Transshipment Declaration															Processing Period
															1 day
1. Declarant Declarant Code Company Name Address Name										2. Declaration No.					3. Date of Declaration
										4. Type of Declaration (A.Extraction & stuffing/ B.Transshipment Certificate)					5. Place of Storage
A. In case of Extraction & Stuffing
9. Destuffing	Date of Arrival		Vessel/Aircraft Name		Container No.			Cargo Control No.				B/L No		Description of Goods			Quantity/ Weight		Port of Loading
10. Stuffing	Transshipment Due Date		Transshipment Vessel/Aircraft Name		Container No			Cargo Control No				B/L No		Description of Goods			Quantity/ Weight		Destination
B. In case of Non-processing Certificate
Cargo Control No		Container No (For Bulk, B/L No)		Description of Goods		Packing Specification			Weight (Kg)		(Expected) Date of Transshipment		Transshipment Vessel/Aircraft Name			Country of Destination/ Port of Destination		(Expected) Transshipment Port
						Quantity	Unit
I, hereby, declare the Transshipment pursuant to Article 141 of Customs Act, Article 164 of Enforcement Decree of the Customs Act and Article 6 of Enforcement Rule on the process of Transshipment Cargo Month. date. Year Declarant (Signature or Stamp) To the Head of OOO Customs Office