Section 57

I hereby certify that this declaration is true and complete

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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)