申請人姓名__________________________________________________________________
The name of the applicant___________________________________________________
國籍________________________________________________________________________ Nationality_________________________________________________________________
申請人單位名稱______________________________________________________________
The name of the applicant's Dept.___________________________________________
職銜________________________________________________________________________ Rank________________________________________________________________________
身份證件號碼________________________________________________________________
Identity Card No.___________________________________________________________
住址及電話__________________________________________________________________
Add. & Tel. No. in PRC______________________________________________________
現申請進口下列物品：____________________________________________________________________
I hereby apply for import of the following goods：_______________________________________________
物品名稱
Description
數量
Quantity
單位
Unit
Value
進口地海關批註
Remarks（to be fillde in by the Customs at entry port）
申請人簽字
Signed and sealed by the applicant's Dept．
日期
Date
主管海關批註
（To be filled in by the Custons)
