PC2-1 Ver 2



|APPLICATION FOR IMPORT DUTY AND/OR SALES TAX EXEMPTION ON ADDITIONAL QUANTITIES OF RAW MATERIALS, COMPONENTS AND/OR SEMI-FINISHED |

|PRODUCTS FOR OWNERS OF MALAYSIAN BRAND NAMES IN OUTSOURCING MANUFACTURING ACTIVITIES |

|1. |Type of application (Please tick (() where relevant): | |

| | |(a) |Import Duty exemption |[pic] |

| | |(b) |Sales Tax exemption |[pic] |

| | Market: | |[pic] |

| | |(a) |Domestic |[pic] |

| | |(b) |Export |[pic] |

| | |(c) |Free Zone/Licensed Manufacturing |[pic] |

| | | |Warehouse(FZ/LMW) | |

|2. |Finished products* |HS |Import |Sales |Maximum capacity|Contract Manufacturers |

| | |tariff code |Duty |Tax | |(Name and Factory address) |

| | | |% |% | | |

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|Note: |

|* |Please list products related to application for additional quantity manufactured by the company |

A. PARTICULARS OF COMPANY

|1. | (a) Name of company: |

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| | |Company registration no.: | | |

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| | (b) Correspondence address: |

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| | |Contact person: |Designation: | |

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| | |Telephone no.: | |Fax no.: | |

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| | |E-mail: | |Website: | |

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|2. | Please attach a copy of the relevant approval letter of exemption from the Ministry of |

| |Finance |

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|3. |State reasons why additional quantities of raw materials, components and semi finished goods are required |

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B. RAW MATERIALS AND COMPONENTS

1. Raw materials and components Import Duty and Sales Tax Exemption on additional quantities:

a) Domestic market

|No. |Raw materials and components; |HS |Country |Customs |Quantity used per unit |Total import per annum |Finished products |

| |semi finished goods |tariff |of |Stations** |of finished product | | |

| | |code |Origin | |including wastage | | |

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|Note: | |

|* |If there is more than one finished product, list the raw materials and components by each product |

|** |For more than one customs station, give the breakdown by each station |

|*** |Units as specified in the “Malaysian Trade Classification and Customs Duties Order” |

(b) Export market/Free Zone/Licenced Manufacturing Warehouse

|No. |Raw materials and components; |HS |Country |Customs |Quantity used per unit |Total import per annum |Finished products |

| |semi finished goods |tariff |of |Stations** |of finished product | | |

| | |code |Origin | |including wastage | | |

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|Note: | |

|* |If there is more than one finished product, list the raw materials and components by each product |

|** |For more than one customs station, give the breakdown by each station |

|*** |Units as specified in the “Malaysian Trade Classification and Customs Duties Order” |

2. Raw materials and components for Sales Tax exemption on additional quantities:

a) Raw materials and components to be sourced from local manufacturers

|No. |Raw materials and |

| |components |

Note :

* If there is more than one finished product, list the raw materials and components by each product

** Units as specified in the “Malaysian Trade Classification and Customs Duties Order”

C. DECLARATION

|I , | |, the Managing Director of |

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|(i) |hereby declare that to the best of my knowledge, the particulars furnished in this application are true. |

|(ii)* |have engaged/is planning to engage the services of the following consultant for my application : |

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| | |Company Name |: | | |

| | |Address |: | | |

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| | |Contact Person |: | | |

| | |Designation |: | | |

| | |Telephone no. |: | | |

| | |Fax no. |: | | |

| | |E-mail |: | | |

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| |I take full responsibility for all information submitted by the consultant(s). |

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| | |Date | |(Signature) |

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| | | |(Company’s Stamp or Seal) |

| | *Please complete this section if the company has engaged/is planning to engage the services of consultant(s) to act on behalf of the |

| |company. Please provide information on a separate sheet of paper if space is insufficient |

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