmatan 2018
Note: This declaration is required under and in accordance with the Customs Act 1967, Sales Tax Act 2018 and Service Tax Act 2018
*Jika berkenaan/If applicable 9
P.U. (A) 217 8
dalam Bahagian II, dengan menggantikan Borang JKDM No. 1, JKDM No. 2
dan JKDM No. 3 dengan borang yang berikut:
Kepada: Ketua Pengarah Kastam:
To: The Director General of Customs:
Kod stesen/Station Code
Tarikh dan Waktu Terima
Nombor Rujukan
Date and Time of Receipt
Reference Number
Jenis Lesen Dipohon/Type of License Applied for:
Pemohon (Nama dan Alamat Berdaftar Syarikat/Perniagaan/Pertubuhan)
Pangkah
Akta Kastam 1967/Customs Act 1967:
Mark (X)
No. Pendaftaran
Syarikat/Perniagaan/Pertubuhan
Registration of Company/Business/Society
Lesen Depot Pelepasan Daratan/Inland Clearance Depot Licence
Lesen Membotol dan Memindah Liquor Yang Memabukkan/
(Untuk perniagaan perkongsian, sila isi juga ruang 23 di muka surat sebelah)
Bottling and Movement of Intoxicating Liquors Licence
(For partnership business, please also fill in column 23 overleaf)
Application (Name and Registered Address of Company/Business/Society)
Dokumen Dilampirkan/Documents Attached: Pangkah
Mark (X)
Sijil Pendaftaran Syarikat/ Perniagaan/ Pertubuhan/ Company/
Business/ Society Registration Certificate
(Sila gunakan ruang 24 di muka surat sebelah jika lebih dari satu)
(Please use column 24 overleaf if more than one)
Tarikh dan Nombor Rujukan Pendaftaran Syarikat/Perniagaan/Pertubuhan
Gambar Pemohon ukuran passport (dua keping)/Applicant’s photograph passport size (two copies)
Date and Reference No. of Company/Business/Society Registration
Lain-lain (nyatakan)/Others (specify)
Date or Expected Date of Commencement of Business/Manufacture
………………………………………………………………………………………………………
PERIHAL BARANG-BARANG/DESCRIPTION OF GOODS
Bil.
Jenis Barang-Barang
Type of Goods
Estimated Annual Turnover MYR
Estimated Anuual Customs Duty/Tax Payable MYR
(Jika ruang tidak mencukupi, sila gunakan ruang 25 di muka surat sebelah /If space is insufficient, please use column 25 overleaf)
Barang-barang akan dijual atau dilupuskan selain daripada dengan dijual kepada/untuk/Goods to be sold or disposed of other than by sale to/for:
Tempoh perakaunan bulanan saya/syarikat saya/firma saya berakhir pada:
My/My company’s/My firm’s monthly accounting period end on the:
Pangkah
Mark (X)
Ulasan/Syor
Comment/Recommendation
syarikat-syarikat yang ada kepentingan faedah/kewangan beneficially/financially interested company
lain-lain (nyatakan)/others (specify)
………………………………………………………………………………………………………………
Lesen ini dipohon untuk tempoh (nyatakan bilangan tahun)/ This licence is applied for the duration of
(specify number of years)
Tarikh/Date
Pegawai Yang Hak
Tahum/Year Bulan/Month Hari/Day
Proper Officer 17.Dengan ini saya/kami memohon suatu lesen seperti ditandakan X dalam ruang 8 di atas dan memperakui bahawa butir-butir yang dinyatakan dalam permohonan ini adalah lengkap dan betul dan akan mematuhi segala peruntukan undang-undang dan peraturan-peraturan yang berkenaan serta syarat-syarat yang dikenakan.
Permohonan diluluskan/Tidak diluluskan*
Application approved/not approved*
I/We hereby apply for a licence as marked X in column 8 above and certify that the particulars stated in this application are complete and true and shall comply with all the relevant provisions of the laws and regulations as well as the conditions imposed.
Tarikh/Date
Tahun/Year Bulan/Month Hari/Day
Tandatangan Pemohon
Signature of Applicant
Nama Pemohon
Name of Applicant
Tarikh/Date
Tahun/Year Bulan/Month Hari/Day b.p Ketua Pengarah Kastam, Malaysia
For the Director General of Customs, Malaysia
Identity Card/Passport No.
Jawatan Pemohon
Applicant’s Designation
P.U. (A) 217 9
(Untuk perniagaan perkongsian sahaja)
*(For partnership business only)
Bil.
Nama
Name
Alamat Peribadi
Personal Address
Nombor Kad Pengenalan/Pasport
Identity Card/Passport No.
Kewarganegaraan
Nationality
Tandatangan
Signature 1.
Alamat Penuh Perniagaan/Premis
Full Address of Busines/ Premise
Tarikh atau Tarikh Jangkaan Permulaan
Perniagaan/Pengilangan/Date or Expected Date of
Commencement of Business/Manufacture
Bil.
Jenis Barang-Barang
Type of Goods
Estimated Annual Turnover MYR
Estimated Annual Customs Duty/Tax Payable MYR
CATATAN/Notes
Permohonan lesen hendaklah dikemukakan kepada pegawai kanan Jabatan Kastam Diraja Malaysia yang menjaga daerah di mana perniagaan/premis yang akan dilesenkan itu terletak /Application for licence shall be submitted to the senior officer of the Royal Malaysian Customs Department in charge of the district in which the business/premise to licensed is located.
Dalam hal perniagaan perkongsian, semua rakan kongsi hendaklah menandatangani borang permohonan /In the case of a partnership business, all partners are required to sign the application form.
Bilangan salinan borang permohonan yang perlu dikemukakan adalah seperti berikut /Number of copies of the application form that are required to be submitted are as follows:
Jenis Lesen di bawah ruang 8 (I) /Type of Licence under column 8 (I) :
: 4 salinan /copies
Jenis Lesen di bawah ruang 8 (II) /Type of Licence under column 8 (II) :
: 3 salinan /copies
P.U. (A) 217 10
JKDM NO. 2 (Pin. 1/2018)
JABATAN KASTAM DIRAJA MALAYSIA
ROYAL MALAYSIAN CUSTOMS DEPARTMENT
TUNTUTAN PEMBAYARAN BALIK / PULANG BALIK DUTI / CUKAI / LAIN-LAIN
CLAIM FOR REFUND / DRAWBACK OF DUTY / TAX / OTHERS
Nota Penting/Important notes: i. Hanya satu (1) tuntutan sahaja dibenarkan untuk setiap borang JKDM No.2. / Only one (1) claim allowed for each JKDM 2 Form ii. Sila tandakan √ pada petak yang berkenaan. / Please tick √ in the relevant box.
PEMBAYARAN BALIK / REFUND
PULANG BALIK / DRAWBACK
LAIN-LAIN / OTHERS
Akta Kastam 1967 / Customs Act 1967
Nyatakan
Akta dan
Seksyen yang berkenaan:
Please state the relevant Act and Section:
Seksyen 11/Section 11
Seksyen 16/Section 16
Seksyen 93/Section 93
Seksyen 99/Section 99
Akta Cukai Jualan 2018/Sales Tax Act 2018
Seksyen 19/Section 19
Seksyen 19D/Section 19D
Seksyen 10/Section 10
Seksyen 39/Section 39
Seksyen 19A/Section 19A
Seksyen 19E/Section 19E
Seksyen 36/Section 36
Akta Cukai Perkhidmatan/Service Tax Act 2018
Seksyen 40/Section 40
Seksyen 10/Section 10
Seksyen 38/Section 38
Seksyen 35/Section 35
A. BUTIRAN PENUNTUT / CLAIMANT PARTICULARS
UNTUK KEGUNAAN RASMI / FOR OFFICIAL USE
Nama
Name
Nama Stesen Kod Stesen
Station Name Station Code
Reference No.
Alamat
Address
Poskod Negeri
Postcode State
Tarikh Terima Masa Terima
Date Received Time Received
Hari
Day
Bulan
Month
Tahun
Year
No. Pendaftaran Cukai Jualan / Cukai Perkhidmatan*
Sales Tax / Service Tax Registration No.*
No. Pendaftaran Syarikat / Perniagaan atau No. KP / Passport
Company Business Registration No. or NRIC / Passport No.
No. Akaun Bank Penuntut
Claimant’s Account No.
Nama Bank Penuntut
Claimant’s Bank Name
B. BUTIRAN EJEN / AGENTS’ PARTICULARS (JIKA BERKENAAN / IF APPLICABLE)
Name and Address of the Authorized Agent
Agent Code
Service Tax Registration No.*
C. BUTIRAN TUNTUTAN / PARTICULARS OF CLAIMS
No. Pendaftaran Borang Perisytiharan / Lain-lain *Sila tandakan √ pada petak yang berkenaan.
Declaration/ Other Form’s No. * Please tick √ in the relevant box.
Borang Kastam
Customs Form
Borang Eksais
Excise Form
Lain-lain
Others
Sila Nyatakan
Please State
No. Borang No. Resit / Invois Tarikh Resit / Invois
Form’s No. Receipt / Invoice No. Date of Receipt/ Invoice
Hari
Day
Bulan
Month
Tahun
Year
Calculation of Claim (Please use overleaf if space is insufficient)
D. PERISYTIHARAN / DECLARATION * Potong yang mana tidak berkenaan/Delete whichever is not applicable
Saya mengaku bahawa barang dalam borang perisytiharan di atas telah diimport /
dieksport / dibeli / dijual* dan tidak dimaksudkan untuk didaratkan di mana-mana tempat dalam Malaysia dan notis tuntutan telah dibuat. Saya memperakui bahawa tidak ada tuntutan dibuat sebelum ini dan semua maklumat yang diisytiharkan dalam borang ini adalah lengkap, tepat dan benar.
I certify that the goods in the declaration form above were imported/exported / purchased
/ sold* and are not intended to be landed at any place in Malaysia and a notice of claim has been made. I certify that no previous claim has been made and information declared in this Form is complete, true and correct.
Tandatangan Penuntut atau Orang Yang Mewakili / Ejen Yang Diberi Kuasa
Signature of Claimant or Representative / Authorized Agent
Name of Claimant or Representative / Authorized Agent
NRIC / Passport No.
Jawatan/Designation:
P.U. (A) 217 11
Pengiraan Tuntutan / Calculation of Claim
P.U. (A) 217 12
JKDM No. 3
No. Lesen/Sijil:
Licence/Certificate No.:
KASTAM DIRAJA MALAYSIA
ROYAL MALAYSIAN CUSTOMS
Lesen/Sijil
Licence/Sijil
Nama Syarikat:
Name of Company:
Alamat Syarikat/Premis Perniagaan:
Address of Company/Business Premise:
Dilesenkan di bawah Akta/Seksyen/Peraturan:
Licensed under Act/Section/Regulation:
Aktiviti:
Activity:
Berkuat kuasa:
Effective:
Tempat dikeluarkan:
Place of issue:
Tarikh dikeluarkan:
Date of issue:
……………………………………
b.p. Ketua Pengarah Kastam for the Director General of Customs
P.U. (A) 217 13
PENERANGAN
EXPLANATION
Permohonan lesen boleh dikemukakan secara bertulis/ atas talian.
Application for licence may be submitted in writing/online.
Alamat syarikat/premis perniagaan termasuk tempat perniagaan utama dan semua cawangan.
Address of company/business premise including principal place of business and all branches.
Aktiviti ertinya, mengilang, membotol dan memindahkan liquor yang memabukkan, menyadap todi, menggudang, menjual barang-barang berduti/diluluskan atau menyediakan perkhidmatan bercukai.
Activity means manufacturing, bottling and movement of intoxicating liquor, tapping of toddy, warehousing, selling dutiable/approved goods or providing taxable services.
Pengeluaran lesen ini adalah tertakluk kepada syarat yang dikenakan oleh Ketua Pengarah Kastam di bawah Akta Kastam 1967 dan Akta Eksais 1976.
Issuance of this licence is subjected to conditions imposed by the Director General of Customs under the
Customs Act 1967and Excise Act 1976.
Pembaharuan lesen hendaklah dibuat ke Pejabat Kastam secara bertulis/ atas talian dalam tempoh yang ditetapkan di bawah Peraturan-Peraturan Kastam 1977 dan Peraturan-Peraturan Eksais 1977
tertakluk kepada apa-apa syarat yang dikenakan oleh Ketua Pengarah Kastam. Maklumat pembaharuan lesen akan dikemaskinikan secara automatik dalam pangkalan data Jabatan.
Renewal of the licence shall be made to the Customs Office in writing/online within the period specified under the Customs Regulations 1977 and Excise Regulations 1977, subject to any condition imposed by the Director General of Customs. Particulars of the renewal of the licence will be automatically updated in the Department’s database.
Tiada barang-barang lain selain barang-barang yang dinyatakan dalam lesen boleh disimpan dalam mana-mana gudang berlesen, kedai bebas cukai atau depot pelepasan dalaman.
No goods other than goods specified in the licence may be stored in any licensed warehouse, duty free shop or inland clearance depot.
Pengeluaran lesen ini tidak melepaskan pemegang lesen daripada kewajipannya untuk mematuhi kehendak mana-mana undang-undang bertulis lain yang berkaitan dengan perniagaannya.
The issuance of this licence does not relieve the licencee from his duty to comply with the requirements of any other written law related to his business.
Dibuat 28 Ogos 2018
[Perb. (c) R.O. 3865/365/ 1 Jld. 1 (SK.8); PN(PU2)338/XLVIII]
LIM GUAN ENG
Menteri Kewangan
P.U. (A) 217 14
CUSTOMS ACT 1967
CUSTOMS (AMENDMENT) REGULATIONS 2018
Opening note
These Regulations come into operation on 1 September 2018.
Amendment of Second Schedule 2.
The Customs Regulations 1977 [P.U. (A) 162/1977], are amended in the Second
Schedule under the heading “FORMS”—
in Part I by substituting for Form Customs No. 1, 2, 3, 8 and 9 the following forms:
P.U. (A) 217 15
PERISYTIHARAN BARANG YANG DIIMPORT / DECLARATION OF GOODS IMPORTED
Kastam No.1 (Pin. 2018)
Customs No.1 (Rev.2018)
Konsainor/Pengeksport (Nama dan Alamat)
Consignor/Exporter (Name and Address)
Tarikh dan Waktu Terima
No. Pendaftaran/ Registration No.
Date and Time of Receipt
Konsaini/Pengimport (Nama dan Alamat)
Consignee / Importer ( Name and Address)
Kod pengimport/Importer Code
Stesen / Station
Kod/Code
Manifest Registration No.
Penerimaan Duti/Cukai yang dilevi dibenarkan oleh:
Receipt of Duty/Tax as levied authorized by:
No. Pendaftaran Cukai Jualan atau Cukai Perkhidmatan/Sales Tax or
Service Tax Registration No.*
..........................................................................................................
Pegawai Kastam Yang Hak/Proper Officer Of
Customs
Nama dan Alamat Ejen Yang Diberikuasa/
Kod Ejen/Agent Code
No. Permit Import/Import Permit No.
Tarikh Luput/Expiry Date
Bayaran bagi barang akan dibuat kepada: (Negara)
Kod/Code
Manifest Page No.
No. Pendaftaran Cukai Perkhidmatan/Service Tax Registration No.*
No. Rujukan Kelulusan Pengecualian
Exemption Approval Reference No.*
Bill of Lading or Consignment Note
Mod Pengangkutan/Mode of Transport 1. Laut/Sea
Keretapi/Rail
Jalan Raya/Road 12.
Lain-lain (Nyatakan)/Others (Specify)
Tarikh import/ Import
Date
Layanan Khas/Special Treatment
Insurans/Insurance RM
No./Nama Kapal/Penerbangan/Kenderaan
Pelabuhan/ Tempat Import Kod/Code 23. Caj Lain RM
Other charges
Nilai CIF RM
CIF Value
No./Name of Vessel/Flight/Conveyance
Port/Place of Import
Pelabuhan/Tempat Dimuatkan Kod/Code
Port/Place of Loading
Kod/Code
Berat Kasar (kg.)
Gross wt.
Ukuran (m3)
Measurement
Via (transhipment cargo only)
Marks and Nos/Container No.
Bil
No
No and Type of Packages
Description of Goods (Relevant documents must be submitted)
Tarif Kastam Malaysia/Malaysian Customs Tariff
No. Kod/Code No.
Unit/Unit
No. Invois/Invoice No.
Kod
Negara
Asal/ Country of Origin 37.Kuantiti berdasarkan
Unit
Tarif
Kastam/
Quantity
Based on
Customs Tariff Unit
Nilai/Value
Duti Import/Import Duty
Duti Eksais/Excise Duty
Cukai Jualan/Sales Tax
Cukai Lain Kena Dibayar 38.Satu Unit 39.Jumlah
Kadar
Amaun
Kadar
Amaun
Kadar
Amaun 46.Jenis 47.Kadar
Amaun
Per Unit
Total
Rate
Amount (RM)
Rate
Amount (RM)
Rate
Amount (RM)
Type
Rate
Amount (RM)
Nama Pembuat Perisytiharan
Jumlah
Jumlah
Jumlah
Jumlah
Jumlah
Name of Declarant
UNTUK KEGUNAAN RASMI
FOR OFFICIAL USE
Jumlah Amaun Kena Dibayar
No. Kad Pengenalan/Pasport/Identification Card/Passport
Total Amount Payable RM
Pelepasan daripada Kawalan Kastam dibenarkan oleh:
No. Resit Manuskrip (jika berkenaan) Tarikh/Date
Release from Customs Control authorized by:
Manuscript Receipt No. (if applicable)
Saya memperakui perisytiharan ini benar dan lengkap
I hereby certify that this declaration is true and complete
.................................. ......................................................................
.................................. ......................................................................
Tarikh/Date Tandatangan/Signature
Tarikh/Date Pegawai Kastam yang Hak
Proper Officer of Customs
Nota: Perisytiharan ini dikehendaki di bawah dan mengikut Akta Kastam 1967, Akta Eksais 1976, Akta Cukai Jualan 2018 dan Akta Cukai Perkhidmatan 2018
Note: This declaration is required under and in accordance with the Customs Act 1967, Excise Act 1976, Sales Tax Act 2018 and Service Tax Act 2018
*Jika berkenaan/If applicable
Name and address of Authorized Agent
Payment for goods to be made to: (Country)
1
P.U. (A) 217 16
PERISYTIHARAN BARANG YANG DIEKSPORT/ DECLARATION OF GOODS TO BE EXPORTED
Kastam No.2 (Pin. 2018)
Customs No.2 (Rev.2018)
Konsainor/Pengeksport (Nama dan Alamat)
Kod pengeksport/Exporter Code
Consignor/Exporter (Name and Address)
Tarikh dan Waktu Terima
No. Pendaftaran/ Registration No.
No. Pendaftaran Cukai Jualan atau Cukai Perkhidmatan/Sales
Tax or Service Tax Registration No.*
Date and Time of Receipt
Penerimaan Duti/Cukai yang dilevi dibenarkan oleh:
Konsaini/Pengimport (Nama dan Alamat)
Consignee / Importer ( Name and Address)
Receipt of Duty/Tax as levied authorized by:
……………………………..
………………………………………………………………………………….
Tarikh / Date
Pegawai Kastam Yang Hak/Proper Officer Of Customs
No. Pendaftaran Cukai Jualan atau Cukai Perkhidmatan/Sales Tax or
Service Tax Registration No.*
Layanan Khas/Special Treatment
No. Rujukan Kelulusan Pengecualian
Exemption Approval Reference No.
Nama dan Alamat Ejen Yang Diberikuasa/
Name and Address of Authorized Agent
Kod Ejen/Agent Code
STA Ya/Yes Tidak/No
No. Permit Eksport/ Export Permit No.
No. K.P.W.X
K.P.W.X. No.
Tarikh Luput/Expiry Date
Tarikh Luput/Expiry Date
Negara Destinasi Terakhir Kod/Code ii) No. Pendaftaran Cukai Perkhidmatan/Service Tax Registration No.*
Country of Origin
Country of Final Destination
Amaun telah diterima/akan diterima
Currency
Amount received/to be received
Mod Pengangkutan/Mode of Transport 1. Laut/Sea
Keretapi/Rail
Jalan Raya/Road
Udara/Air
Tarikh eksport/Export Date
Kadar Pertukaran/ RM
Exchange Rate
Insurans/Insurance RM
No./Nama Vesel/Penerbangan/Kenderaan
Pelabuhan/ Tempat Dieksport Kod/Code
Bayaran bagi barang telah/akan diterima dari: Kod/Code
Tambang Muatan/Freight RM
No./Name of Vessel/Flight/Conveyance
Port/Place of Export Kod/Code
Payment for goods received/to be received from
(Negara/Country)
Pelabuhan Pemuggahan
Kod/Code 9. Melalui (kargo pindah kapal sahaja)
Kod/Code 28. Berat Kasar/Gross wt. (kg.)
Ukuran/Measurement (m3) 30. Nilai FOB/FOB Value RM
Port of Discharge
Via (transhipment cargo only)
Tanda dan No./ No. Kontena
Marks and Nos/Container
Bil
Perihal Barang (Dokumen berkenaan hendaklah dikemukakan)
Tarif Kastam Malaysia/Malaysian Customs Tariff
No and Type of Packages
Description of Goods (Relevant documents must be submitted
No. Kod/Code No.
Unit/Unit
No. Invois/Invoice No.
Bil
Kuantiti
Berdasarkan
Unit
Tarif
Kastam/
Quantity
Based on
Customs Tariff Unit
Nilai Unit FOB/Unit Value FOB
Jumlah Nilai
Total Value
Duti Eksport
Export Duty
Cukai Jualan
Sales Tax
Cukai Lain Kena Dibayar
Other Duties Payable
Sebenar
Actual
Gazetted
Kadar
Rate
Amount (RM)
Rate
Amount (RM)
Jenis
Type 47.Kadar
Rate
Amaun/
Amount (RM)
Jumlah
Jumlah
Jumlah
Jumlah
Jumlah
Jumlah Duti/Cukai Kena Dibayar
No. Kad Pengenalan/Pasport/Identification Card/Passport
Total Duty/Tax Payable RM
Pengeluaran daripada Kawalan Kastam dibenarkan oleh:
Release from Customs Control authorized by:
Caj Lain
Other Charges RM
Jawatan/Designation
Jumlah Amaun Kena Dibayar
Total Amount Payable RM
Saya memperakui perisytiharan ini benar dan lengkap
No Resit Manuskrip (jika berkenaan) Tarikh/Date
Manuscript Receipt No. (if applicable)
I hereby certify that this declaration is true and complete
.................................. ................................................................................
.................................. ......................................................................
Tarikh/Date Tandatangan/Signature
Tarikh/Date Pegawai Kastam yang Hak
Proper Officer of Customs
Nota: Perisytiharan ini dikehendaki di bawah dan mengikut Akta Kastam 1967, Akta Cukai Jualan 2018 dan Akta Cukai Perkhidmatan 2018
Note: This declaration is required under and in accordance with the Customs Act 1967, Sales Tax Act 2018 and Service Tax Act 2018
*Jika berkenaan/If applicable
2
P.U. (A) 217 17
PERMOHONAN / PERMIT UNTUK MENGANGKUT BARANG DALAM PERSEKUTUAN
APPLICATION / PERMIT TO TRANSPORT GOODS WITHIN THE FEDERATION
Kastam No.3 (Pin. 2018)
Customs No.3 (Rev.2018)
Konsainor (Nama dan Alamat) i) Kod Konsainor / Consignor Code
Consignor (Name and Address)
No. Pendaftaran Cukai Jualan atau Cukai Perkhidmatan / Sales Tax or Service Tax Registration No.*
UNTUK KEGUNAAN RASMI/ FOR OFFICIAL USE (Pejabat Penghantaran / Office of Despatch)
Tarikh dan Waktu Terima /
No. Pendaftaran/ Registration No.
Date and Time of Receipt
Konsaini (Nama dan Alamat)
Consignee ( Name and Address)
Kod Konsaini /Consignee Code
Stesen / Station
Kod/Code
Manifest Registration No.
Pengangkutan diluluskan
Transport approved:
No. Pendaftaran Cukai Jualan atau Cukai Perkhidmatan/Sales Tax or Service Tax Registration No.*
..................................
Tarikh / Date
..........................................................................................................
Pegawai Kastam Yang Hak/
Proper Officer Of Customs
Nama dan Alamat Ejen Yang Diberi Kuasa/
Kod Ejen/Agent Code
No. Permit Pergerakan /Movement Permit
Tarikh Luput/Expiry Date
Bil Muatan / No. Nota Konsainan
Tempat Penerimaan Terakhir Kod/Code
Place of Final Destination ii) No. Pendaftaran Cukai Perkhidmatan/Service Tax Registration No.*
Amaun telah diterima / akan diterima / Amount received / to be received RM
Mod Pengangkutan/Mode of Transport
Laut / Sea
Udara/ Air
Lain-lain (Nyatakan)/Others (Specify)…………………….
Tarikh penghantaran/
Date of Despatch
Jaminan / Security
Insurans/Insurance RM
No. Rujukan
Reference No.
Amaun / Amount RM
No./NamaVesel /Penerbangan/Kenderaan
Pelabuhan/ Tempat Dimuatkan Kod/Code
Tambang Muatan RM
Freight
No./Name of Vessel/Flight/Conveyance
Port/Place of Loading
Pelabuhan/Tempat Pemunggahan Kod / Code
Port/Place of Discharge
Berat Kasar (kg)
Gross wt.
Ukuran (m³)
Measurement
Tanda dan No./ No. Kontena
Marks and Nos/Container No.
Bil
No and Type of Packages
Description of Goods (Relevant documents must be submitted)
Tarif Kastam Malaysia/Malaysian Customs Tariff
No. Kod/Code No.
Unit/Unit
No. Invois/Invoice No.
Bil.
Kod Negara Asal/ Country of Origin Code
Kuantiti berdasarkan
Unit Tarif Kastam/ Quantity
Based on Customs Tariff Unit
Nilai / Value RM
Nama Pemohon / Name of Applicant
Satu Unit / Per Unit
Jumlah / Total
No. K.P. / Pasport / Identification Card / Passport No.
Jawatan / Designation
Pelepasan barang di atas dipohon
Release of the above goods is requested
Pejabat Penerimaan / Office of Destination
Date and Time of Receipt
Registration No.
Nama Pembuat Perisytiharan / Name of Declarant
Kepada Pegawai Kastam Yang Hak di:
To the Proper Officer of Customs at:
............................................................................................................
Stesen / Station
Kebenaran dipohon untuk mengangkut barang di atas / Permission is applied to transport the above goods.
No. Kad Pengenalan/Pasport/Identification Card/Passport No.
Jawatan/Designation
Saya memperakui bahawa perisytiharan ini benar
Pelepasan dari Kawalan Kastam dibenarkan oleh:
Release from Customs Control authorised by:
................................................. ..................................................................
Tarikh / Date Pegawai Kastam Yang Hak
Proper Officer of Customs dan lengkap. / I certify that this declaration is true and complete.
........................................
............................................................
Tarikh / Date
Tandatangan / Signature
Nota: Perisytiharan ini dikehendaki di bawah dan mengikut Akta Kastam 1967, Akta Cukai Jualan 2018 dan Akta Cukai Perkhidmatan 2018
Note: This declaration is required under and in accordance with the Customs Act 1967, Sales Tax Act 2018 and Service Tax Act 2018
*Jika berkenaan/If applicable
Name and address of Authorized Agent
Bill of Lading / Consignment Note 3
P.U. (A) 217 18
PERMOHONAN / PERMIT UNTUK PINDAHKAPAL / MEMINDAHKAN BARANG
APPLICATION / PERMIT TO TRANSHIP / REMOVE GOODS
Kastam No.8 (Pin. 2018)
Customs No.8 (Rev.2018)
Konsainor / Pengeksport (Nama dan Alamat) i) Kod Pengkesport / Exporter Code
Consignor / Exporter (Name and Address)
No. Pendaftaran Cukai Jualan atau Cukai Perkhidmatan / Sales Tax or
Service Tax Registration No.*
UNTUK KEGUNAAN RASMI/ FOR OFFICIAL USE (Pejabat Penghantaran / Office of
Despatch)
Tarikh dan Waktu Terima /
No. Pendaftaran/ Registration No.
Date and Time of Receipt
No. Pendaftaran Manifes
Permohonan diluluskan
Manifest Registration No.
Application approved
Pemohon / Konsaini (Nama dan Alamat)
Applicant / Consignee ( Name and Address)
Kod Pemohon /Applicant Code
.....................................
....................................................................................................
Tarikh / Date
Pegawai Kastam Yang Hak /
Proper Officer Of Customs ii) No. Pendaftaran Cukai Jualan atau Cukai Perkhidmatan/Sales Tax or
Service Tax Registration No.*
Jenis Pemindahan / Type of Movement
Pindahkapal / Transhipment 2. Transit / Transit 3. Untuk Eksport / For Export
Ke Gudang Berlesen / Gudang Pengilangan Berlesen 5. Lain-lain / Others
To Licensed Warehouse / Licensed Manufacturing Warehouse
Nama dan Alamat Ejen Yang Diberi Kuasa/
Kod Ejen/Agent Code
No. Jaminan /Guarantee
No. Permit /Permit No.
No. K.P.W.X. / K.P.W.X. No.
Dipindahkan dari (Nama Tempat)
Moved from (Name of Place)
Country of Final Destination
Kod/Code ii) No. Pendaftaran Cukai Perkhidmatan/Service Tax Registration No.*
Moved to (Name of Place)
Consignment Note No.
Mod Pengangkutan/Mode of Transport
Laut / Sea
Kereta Api / Rail
Jalan Raya / Road
Udara / Air
Tarikh Pemindahan
Date of Movement
Bayaran bagi barang telah / akan diterima dari:
Insurans/Insurance RM
Payment for goods received to be received from:
(Negara/Country) Kod / Code
Lain-lain (Nyatakan)/Others (Specify)…………………….
No./Nama Vesel /Penerbangan/Kenderaan
Pelabuhan Pemunggahan Kod/Code 25. Caj lain RM
Other Charges
Nilai / Value RM
Tambang Muatan RM
Freight
No./Name of Vessel/Flight/Conveyance
Port of Discharge
Pelabuhan / Tempat Dimuatkan
Port / Place of Loading Kod / Code
Via (Transhipment cargo only) Kod/Code
Berat Kasar (kg)
Gross wt.
Ukuran
Measurement (m³)
Tanda dan
No./
Kontena/Marks and
Nos/Container No.
Bil/
No and Type of Packages
Description of Goods (Relevant documents must be submitted)
Tarif Kastam Malaysia/Malaysian Customs
Tariff
No. Kod/Code No.
Unit/Unit
No. Invois/Invoice No.
Bil
Country of Origin
Code 40.
Kuantiti
Berdasarkan
Unit
Tarif
Kastam/ Quantity Based on Customs Tariff
Unit
Nilai FOB/CIFC*/ FOB/CIFC* Value (RM)
(Pejabat Penerimaan / Office of Destination)
Satu Unit / Per Unit
Jumlah / Total
Tarikh dan Waktu Terima
Date and Time of Receipt
Registration No.
Stesen / Station
Kod/Code
dieksport dengan cara yang dinyatakan.
Certified that the above goods have been transshipped/
exported in the manner stated.
No. Resit Deposit (jika berkenaan)
Deposit Receipt No. (if applicable)
........................................ .............................................................
Tarikh / Date Tandatangan / Signature
Nama Pembuat Perisytiharan / Name of Declarant
Kepada Pegawai Kastam Yang Hak di:
To the Proper Officer of Customs at:
Caj Pemunggahan / Penimbangan RM
Handling / Weighing Charges
...................................................................................................
Handling / Weighing Charges
Warehouse Rent
Saya memperakui bahawa perisytiharan ini benar dan lengkap.
I certify that this declaration is true and complete.
Caj Lain/Other Charges RM
No. Kad Pengenalan/Pasport/Identification Card/Passport No.
Jumlah Amaun Kena Dibayar RM
Total Amount Payable
Jawatan/Designation
Sila benarkan barang di atas dipindahkan dengan cara yang dinyatakan.
Please permit the above goods to be moved in the manner stated.
No. Resit Manuskrip (jika berkenaan) Tarikh/Date
Manuscript Receipt No. (if applicable)
........................................
...........................................................
Tarikh / Date
Tandatangan / Signature
Nota: Perisytiharan ini dikehendaki di bawah dan mengikut Akta Kastam 1967, Akta Cukai Jualan 2018 dan Akta Cukai Perkhidmatan 2018
Note: This declaration is required under and in accordance with the Customs Act 1967, Sales Tax Act 2018 and Service Tax Act 2018
*Jika berkenaan/If applicable 8
Name and address of Authorized Agent
P.U. (A) 217 19
PERMINTAAN/PERMIT UNTUK MEMINDAHKAN BARANG BERDUTI
REQUISITION/PERMIT TO REMOVE DUTIABLE GOODS
Kastam No.9 (Pin. 2018)
Customs No.9 (Rev.2018)
Konsainor/Pengeksport (Nama dan Alamat)
Consignor/Exporter (Name and Address)
Tarikh dan Waktu Terima
No. Pendaftaran/Registration No.
No. Pendaftaran Cukai Jualan atau Cukai Perkhidmatan/Sales Tax or
Service Tax Registration No.*
Date and Time of Receipt
Pemohon (Nama dan Alamat)
i)
Kod Pemohon/Applicant Code
Applicant (Name and Address)
Penerimaan Duti/Cukai yang dilevi dibenarkan oleh:
Receipt of Duty/Tax as levied authorized by:
No. Pendaftaran Cukai Jualan atau Cukai Perkhidmatan/Sales Tax or
Service Tax Registration No.*
............................................
Tarikh/Date
...................................................................................................................
Pegawai Kastam Yang Hak/Proper Officer of Customs
Nama dan Alamat Ejen Yang Diberikuasa/
Name and Address of Authorized Agent i)
Kod Ejen/Agent Code
Borang Kastam No. 1 berkenaan/Relevant Customs Form No. 1
Tarikh
Nombor Pendaftaran
Stesen
Date
Registration No
Station
No, Resit Deposit Gudang dan Tarikh/Warehouse Deposit Receipt No. and Date ii) No. Pendaftaran Cukai Perkhidmatan/Service Tax Registration No.*
No. Rujukan Kelulusan Pengecualian/
Exemption Approval Reference No.
Matawang
Currency Kod/Code
Kadar Pertukaran RM
Exchange Rate
Nama dan Alamat Pengimport (jika berlainan)
Name and Address of Importer (if different)
Kod Pengimport/Importer Code
Layanan Khas/Special Treatment
Tempat Import/Place of Import
Kod/Code
Tempat dan Alamat di mana barang disimpan/Place and Address where goods are deposited
Tanda dan No./ No. Kontena
Marks and Nos/Container
Bil
Tarif Kastam Malaysia/Malaysian Customs Tariff
No and Type of Packages
Description of Goods (Relevant documents must be submitted
No. Kod/Code No.
Unit/Unit
No. Invois/Invoice No.
Kod
Negara Asal
Country of
Origin Code 25.Kuantiti Berdasarkan
Unit Tarif Kastam/
Quantity
Based on
Customs Tariff Unit
Nilai/Value (RM)
Duti Import/Import Duty
Duti Eksais/Excise Duty
Cukai Jualan/Sales Tax
Cukai Lain Kena Dibayar
Other Duties Payable 26.Satu unit
Per unit 27.Jumlah/
Total
Kadar
Rate
Amount (RM)
Rate
Amount (RM)
Rate
Amount (RM)
Jenis
Type 35.Kadar
Rate
Amaun/
Amount (RM)
Nama Pembuat Perisytiharan
Jumlah
Jumlah
Jumlah
Jumlah
Jumlah
Nameof Declarant
Jumlah Amaun Kena Dibayar
No. Kad Pengenalan/Pasport/Identification Card/Passport No.
Total Amount Payable RM
Pelepasan daripada Kawalan Kastam dibenarkan oleh:
Release from Customs Control authorized by:
No. Resit Manuskrp (jika berkenaan) Tarikh/Date
Manuscript Receipt No (if applicable)
Jawatan/Designation
Saya memperakui perisytiharan ini benar dan lengkap
I hereby certify that this declaration is true and complete
.................................. ................................................................................
.................................. ......................................................................
Tarikh/Date Tandatangan/Signature
Tarikh/Date Pegawai Kastam yang Hak
Proper Officer of Customs
Nota: Perisytiharan ini dikehendaki di bawah dan mengikut Akta Kastam 1967, Akta Cukai Jualan 2018 dan Akta Cukai Perkhidmatan 2018
Note: This declaration is required under and in accordance with the Customs Act 1967, Sales Tax Act 2018 and Service Tax Act 2018
*Jika berkenaan/If applicable 9
P.U. (A) 217 20
in Part II, by substituting for Form JKDM No. 1, JKDM No. 2 and JKDM No. 3 the following forms:
Kepada: Ketua Pengarah Kastam:
To: The Director General of Customs:
Kod stesen/Station Code
Tarikh dan Waktu Terima
Nombor Rujukan
Date and Time of Receipt
Reference Number
Jenis Lesen Dipohon/Type of License Applied for:
Pemohon (Nama dan Alamat Berdaftar Syarikat/Perniagaan/Pertubuhan)
Pangkah
Akta Kastam 1967/Customs Act 1967:
Mark (X)
No. Pendaftaran
Syarikat/Perniagaan/Pertubuhan
Registration of Company/Business/Society
Lesen Depot Pelepasan Daratan/Inland Clearance Depot Licence
Lesen Membotol dan Memindah Liquor Yang Memabukkan/
(Untuk perniagaan perkongsian, sila isi juga ruang 23 di muka surat sebelah)
Bottling and Movement of Intoxicating Liquors Licence
(For partnership business, please also fill in column 23 overleaf)
Application (Name and Registered Address of Company/Business/Society)
Dokumen Dilampirkan/Documents Attached: Pangkah
Mark (X)
Sijil Pendaftaran Syarikat/ Perniagaan/ Pertubuhan/ Company/
Business/ Society Registration Certificate
(Sila gunakan ruang 24 di muka surat sebelah jika lebih dari satu)
(Please use column 24 overleaf if more than one)
Tarikh dan Nombor Rujukan Pendaftaran Syarikat/Perniagaan/Pertubuhan
Gambar Pemohon ukuran passport (dua keping)/Applicant’s photograph passport size (two copies)
Date and Reference No. of Company/Business/Society Registration
Lain-lain (nyatakan)/Others (specify)
Date or Expected Date of Commencement of Business/Manufacture
………………………………………………………………………………………………………
PERIHAL BARANG-BARANG/DESCRIPTION OF GOODS
Bil.
Jenis Barang-Barang
Type of Goods
Estimated Annual Turnover MYR
Estimated Anuual Customs Duty/Tax Payable MYR
(Jika ruang tidak mencukupi, sila gunakan ruang 25 di muka surat sebelah /If space is insufficient, please use column 25 overleaf)
Barang-barang akan dijual atau dilupuskan selain daripada dengan dijual kepada/untuk/Goods to be sold or disposed of other than by sale to/for:
Tempoh perakaunan bulanan saya/syarikat saya/firma saya berakhir pada:
My/My company’s/My firm’s monthly accounting period end on the:
Pangkah
Mark (X)
Ulasan/Syor
Comment/Recommendation
syarikat-syarikat yang ada kepentingan faedah/kewangan beneficially/financially interested company
lain-lain (nyatakan)/others (specify)
………………………………………………………………………………………………………………
Lesen ini dipohon untuk tempoh (nyatakan bilangan tahun)/ This licence is applied for the duration of
(specify number of years)
Tarikh/Date
Pegawai Yang Hak
Tahum/Year Bulan/Month Hari/Day
Proper Officer 17.Dengan ini saya/kami memohon suatu lesen seperti ditandakan X dalam ruang 8 di atas dan memperakui bahawa butir-butir yang dinyatakan dalam permohonan ini adalah lengkap dan betul dan akan mematuhi segala peruntukan undang-undang dan peraturan-peraturan yang berkenaan serta syarat-syarat yang dikenakan.
Permohonan diluluskan/Tidak diluluskan*
Application approved/not approved*
I/We hereby apply for a licence as marked X in column 8 above and certify that the particulars stated in this application are complete and true and shall comply with all the relevant provisions of the laws and regulations as well as the conditions imposed.
Tarikh/Date
Tahun/Year Bulan/Month Hari/Day
Tandatangan Pemohon
Signature of Applicant
Nama Pemohon
Name of Applicant
Tarikh/Date
Tahun/Year Bulan/Month Hari/Day b.p Ketua Pengarah Kastam, Malaysia
For the Director General of Customs, Malaysia
Identity Card/Passport No.
Jawatan Pemohon
Applicant’s Designation
P.U. (A) 217 21
(Untuk perniagaan perkongsian sahaja)
*(For partnership business only)
Bil.
Nama
Name
Alamat Peribadi
Personal Address
Nombor Kad Pengenalan/Pasport
Identity Card/Passport No.
Kewarganegaraan
Nationality
Tandatangan
Signature 1.
Alamat Penuh Perniagaan/Premis
Full Address of Busines/ Premise
Tarikh atau Tarikh Jangkaan Permulaan
Perniagaan/Pengilangan/Date or Expected Date of
Commencement of Business/Manufacture
Bil.
Jenis Barang-Barang
Type of Goods
Estimated Annual Turnover MYR
Estimated Annual Customs Duty/Tax Payable MYR
CATATAN/Notes
Permohonan lesen hendaklah dikemukakan kepada pegawai kanan Jabatan Kastam Diraja Malaysia yang menjaga daerah di mana perniagaan/premis yang akan dilesenkan itu terletak /Application for licence shall be submitted to the senior officer of the Royal Malaysian Customs Department in charge of the district in which the business/premise to licensed is located.
Dalam hal perniagaan perkongsian, semua rakan kongsi hendaklah menandatangani borang permohonan /In the case of a partnership business, all partners are required to sign the application form.
Bilangan salinan borang permohonan yang perlu dikemukakan adalah seperti berikut /Number of copies of the application form that are required to be submitted are as follows:
Jenis Lesen di bawah ruang 8 (I) /Type of Licence under column 8 (I) :
: 4 salinan /copies
Jenis Lesen di bawah ruang 8 (II) /Type of Licence under column 8 (II) :
: 3 salinan /copies
P.U. (A) 217 22
JKDM NO. 2 (Pin. 1/2018)
JABATAN KASTAM DIRAJA MALAYSIA
ROYAL MALAYSIAN CUSTOMS DEPARTMENT
TUNTUTAN PEMBAYARAN BALIK / PULANG BALIK DUTI / CUKAI / LAIN-LAIN
CLAIM FOR REFUND / DRAWBACK OF DUTY / TAX / OTHERS
Nota Penting/Important notes: i. Hanya satu (1) tuntutan sahaja dibenarkan untuk setiap borang JKDM No.2. / Only one (1) claim allowed for each JKDM 2 Form ii. Sila tandakan √ pada petak yang berkenaan. / Please tick √ in the relevant box.
PEMBAYARAN BALIK / REFUND
PULANG BALIK / DRAWBACK
LAIN-LAIN / OTHERS
Akta Kastam 1967 / Customs Act 1967
Nyatakan
Akta dan
Seksyen yang berkenaan:
Please state the relevant Act and Section:
Seksyen 11/Section 11
Seksyen 16/Section 16
Seksyen 93/Section 93
Seksyen 99/Section 99
Akta Cukai Jualan 2018/Sales Tax Act 2018
Seksyen 19/Section 19
Seksyen 19D/Section 19D
Seksyen 10/Section 10
Seksyen 39/Section 39
Seksyen 19A/Section 19A
Seksyen 19E/Section 19E
Seksyen 36/Section 36
Akta Cukai Perkhidmatan/Service Tax Act 2018
Seksyen 40/Section 40
Seksyen 10/Section 10
Seksyen 38/Section 38
Seksyen 35/Section 35
A. BUTIRAN PENUNTUT / CLAIMANT PARTICULARS
UNTUK KEGUNAAN RASMI / FOR OFFICIAL USE
Nama
Name
Nama Stesen Kod Stesen
Station Name Station Code
Reference No.
Alamat
Address
Poskod Negeri
Postcode State
Tarikh Terima Masa Terima
Date Received Time Received
Hari
Day
Bulan
Month
Tahun
Year
No. Pendaftaran Cukai Jualan / Cukai Perkhidmatan*
Sales Tax / Service Tax Registration No.*
No. Pendaftaran Syarikat / Perniagaan atau No. KP / Passport
Company Business Registration No. or NRIC / Passport No.
No. Akaun Bank Penuntut
Claimant’s Account No.
Nama Bank Penuntut
Claimant’s Bank Name
B. BUTIRAN EJEN / AGENTS’ PARTICULARS (JIKA BERKENAAN / IF APPLICABLE)
Name and Address of the Authorized Agent
Agent Code
Service Tax Registration No.*
C. BUTIRAN TUNTUTAN / PARTICULARS OF CLAIMS
No. Pendaftaran Borang Perisytiharan / Lain-lain *Sila tandakan √ pada petak yang berkenaan.
Declaration/ Other Form’s No. * Please tick √ in the relevant box.
Borang Kastam
Customs Form
Borang Eksais
Excise Form
Lain-lain
Others
Sila Nyatakan
Please State
No. Borang No. Resit / Invois Tarikh Resit / Invois
Form’s No. Receipt / Invoice No. Date of Receipt/ Invoice
Hari
Day
Bulan
Month
Tahun
Year
Calculation of Claim (Please use overleaf if space is insufficient)
D. PERISYTIHARAN / DECLARATION * Potong yang mana tidak berkenaan/Delete whichever is not applicable
Saya mengaku bahawa barang dalam borang perisytiharan di atas telah diimport /
dieksport / dibeli / dijual* dan tidak dimaksudkan untuk didaratkan di mana-mana tempat dalam Malaysia dan notis tuntutan telah dibuat. Saya memperakui bahawa tidak ada tuntutan dibuat sebelum ini dan semua maklumat yang diisytiharkan dalam borang ini adalah lengkap, tepat dan benar.
I certify that the goods in the declaration form above were imported/exported / purchased
/ sold* and are not intended to be landed at any place in Malaysia and a notice of claim has been made. I certify that no previous claim has been made and information declared in this Form is complete, true and correct.
Tandatangan Penuntut atau Orang Yang Mewakili / Ejen Yang Diberi Kuasa
Signature of Claimant or Representative / Authorized Agent
Name of Claimant or Representative / Authorized Agent
NRIC / Passport No.
Jawatan/Designation:
P.U. (A) 217 23
Pengiraan Tuntutan / Calculation of Claim
P.U. (A) 217 24
JKDM No. 3
No. Lesen/Sijil:
Licence/Certificate No.:
KASTAM DIRAJA MALAYSIA
ROYAL MALAYSIAN CUSTOMS
Lesen/Sijil
Licence/Sijil
Nama Syarikat:
Name of Company:
Alamat Syarikat/Premis Perniagaan:
Address of Company/Business Premise:
Dilesenkan di bawah Akta/Seksyen/Peraturan:
Licensed under Act/Section/Regulation:
Aktiviti:
Activity:
Berkuat kuasa:
Effective:
Tempat dikeluarkan:
Place of issue:
Tarikh dikeluarkan:
Date of issue:
……………………………………
b.p. Ketua Pengarah Kastam for the Director General of Customs
P.U. (A) 217 25
PENERANGAN
EXPLANATION
Permohonan lesen boleh dikemukakan secara bertulis/atas talian.
Application for licence may be submitted in writing/online.
Alamat syarikat/premis perniagaan termasuk tempat perniagaan utama dan semua cawangan.
Address of company/business premise including principal place of business and all branches.
Aktiviti ertinya, mengilang, membotol dan memindahkan liquor yang memabukkan, menyadap todi, menggudang, menjual barang-barang berduti/diluluskan atau menyediakan perkhidmatan bercukai.
Activity means manufacturing, bottling and movement of intoxicating liquor, tapping of toddy, warehousing, selling dutiable/approved goods or providing taxable services.
Pengeluaran lesen ini adalah tertakluk kepada syarat yang dikenakan oleh Ketua Pengarah Kastam di bawah Akta Kastam 1967 dan Akta Eksais 1976.
Issuance of this licence is subjected to conditions imposed by the Director General of Customs under the
Customs Act 1967and Excise Act 1976.
Pembaharuan lesen hendaklah dibuat ke Pejabat Kastam secara bertulis/atas talian dalam tempoh yang ditetapkan di bawah Peraturan-Peraturan Kastam 1977 dan Peraturan-Peraturan Eksais 1977
tertakluk kepada apa-apa syarat yang dikenakan oleh Ketua Pengarah Kastam. Maklumat pembaharuan lesen akan dikemaskinikan secara automatik dalam pangkalan data Jabatan.
Renewal of the licence shall be made to the Customs Office in writing/online within the period specified under the Customs Regulations 1977 and Excise Regulations 1977, subject to any condition imposed by the Director General of Customs. Particulars of the renewal of the licence will be automatically updated in the Department’s database.
Tiada barang-barang lain selain barang-barang yang dinyatakan dalam lesen boleh disimpan dalam mana-mana gudang berlesen, kedai bebas cukai atau depot pelepasan dalaman.
No goods other than goods specified in the licence may be stored in any licensed warehouse, duty free shop or inland clearance depot.
Pengeluaran lesen ini tidak melepaskan pemegang lesen daripada kewajipannya untuk mematuhi kehendak mana-mana undang-undang bertulis lain yang berkaitan dengan perniagaannya.
The issuance of this licence does not relieve the licencee from his duty to comply with the requirements of any other written law related to his business.
Made 28 August 2018
[Perb. (c) R.O. 3865/365/ 1 Jld. 1 (SK.8); PN(PU2)338/XLVIII]
LIM GUAN ENG
Minister of Finance