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ZIMBABWE REVENUE AUTHORITY

CUSTOMS AND EXCISE

CUSTOMS ROAD MANIFEST Form No. 1


MANIFEST NUMBER

TRANSPORTER
TRUCK TRAILER 1 TRAILER 2
REGISTRATION
NUMBER(S)
CONTAINER
NUMBER(S)
SEAL NUMBER(S)
LINE WAYBILL PKGS NO WEIGHT/ DESCRIPTION OF GOODS CONSIGNOR CONSIGNEE CLEARING AGENT BILL OF ENTRY NO.
NO. NO. & TYPE MASS
EXIT ENTRY EXIT ENTRY

EMPTY EMPTY EMPTY EMPTY

I hereby certify that the particulars shown on this FOR CUSTOMS USE CUSTOMS STAMP- EXIT CUSTOMS STAMP- ENTRY
manifest are a true reflection of all the goods carried on REPORT NUMBER REPORT NUMBER
the above mentioned vehicle(s).

Name of Driver/Transporter Signature

Date. Place ZWBB

CEF: 001 DIVISION: CUSTOMS AND EXCISE ISSUE NO: 1 VERSION NO: 1 DATE OF ISSUE: 31/10/14 PAGE 1 OF 1

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