BOC SINGLE ADMINISTRATIVE DOCUMENT

1 DECLARATION Office Code P02A

2 Exporter / Supplier Address Port of Manila
4 4
1 DOOYON TECH PRIME OFFICE 503,
2179 SEOBU-RO JANGAN-GU SUWON 3 Page 4
Customs Reference
C 152092 11-20-2018
CITY GYEONGGI-DO SOUTH KOREA 1 2 Registry Number HAC0041-18
C 5 Items
3
6 Tot Pack
24
7 Reference Number
NC698112002
8 Importer / Consignee, Address TIN: 006350694000 9 CRF NUMBER :
U NEWPACK CORPORATION
UNIT 1207 ALPAP II BLDG MADRIGAL BU T/S or W/S Entry No. :
SINESS PARK ALABANG
MUNITNLUPA 1770
S PHILIPPINES 10 11 12 Tot. F/I/O (Php)
72,877.00
13 T. Ref.

14 Broker / Attorney-In-Fact, Address TIN: 402144172000 15 Country of Export 15 C.E. Code 17

T JEFFREY LUDOVICE MEDINA
227 AMPIOCO STREET BALUT TONDO
KOREA, REPUBLIC OF KR PH

16 Country of Origin 17 Country of Destination

MANILA 1012
O PHILIPPINES KOREA, REPUBLIC OF PHILIPPINES
18 Vessel / Aircraft 19 Ct 20 Terms of Delivery
HEUNG-A HAIPHONG V.0104S HAC0041-18 FOB
M 21 Local Carrier (if any) 22 F. Cur. Total Customs Value 23 Exch Rate 24 Thru Bank
USD 12,607.05 53.194 2 X
S 25
11/11/2018
26 27 Transhipment Port
28 Financial and Banking Data - Bank Code 998
Terms of Payment 01 - Basic
29 Port of Destination 30 Location of Goods
1 P02A
Port of Manila S01
Bank Name

Branch
PCHC
NA Bank Ref Number: 010290017-0002471

31 Packages Marks and Numbers - Container No(s) 32 Item No. 33 HS Code Tar Spec
and 1 32065090 000 3%
Marks & No NM
Description of Packages 34 C.O. Code 35 Item Gross Weight (kg) 36 Pref
of Goods
Number and Kind 16 PK KR 6,144.93 None
PACKAGE 37 Procedure 38 Item Net Weight (kg) 39 Qouta
Container No(s) FCIU7281527 4000 000 5,880.00 NNNNN
40a AWB / BL 40b Previous Doc No.
- - Other 0240A8002B00
HI BLACK 30,BETA BLUE 15:3,RED CL-304,CARMINE 6B 4 BGT
YELLOW HR 830R AND 2GL,DISPERSING AGENT RAD 41 Suppl. Units 42 Item Customs Value (F. Cur) 43 V.M.
100&MFDG.
16 6,928.55 1
44 Add Infos OTHinEV : 1 INSinFRT : 0 Fine :
Doc / Product A.I. Code 45 Adjustment
Certif. & 26,311.00 + 13,741.00 + 0.00 + 428.00 - 4,699.00
Aut 1.00
A.D.

46 Dutiable Value (PHP)

408,609.00
Invoice No. : NA Dump Bond :

47 Calculation Type Tax Base Rate Amount MP 48 Prepaid Account No. 49 Identification of Warehouse
of Taxes
/
CUD 408,609.00 3% 12,258.00 0
47b ACCOUNTING DETAILS
VAT 428,325.00 12 % 51,399.00 0
Method of Payment : CASH
Assessment Number : Date :

Reciept Number : Date :

Guarantee 0.00 Date :

Total Fees 1,561.00

Total Item: 63,657.00 Total Assessment 119,498.00

50 We hereby certify that the information contained in all pages Subscribed and sworn bofore me
of this Declaration and the documents submitted are to the best
of our knowledge and belief true and correct

51 AUTHO- Broker : Date : Importer / Attorney-in-Fact :

RIZATION Administering Officer
JEFFREY LUDOVICE MEDINA NEWPACK CORPORATION Notary Public

52 Control Code 53 Office of Destination and Country

at Office Destination
CONTROL AT OFFICE OF DESTINATION Stamp 54 Place and date

Signature
BOC SINGLE ADMINISTRATIVE DOCUMENT
1 DECLARATION Office Code P02A
8 Importer / Consignee, Address TIN: 006350694000
Port of Manila
NEWPACK CORPORATION 4 4 CUstoms Reference
UNIT 1207 ALPAP II BLDG MADRIGAL BU
SINESS PARK ALABANG 3 Page 4 C 152092 11-20-2018
MUNITNLUPA 1770 Registry Number HAC0041-18
PHILIPPINES 2 2
31 Packages Marks and Numbers - Container No(s) - Number and Kind 32 Item No. 33 Hs Code Tar Spec
and Marks & No NM 2 34049090 000 1%
Description of Packages
of Goods Number and Kind 4 PK 34 C.O. Code 35 Item Gross Weight 36 Pref
PACKAGE KR 1,254.06 KG None
Container No(s) FCIU7281527 37 Procedure 38 Item Net Weight 39 Quota

Goods Desc. 4000 000 1,200.00 KG NNNNN

- - Other
40a AWB / BL 40b Previous Doc No.
LU WAX A,VA-18D
0240A8002B00
44 Add Infos OTHinEV : 1 INSinFRT : 0 Fine : 41 Suppl. Units 42 Item Customs Value (F. Cur) 43 V.M
Doc / Product 4 2,166.00 1
Certif &
8,225.00 + 4,296.00 + 0.00 + 134.00 - 1,469.00 48 Dutiable Value (PHP) 49 Adjustment
Aut
Invoice No. : NA 127,739.00 1.00
31 Packages Marks and Numbers - Container No(s) - Number and Kind 32 Item No. 33 Hs Code Tar Spec
and Marks & No NM 3 34021190 000 5%
Description of Packages
of Goods Number and Kind 4 PK 34 C.O. Code 35 Item Gross Weight 36 Pref
PACKAGE KR 3,271.01 KG None
Container No(s) FCIU7281527 37 Procedure 38 Item Net Weight 39 Quota

Goods Desc. 4000 000 3,130.00 KG NNNNN

- - - Other
40a AWB / BL 40b Previous Doc No.
PARASOL 124M,SOLSPERSE 24000,TIXOSIL A 360
0240A8002B00
44 Add Infos OTHinEV : 1 INSinFRT : 0 Fine : 41 Suppl. Units 42 Item Customs Value (F. Cur) 43 V.M
Doc / Product 4 3,512.50 1
Certif &
13,338.00 + 6,966.00 + 0.00 + 217.00 - 2,382.00 48 Dutiable Value (PHP) 49 Adjustment
Aut
Invoice No. : NA 207,148.00 1.00
31 Packages Marks and Numbers - Container No(s) - Number and Kind 32 Item No. 33 Hs Code Tar Spec
and Marks & No
Description of Packages
of Goods Number and Kind 34 C.O. Code 35 Item Gross Weight 36 Pref

Container No(s) 37 Procedure 38 Item Net Weight 39 Quota

Goods Desc.
40a AWB / BL 40b Previous Doc No.

44 Add Infos OTHinEV : INSinFRT : Fine : 41 Suppl. Units 42 Item Customs Value (F. Cur) 43 V.M
Doc / Product
Certif &
Aut 48 Dutiable Value (PHP) 49 Adjustment
Invoice No. :

47 Calculation Type Tax Base Rate Amount MP Type Tax Base Rate Amount MP
of Taxes
CUD 127,739.00 1% 1,277.00 0 CUD 207,148.00 5% 10,357.00 0
VAT 132,950.00 12 % 15,954.00 0 VAT 222,435.00 12 % 26,692.00 0

Total first item of this rider 17,231.00 Total second item of this rider 37,049.00
Type Tax Base Rate Amount MP Type Amount MP

Total third item of this rider G.T.

53 INTERNAL REVENUE (TAX PER BOX #45 & #47)

TAXABLE VALUE PH 743,496.00 WHARFAGE 779.00 OTHERS 750.00

BANK CHARGES 0.00 TOTAL 783,726.37

ARRASTRE CHARGE 8,550.00
CUSTOMS DUTY 23,892.00 LANDED COST PH x 12%

BROKERAGE FEE 5,979.37 DOCUMENTARY STAMP 280.00 TOTAL VAT PH 94,045.00

DESCRIPTION IN TARIFF TERMS SHOULD BE

54 SECTION 55 NO. OF PACKAGES EXAMINED 56 DATE RECIEVED 57 DATE RELEASED

EXAMINATION RETURN

58
ITEM TARIFF
NO DESCRIPTION IN TARIFF TERMS SHOULD BE QTY UNIT UNIT VALUE HEADING RATE

PLEASE REFER TO RIDERS FOR FINDINGS ON OTHER ITEMS

REVISED CHARGES LIQUIDATION

59 CHARGES 60 DECLARATION 61 FINDINGS 62 DIFFERENCES 65 LIQUIDATED Amount

Duty
BIR Taxes 66 SHORT/EXCESS
VAT
Excise Tax/Ad Valorem 67 REMARKS
Others
Surcharges
TOTAL
63 ACTION DIRECTED/RECOMMENDED 64 68

DATE COO III DATE

69

DATE COO V DATE

CONTINUATION FROM BOX # 31 FREE DISPOSAL CUD 23,892.00

Container Numbers continuation: VAT 94,045.00

Total Item Tax 117,937.00

IPF 750.00

CSF 531.00
CDS 250.00
IRS 30.00
Total Global Tax 1,561.00
119,498.00