Circular No. 50/2018/TT-BTC dated May 23, 2018 of the Minister of Finance on promulgating information indicators and forms of documents used for customs declaration of outbound, inbound and in-transit air, road, railway, and waterway vehicles under regulations in the Decree No. 59/2018/ND-CP dated April 20, 2018 of the Government

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Issuing body:	Ministry of Finance	Effective date:	Known Please log in to a subscriber account to use this function. Don’t have an account? Register here
Official number:	50/2018/TT-BTC	Signer:	Vu Thi Mai
Type:	Circular	Expiry date:	Updating
Issuing date:	23/05/2018	Effect status:	Known Please log in to a subscriber account to use this function. Don’t have an account? Register here
Fields:	Immigration

SUMMARY

Forms of documents used for customs declaration of exit and entry through land border gates

Information indicators and forms of documents used for customs declaration of outbound, inbound and in-transit air, road, railway, and waterway vehicles under regulations in the Decree No. 59/2018/ND-CP dated April 20, 2018 of the Government are guided in the Circular No. 50/2018/TT-BTC by the Minister of Finance.

Accordingly, information indicators and forms of documents used for customs declaration of inbound, outbound and in-transit waterway vehicles via national single-window system including:

General declaration; Manifest of cargoes exported or imported by waterway transport; Master bill of lading; House bill of lading; List of ship crew; List of passengers; Manifest of personal luggage carried by ship crew or ship employees; Manifest of dangerous cargoes; Declaration of ship’s stores;

In addition, this Circular regulate the forms of printed documents for customs declaration of outgoing, incoming and in-transit road and waterway vehicles are:

Customs declaration of temporarily imported - re-exported road transport; Customs declaration of temporarily exported - re-imported road transport; Customs declaration of temporarily imported – re-exported inland waterway transport; Customs declaration of temporarily exported – re-imported inland waterway transport.

This Circular takes effect on June 05, 2018.

For more details, click here.

Download files here.

LuatVietnam.vn is the SOLE distributor of English translations of Official Gazette published by the Vietnam News Agency

Effect status: Known

THEMINISTER OF FINANCE

CircularNo.50/2018/TT-BTCdatedMay 23, 2018of theMinister of Finance onpromulgating information indicators and forms of documents used for customs declaration of outbound, inbound and in-transit air, road, railway, and waterway vehicles under regulations in the Decree No. 59/2018/ND-CP dated April 20, 2018 of the Government

Pursuant to the Customs Law No.54/2014/QH13 dated June 23, 2014;

Pursuant to Decree No.08/2015/ND-CP dated January 21, 2015 of the Government on methods for enforcement of the Customs Law regarding customs procedures, inspection, supervision and control procedures;

Pursuant to Decree No.59/2018/ND-CP dated April 20, 2018 amending a number of articles of Decree No.08/2015/ND-CP dated January 21, 2015 of the Government;

Pursuant to Decree No.102/2015/ND-CP dated October 20, 2015 of the Government on management and operation of airports and airfields;

Pursuant to Decree No.80/2009/ND-CP dated October 01, 2009 of the Government on operation of foreigners’ overseas-registered right-hand drive cars in Vietnam;

Pursuant to Decree No.27/2011/ND-CP dated April 09, 2011 of the Government on supplying, development, processing and use of passenger information before entering into border gate of Vietnam by air traffic;

Pursuant to Decree No.58/2017/ND-CP dated May, 10, 2017 of the Government on elaboration of a number of articles of the Vietnam Maritime Code on management of maritime operations;

Pursuant to Decree No.152/2013/ND-CP dated November 04, 2013 of the Government on management of motor vehicles put into Vietnam by foreigners for tourism purpose;

Pursuant to Decree No.57/2015/ND-CP dated June 16, 2015 of the Government on amendments to a number of articles of Decree No.152/2013/ND-CP dated November 04, 2013;

Pursuant to Decree No.87/2017/ND-CP dated July 26, 2017 of the Government on functions, duties, rights and organizational structure of the Ministry of Finance;

Pursuant to Decree No.112/2014/ND-CP dated November 21, 2014 of the Government on management of land border checkpoints;

At the request of Director General of General Department of Vietnam Customs,

The Minister of Finance promulgates a Circular providing for information indicators and forms of documents for customs declaration of inbound, outbound and in-transit air, road, railway and waterway vehicles under regulations in Decree No. 59/2018/ND-CP dated April 20, 2018 of the Government.

Article 1. Scope of regulation

This Circular provides for information indicators and forms of documents for customs declaration of incoming, outgoing and in-transit air, road, river way and railway vehicles.

Article 2. Subjects of application

1.Customs authorities and customs officers

2.Customs declarants for outbound, inbound or in-transit vehicles

3.Other regulatory agencies involved in cooperation in state management for customs applied for inbound, outbound and in-transit vehicles

Article 3. Information indicators and forms of customs documents

1.This Circular provides for information indicators and forms of documents used for customs declaration of inbound, outbound and in-transit waterway vehicles via national single-window system. (Appendix I)Including:

a) General declaration;

b) Manifest of cargoes exported or imported by waterway transport;

c) Master bill of lading;

d) House bill of lading;

dd) List of ship crew;

e) List of passengers;

g) Manifest of personal luggage carried by ship crew or ship employees;

h) Manifest of dangerous cargoes;

i) Declaration of ship’s stores;

k) Form No.1: Shipping report;

2.Information indicators provided in customs declarations of outgoing, incoming or in-transit air vehicles through national single-window system (Appendix II), including:

a) Customs declaration of cargoes exported or imported by air transport;

b) Information about master bill of lading/house bill of lading;

c) Passenger List;

d) List of pilot team members on board;

dd) Booking status of passengers (PNR information);

3.Forms of printed documents for customs declaration of outgoing, incoming and in-transit vehicles through air border checkpoints (Appendix III)Including:

a) Form No.1: Customs declaration of cargoes;

b) Form No.2: Master bill of lading;

c) Form No.3: House bill of lading;

d) Form No.4 List of pilot team members on board and passengers;

dd) Form No.5: Luggage list;

e) Form No.6: Booking list;

4.Forms of documents for customs declaration of outgoing, incoming and in-transit railway vehicles (Appendix IV) including:

a) Form No.1: Passenger list;

b) Form No.2: Manifest of imported cargoes which are unloaded at each international intermodal rail terminal;

c) Form No.3: Manifest of cargoes exported at international intermodal rail terminals;

d) Form No.4: Record of transfer of imported cargoes transported to inland intermodal rail terminals;

dd) Form No.5: Record of transfer of exported cargoes transported to bordering intermodal rail terminals;

5.Forms of printed documents for customs declaration of outgoing, incoming and in-transit road and waterway vehicles (Appendix V) including:

a) Form No.1: Customs declaration of temporarily imported - re-exported road transport;

a) Form No.2: Customs declaration of temporarily exported - re-imported road transport;

c) Form No.3: Customs declaration of temporarily imported – re-exported inland waterway transport;

d) Form No.4: Customs declaration of temporarily exported – re-imported inland waterway transport;

6.Forms of documents for customs declaration of outgoing, incoming and in-transit waterway vehicles shall be consistent with forms of documents used in maritime issued together with Decree No.58/2017/ND-CP dated May 10, 2017 of the Government on elaboration of a number of articles of the Vietnam Maritime Code regarding maritime operations.

Article 4. Effects

1.This Circular comes into force from June 05, 2018.

2.Circular No.42/2015/TT-BTC dated March 27, 2015 of the Minister of Finance on providing for customs procedures applied for outgoing, incoming and in-transit vehicles will be annulled.

3.Should any question arise, entities concerned shall promptly inform the Ministry of Finance (General Department of Vietnam Customs) for further instructions./.

For theMinister
Deputy Minister
Vu Thi Mai

APPENDIX I

INFORMATION INDICATORS PROVIDED IN CUSTOMS DECLARATION OF OUTGOING, INCOMING AND IN-TRANSIT WATERWAY VEHICLES THROUGHA NATIONAL SINGLE-WINDOW SYSTEM

1.General declaration

No.

Information indicator

Description and note

Required

Code list

Name of ship

Enter name of the ship

Type of ship

Select one of the following transportation models:

(1) Container ship

(2) Barrel carrier (the cargo carried is packed, boxed or rolled when being delivered at the port of loading/discharge on quantity or weight basis (if any))

(3) Bulk carrier (the cargo carried is ununpacked, unboxed or unrolled when being delivered at the port of loading/discharge upon their weights (if any))

(4) Tanker (the cargo carried is pumped directly into tanks or means of storage from the incoming vehicle and vice versa at the port of loading/discharge)

(5) Passenger ship (a ship whose primary function is to carry pessengers)

(6) Others (general cargo ship)

Name of master

Enter name of the ship maser

Maritime zone

Enter name of the maritime zone in which the customs procedure is carried out

Type of document

Select one of the following type:

(1) Incoming ship

(2) Outgoing ship

(3) In-transit ship

(4) In-transit ship – ship changes destination

(5) Ship entering through offshore oil ports

(6) Ship leaving from offshore oil ports

(7) Ship entering through inland ports

(8) Ship leaving from inland ports

(9) Others

Arrival/Departure

Specify either ship arrival or ship departure

IMO number

Enter IMO number of the ship

Call sign

Enter call sign of the ship

Voyage number

Enter the voyage number

Flag State of ship

Enter the flage state of the ship

Port of arrival/departure

Enter the name and code of the port of arrival/departure

Last port of call/next port of call

Enter name and code of the last port of call for incoming or in-transit ships or the next port of call for outgoing ships

Date-time of arrival/departure

Enter particular date-time of arrival/departure in the form of DD/MM/YYY HH:mm, including:

(1) The time expected to arrive in place of pilot embarkation or disembarkation

(2) The time expected to arrive at the port (anchor position at the port of loading/discharge arranged by the port authority)

Position of the ship in the port – berth or station

Enter particular number, sign or name of the port or wharf or expected anchor position at the port

Registration certificate (Number, issuance date and issuer)

Enter the certificate number and issuance date and issuer

Gross tonnage

Enter the gross tonnage of the ship

Gross tonnage unit

Enter the unit code according to the UN/ECE code list

Note: Make reference to the list of measurement unit codes on the website www.customs.gov.vn of the customs authority

Net tonnage

Enter the net tonnage of the ship

Net tonnage unit

Enter the unit code according to the UN/ECE code list

Note: Make reference to the list of measurement unit codes on the website www.customs.gov.vn of the customs authority

Number of crew – inl.master

Enter the number of ship crew including the ship master

Number of passenger

Enter the number of passengers (for ships carrying passengers)

Tax code

Enter the tax code of the shipping agent (in case of declaration via the shipping agent)

Name

Enter name of the shipping agent (in case of declaration via the shipping agent)

Address

Enter the address registered in the business certificate of the shipping agent

Note: The declarant is permitted to update/adjust the information delcared.

Phone

Enter the phone number of the shipping agent

Note: The declarant is permitted to update/adjust the information delcared.

Fax number

Enter the phone number of the shipping agent

Note: The declarant is permitted to update/adjust the information delcared.

Enter the email address of the shipping agent

Note: The declarant is permitted to update/adjust the information delcared.

Brief particulars of voyage

Enter the port code (if any) and name of the port in case of:

(1) Previous ports of call

(2) Subsequent ports of call

(3) Ports where remaining cargo will be discharged

Note:

- For previous ports of call: declare at the maximum 10 ports and date of arrival/departure from each port in the form of DD/MM/YYYY

- For subsequent ports of call and ports of discharge: declare at least 1 port and 3 ports at the maximum

Description of the cargo

- Enter name of the cargo (if there is more than one commodity, enter name of the commodity whose value accounts for the largest proportion of total cargo value)

- Enter information about cargo type ( Hàng nhập - Import cargo, Hàng xuất - Export cargo, Hàng quá cảnh xếp dỡ tại cảng - The quantity of cargo in transit loading, discharging at port, Hàng quá cảnh không xếp dỡ - The quantity of cargo in transit, Hàng trung chuyển - Transshipment cargo...), quantity and unit equivalent to each type of cargo, including:

(1) Container Full: Cont 20: …… (= ..... TEU), Cont 40: …… (=…….TEU); Cont 45: ……. (= ……..TEU);

(2) Container Empty: Cont 20: ……. (= …… TEU), Cont 40: …… (= …… TEU), Cont 45: ……. (= …….. TEU);

(3) Barrel: ………. (=........TNE/KGM), total barrel number ......... (units: unit, piece...)

(4) Bulk: …….. (=………TNE/KGM).

(5) Liquid, gas = : ……….(=……… TNE/KGM).

(6) Others (if any); Enter particular types of other cargoes, quantity, weight and unit of measurement thereof

The ship’s requirements in terms of waste and residue reception facilities

Specify whether the ship requirement is available or not (describe in detail if any)

Remarks

Draft, DWT, LOA, Breadth, Clearance height) and others (If any)

Number of port clearance

Enter the number of port clearance

Empty container bill number– if any

Enter the number of bill of lading provided in the transfer document (including numbers, letters and special symbols if any)

Note:

(1) Special symbols permitted for declaration include:

(

)

“

;

(2) The empty container number is provided in the section “declaration of container empty) on the national single-window system.

Empty container number

Enter the container number in a sufficient and accurate manner in the form prescribed or under the data standard such as declare in the capital letter, no space between the prefix and container number, sepcial symbols such as .,-)/\(=!“%&*;<>@&|?:+‘’`~ is not allowed.

Note: The empty container number is provided in the section “declaration of empty container” on the national single-window system.

Empty Container Size/Type

Enter the container type (20, 40, 45, RS...)

Note: The empty container type is provided in the section “declaration of empty container” on the national single-window system.

2.Cargo declaration

No.

Information indicators

Description and note

Required

Code list

General ship information (Information indicators from 1 to 10 provided hereinafter referred to as will be automatically displayed on the system according to the information declared in the ship dossier)

Name and type of ship

Automatically displayed on the system according to the information provided in the ship dossier by the customs declarant

Arrival/Departure

Automatically displayed on the system according to the information provided in the ship dossier by the customs declarant

IMO number

Automatically displayed on the system according to the information provided in the ship dossier by the customs declarant

Call sign

Automatically displayed on the system according to the information provided in the ship dossier by the customs declarant

Voyage number

Automatically displayed on the system according to the information provided in the ship dossier by the customs declarant

Flag State of ship

Automatically displayed on the system according to the information provided in the ship dossier by the customs declarant

Name of master

Automatically displayed on the system according to the information provided in the ship dossier by the customs declarant

Port of arrival/departure

Automatically displayed on the system according to the information provided in the ship dossier by the customs declarant

Last port of call/next port of call

Automatically displayed on the system according to the information provided in the ship dossier by the customs declarant

Date-time of arrival/departure

Automatically displayed on the system according to the information provided in the ship dossier by the customs declarant

Total number of container

Enter the total number of container declared in the customs declaration of container ship

Number of packages

Enter the total number of packages declared in the customs declaration of bulk carier – barrel

Kind of packages

Enter the kind of packages, for instance: CS (cask), BX (box), PACKET

Note: Make reference to the list of measurement unit codes on the wesite www.customs.gov.vn of the customs authority

Total weight

Enter the total weight declared in the customs declaration of bulk carier – unpackaged bulk cargo

Weight unit

Enter the unit code according to the UN/ECE code list, for instance: KGM (kilogram), TNE (tonne), etc

Note: Make reference to the list of measurement unit codes posted on the wesite www.customs.gov.vn of the customs authority

Cargo information

Scac code/Carrier code

Enter the scac code/carrier code according to the one provided in the table of scac code/carrier code

Note:

Note: Make reference to the table of scac code/carrier code on the wesite www.customs.gov.vn of the customs authority

Master bill No.

Enter the master bill No. provided in the transfer document (including numbers, letters and special symbols if any)

Note: Special symbols permitted for declaration include:

(

)

“

;

Issuance date of master bill of lading (if any)

Enter the issuance date of master bill of lading provided in the transfer document in the form of DD/MM/YYYY

Consignor/Shipper

Enter name and address of the shipper provided in the transfer document

Consignee

Enter name and address of the consignee provided in the transfer document

Notify party

Enter name and address of the notify party provided in the transfer document

Notify party 2

Enter name and address of the notify party 2 provided in the transfer document (if any)

HS code

Enter the HS code of the cargo according to information provided in the transfer document (if any) ( HS code of 4 or 6 or 8 digits issued together with the list of imports and exports in Vietnam)

Note: In case there is more than one commodity, provide the HS code of the one whose value accounts for the largest proportion of total cargo value.

Container number

Container seal number

Enter the container seal number provided in the transfer document in a sufficient and accurate manner

Note: Container seal number is required as for cargo transported by the container attatched with seal.

Net weight

Enter the weight of cargo provided in the transfer document or the weight of each container (for cargo transported by containers)

Weight unit

Enter the weight code according to the UN/ECE code list, for instance: KGM (kilogram), TNE (tonne), etc

Note: Make reference to the list of measurement unit codes on the website www.customs.gov.vn of the customs authority

Gross weight

Enter the weight of cargo provided in the transfer document or the weight of each container (for cargo transported by containers)

Weight unit

Enter the weight unit according to the UN/ECE code list, for instance: KGM (kilogram), TNE (tonne), etc

Note: Make reference to the list of measurement unit codes posted on the website www.customs.gov.vn of the customs authority

Number of packages

Enter total number of packages provided in the transfer document (if any)

Kind of packages

Enter the kind of package, for instance: CS (cask), BX (box), PACKET

Note: Make reference to the list of measurement unit codes posted on the website www.customs.gov.vn of the customs authority

Size/Volume

Enter the information about size/volume provided in the transfer document (if any)

Size/volume unit

Enter the measurement unit of size/volume

Note: Make reference to the list of measurement unit codes posted on the website www.customs.gov.vn of the customs authority

Cargo description

Enter name, symbol/HS code of the cargo and other information (if any, including: model, symbol/HS code, characteristic, technical parameters, components, function and total number of container) provided in the transfer document

Port of loading

Enter name and code of the port according to the UN LOCODE code list

Note:

(1): Make reference to the code list of “Domestic ports and depot” and “Overseas ports” posted on the website www.customs.gov.vn of the customs authority

(2) As for ships entering Vietnam: in case the port of loading is not on the UN/LOCODE code list, the declarant shall provide the code of place where the cargo is loaded which include 2 characters and "ZZZ"

Original port of loading

Enter name and code of the initial port where the cargo is loaded according to the UN LOCODE code list

Note:

(1): Make reference to the code list of “Domestic ports and depot” and “Overseas ports” posted on the website www.customs.gov.vn of the customs authority

Port of transship/transit

Enter name and code of the port according to the UN LOCODE code list

Note:

(1): Make reference to the code list of “Domestic ports and depot” and “Overseas ports” posted on the website www.customs.gov.vn of the customs authority

Port of unload/discharge

Enter name and code of the port according to the UN LOCODE code list

Note:

(1): Make reference to the code list of “Domestic ports and depot” and “Overseas ports” posted on the website www.customs.gov.vn of the customs authority

(2) As for ships leaving from Vietnam: in case the port of discharge is not on the UN/LOCODE code list, the declarant shall provide the code of place where the cargo is loaded which include 2 characters and "ZZZ"

(3) As for ships entering Vietnam:

To ensure that the port operator and warehouse provider have sufficient to carry out the delivery pricedures with the consignee via the customs electronic data processing system, the declarant (shipping line/shipping agent/logistics company must provide the code of port in which the cargo is discharged in a sufficient and accurate manner.

Port of destination/Final destination

Enter name and code of the port according to the UN LOCODE code list

Note: Make reference to the code list of “Domestic ports and depot” and “Overseas ports” posted on the website www.customs.gov.vn of the customs authority

Container Size/Type

Enter the container type (20, 40, 45, RS...)

Container owned

Select one of the following:

(1) “SOC” (Shipper Owned Container) if the container is owned by the shipper

(2) “COC” (Carrier Owned Container) if the container is owned by the carrier

3.House Bill of Lading Declaration

No.

Information indiciator

Description and note

Required

Code list

General ship information (Information indicators from 1 to 10 provided hereinafter will be automatically displayed on the system according to the information declared in the ship dossier)

Name and type of ship

Automatically displayed on the system according to the information provided in the ship dossier by the customs declarant

Arrival/Departure

Automatically displayed on the system according to the information provided in the ship dossier by the customs declarant

IMO number

Automatically displayed on the system according to the information provided in the ship dossier by the customs declarant

Call sign

Automatically displayed on the system according to the information provided in the ship dossier by the customs declarant

Voyage number

Automatically displayed on the system according to the information provided in the ship dossier by the customs declarant

Flag State of ship

Automatically displayed on the system according to the information provided in the ship dossier by the customs declarant

Name of master

Automatically displayed on the system according to the information provided in the ship dossier by the customs declarant

Port of arrival/departure

Automatically displayed on the system according to the information provided in the ship dossier by the customs declarant

Last port of call/next port of call

Automatically displayed on the system according to the information provided in the ship dossier by the customs declarant

Date-time of arrival/departure

Automatically displayed on the system according to the information provided in the ship dossier by the customs declarant

Cargo information

Scac code/Carrier code

Enter the scac code/carrier code according to the one provided in the list of scac code/carrier code

Note:

Note: Make reference to the list of scac code/carrier code posted on the wesite www.customs.gov.vn of the customs authority

Master bill of lading number

Enter the serial number of master bill of lading provided in the transfer document in a sufficient and accurate manner, including numbers, letters and special symbols (if any)

Note:

(1) The declarant may enter the house bill of lading number if the master bill of lading number is found on the system (if any)

(2) Special symbols permitted for declaration include:

(

)

“

;

Issuance date of master bill of lading (if any)

Enter the issuance date provided in the transfer document in the form of DD/MM/YYYY

House bill of lading number

Enter the serial number of house bill of lading provided in the transfer document (including numbers, letters and special symbols, if any)

Note:

(1) The declarant may enter the house bill of lading number if the master bill of lading number is found on the system (if any)

(2) Special symbols permitted for declaration include:

(

)

“

;

Issuance date of house bill of lading (if any)

Enter the issuance date provided in the transfer document in the form of DD/MM/YYYY

Consignor/Shipper

Enter the name and address of the consignor/shipper provided in the transfer document

Consignee

Enter name and address of the consignee provided in the transfer document

Notify party

Enter name and address of the notify party provided in the transfer document (if any)

Notify party 2

Enter name and address of the notify party 2 provided in the transfer document (if any)

Container number

Container seal number

Enter the container seal number provided in the transfer document in a sufficient and accurate manner

Note: Container seal number is required as for cargo transported by the container attatched with seal.

HS code

Enter the HS code of the cargo according to the information provided in the transfer document (if any) ( HS code of 4 or 6 or 8 digits issued together with the list of imports and exports in Vietnam)

Note: In case there is more than one commodity, provide the HS code of the one whose value accounts for the largest proportion of total cargo value.

Net weight

Enter the weight of cargo provided in the transfer document or the weight of each container (for cargo transported by containers)

Weight unit

Enter the unit code according to the UN/ECE code list, for instance: KGM (kilogram), TNE (tonne), etc

Note: Make reference to the list of measurement unit codes on the website www.customs.gov.vn of the customs authority

Gross weight

Enter the weight of cargo provided in the transfer document or the weight of each container (for cargo transported by containers)

Weight unit

Enter the unit code according to the UN/ECE code list, for instance: KGM (kilogram), TNE (tonne), etc

Note: Make reference to the list of measurement unit codes posted on the website www.customs.gov.vn of the customs authority

Number of packages

Enter the total number of packages provided in the transfer document (if any)

Kind of packages

Enter the kind of package, for instance: CS (cask), BX (box), PACKET

Note: Make reference to the list of measurement unit codes on the website www.customs.gov.vn of the customs authority

Size/Volume

Enter the size/volume of the shipment provided in the transfer document (if any)

Size/volume unit

Inout the unit code

Note: Make reference to the list of measurement unit codes posted on the website www.customs.gov.vn of the customs authority

Container number

Container seal number

Enter the container seal number provided in the transfer document in a sufficient and accurate manner

Note: Container seal number is required for cargo transported by the container attatched with seal.

Cargo description

Enter name, symbol/HS code of the cargo and other information (if any, including: model, symbol/HS code, characteristic, technical parameters, components and function of the goods) provided in the transfer document

Port of loading

Enter name and code of the port according to the UN LOCODE code list

Note:

(1): Make reference to the code list of “Domestic ports and depot” and “Overseas ports” posted on the website www.customs.gov.vn of the customs authority

Original port of loading

V name and code of the initial port where the cargo is loaded according to the UN LOCODE code page

Note:

(1): Make reference to the code list of “Domestic ports and depot” and “Overseas ports” posted on the website www.customs.gov.vn of the customs authority

Port of transship/transit

Enter name and code of the port according to the UN LOCODE code list

Note:

(1): Make reference to the code list of “Domestic ports and depot” and “Overseas ports” posted on the website www.customs.gov.vn of the customs authority

Port of unload/discharge

Enter name and code of the port according to the UN LOCODE code list

Note:

(1): Make reference to the code list of “Domestic ports and depot” and “Overseas ports” posted on the website www.customs.gov.vn of the customs authority

(2) As for ships leaving Vietnam: in case the port of discharge is not on the UN/LOCODE code list, the declarant shall provide the code of place where the cargo is loaded which include 2 characters and "ZZZ"

(3) As for ships entering Vietnam: To ensure that the port operator and warehouse provider have sufficient to carry out the delivery pricedures with the consignee via the customs electronic data processing system, the declarant (shipping line/shipping agent/logistics company must provide the code of port in which the cargo is discharged in a sufficient and accurate manner.

Port of destination/Final destination

Enter name and code of the port according to the UN LOCODE code list

Note: Make reference to the code list of “Domestic ports and depot” and “Overseas ports” posted on the website www.customs.gov.vn of the customs authority

Place of delivery

Enter the code of delivery place (if any)

Note:

(1) With regard to imports: Enter the code of the warehouse in which the imported goods pending for clearance are stored

(2) With regard to exports: Enter the code of bonded warehouse (the place in which the goods is stored during customs precedure)

(3) Make reference to the code list of warehouses for goods pending clearance and the code list of bonded warehouses posted on the website www.customs.gov.vn of customs authorities

Type of cargo (Method of delivery)

Select one of the following method provided in the transfer document:

(1) CY/CY

(2) CFS/CFS

(3)CY/CFS

(4) Others

Code of delivery method

Select one of the following delivery method which is specified in the shipping contract between the customs declarant (shipping line/shipping agent/logistics company) with the consignee (for imported cargoes) or the consigner in Vietnam (for exported cargoes)

(1) Cargo transported by containers

(2) Barrel (cargo packed, boxed or rolled when being delivered according to their quantity)

(3) Unpackaged bulk cargo (cargo unpacked, unboxed or unrolled when being delivered according to their quantity)

(4) Liquid cargo (the cargo that is pumped directly into tanks or tubs from the incoming vehicle and vice versa)

4.Crew list declaration

No.	Information indiciator	Description and note	Required	Code list
General ship information (Information indicators from 1 to 10 provided hereinafter will be automatically displayed on the system according to the information declared in the ship dossier)
1	Name and type of ship	Automatically displayed n the system according to the information provided in the ship dossier by the customs declarant	X	X
2	Arrival/Departure	Automatically displayed n the system according to the information provided in the ship dossier by the customs declarant	X
3	IMO number	Automatically displayed n the system according to the information provided in the ship dossier by the customs declarant	X
4	Call sign	Automatically displayed on the system according to the information provided in the ship dossier by the customs declarant	X
5	Voyage number	Automatically displayed ion the system according to the information provided in the ship dossier by the customs declarant	X
6	Flag State of ship	Automatically displayed ion the system according to the information provided in the ship dossier by the customs declarant	X	X
7	Name of master	Automatically displayed on the system according to the information provided in the ship dossier by the customs declarant	X
8	Port of arrival/departure	Automatically displayed on the system according to the information provided in the ship dossier by the customs declarant	X	X
9	Last port of call/next port of call	Automatically displayed on the system according to the information provided in the ship dossier by the customs declarant	X	X
10	Date-time of arrival/departure	Automatically displayed on the system according to the information provided in the ship dossier by the customs declarant	X
Ship crew information (including ship master)
11	Family name, given name	Enter the family name of the ship crew provided in their passport in capital letter without diacritic	X
12	Rank of rating	Enter the rank of rating of the ship crew (master, deputy, mechanic, seaman, etc)	X	X
13	Nationality	Enter nationality of the ship crew provided in their passport	X	X
14	Date of birth	Enter date of birth of the ship crew provided in their passport	X
15	Place of birth	Enter the information about place of birth of the ship crew provided in their passport	X
16	Nature and No. of identity document – Seaman’s passport	Enter all ID numbers of the chip crew in a sufficient and accurate manner	X
17	Type of identity or travel document	Enter information about the type of passport (general passport or diplomatic passport, etc)	X	X

5.Passenger list declaration

No.	Information indiciator	Description and note	Required	Code list
General ship information (Information indicators from 1 to 10 provided hereinafter will be automatically displayed on the system according to the information declared in the ship dossier)
1	Name and type of ship	Automatically displayed on the system according to the information provided in the ship dossier by the customs declarant	X	X
2	Arrival/Departure	Automatically displayed on the system according to the information provided in the ship dossier by the customs declarant	X
3	IMO number	Automatically displayed on the system according to the information provided in the ship dossier by the customs declarant	X
4	Call sign	Automatically displayed on the system according to the information provided in the ship dossier by the customs declarant	X
5	Voyage number	Automatically displayed on the system according to the information provided in the ship dossier by the customs declarant	X
6	Flag State of ship	Automatically displayed on the system according to the information provided in the ship dossier by the customs declarant	X	X
7	Name of master	Automatically displayed on the system according to the information provided in the ship dossier by the customs declarant	X
8	Port of arrival/departure	Automatically displayed on the system according to the information provided in the ship dossier by the customs declarant	X	X
9	Last port of call/next port of call	Automatically displayed on the system according to the information provided in the ship dossier by the customs declarant	X	X
10	Date-time of arrival/departure	Automatically displayed on the system according to the information provided in the ship dossier by the customs declarant	X
Passenger information
11	Family name, given name	Enter family names of passengers provided in their passport in capital letter without diacritic	X
12	Nationality	Enter passengers’ nationality provided in their passport	X	X
13	Date of birth	Enter passengers ‘dates of birth provided in their passport	X
14	Place of birth	Enter passengers’ places of birthprovided in their passport
15	Serial number of identity or travel document	Enter passengers serial numbers of travel document	X
16	Type of identity or travel document	Enter information about the type of passport (general passport or diplomatic passport, etc)	X	X
17	Port of embarkation according to the UN LOCODE code list	Enter name and code of the port according to the UN LOCODE code list Note: (1): Make reference to the code list of “Domestic ports and depot” and “Overseas ports” posted on the website www.customs.gov.vn of the customs authority (2) As for ships entering Vietnam: in case the port of embarkation is not on the UN/LOCODE code list, the declarant shall provide the code of place where the cargo is loaded which include 2 characters and "ZZZ"	X	X
18	Port of disembarkation according to the UN LOCODE code list	Enter name and code of the port according to the UN LOCODE code list (1): Make reference to the code list of “Domestic ports and depot” and “Overseas ports” posted on the website www.customs.gov.vn of the customs authority (2) As for ships leaving Vietnam In case the port of disembarkaion is not on the UN/LOCODE code list, the declarant shall provide the code of place where the cargo is loaded which include 2 characters and "ZZZ"	X	X
19	Transit passenger or not	Select one of the following: (1) Not transit (2) Transit	X	X

6.Passenger s luggage, Crew’s luggage declaration

No.	Information indiciator	Description and note	Required	Code list
General ship information (Information indicators from 1 to 10 provided hereinafter will be automatically displayed on the system according to the information declared in the ship dossier)
1	Name and type of ship	Automatically displayed on the system according to the information provided in the ship dossier by the customs declarant	X	X
2	Arrival/Departure	Automatically displayed on the system according to the information provided in the ship dossier by the customs declarant	X
3	IMO number	Automatically displayed on the system according to the information provided in the ship dossier by the customs declarant	X
4	Call sign	Automatically displayed on the system according to the information provided in the ship dossier by the customs declarant	X
5	Voyage number	Automatically displayed on the system according to the information provided in the ship dossier by the customs declarant	X
6	Flag State of ship	Automatically displayed on the system according to the information provided in the ship dossier by the customs declarant	X	X
7	Name of master	Automatically displayed on the system according to the information provided in the ship dossier by the customs declarant	X
8	Port of arrival/departure	Automatically displayed on the system according to the information provided in the ship dossier by the customs declarant	X	X
9	Last port of call/next port of call	Automatically displayed on the system according to the information provided in the ship dossier by the customs declarant	X	X
10	Date-time of arrival/departure	Automatically displayed on the system according to the information provided in the ship dossier by the customs declarant	X
Crew’s luggage information
11	Family name, given name	Enter family names of passengers provided in their passport in capital letter without diacritic	X
12	Rank of rating	Enter the rank of rating of the ship crew (master, deputy, mechanic, sailor, etc)	X	X
13	Effects ineligible for relief from customs duties and taxes or subject to prohibitions or restrictions	Enter name, quantity, quantiy unit, weight unit and measurement unit of weight of effects ineligible for relief from customs duties and taxes or subject to prohibitions or restrictions (if any)	X

7.Dangerous goods manifest

No.	Information indiciator	Description and note	Required	Code list
General ship information (Information indicators from 1 to 10 provided hereinafter will be automatically displayed on the system according to the information declared in the ship dossier)
1	Name and type of ship	Automatically displayed on the system according to the information provided in the ship dossier by the customs declarant	X	X
2	Arrival/Departure	Automatically displayed on the system according to the information provided in the ship dossier by the customs declarant	X
3	IMO number	Automatically displayed on the system according to the information provided in the ship dossier by the customs declarant	X
4	Call sign	Automatically displayed on the system according to the information provided in the ship dossier by the customs declarant	X
5	Voyage number	Automatically displayed on the system according to the information provided in the ship dossier by the customs declarant	X
6	Flag State of ship	Automatically displayed on the system according to the information provided in the ship dossier by the customs declarant	X	X
7	Name of master	Automatically displayed on the system according to the information provided in the ship dossier by the customs declarant	X
8	Port of arrival/departure	Automatically displayed on the system according to the information provided in the ship dossier by the customs declarant	X	X
9	Last port of call/next port of call	Automatically displayed on the system according to the information provided in the ship dossier by the customs declarant	X	X
10	Date-time of arrival/departure	Automatically displayed on the system according to the information provided in the ship dossier by the customs declarant	X
Dangerous cargo information
11	Booking/reference number	Enter the shipping contract number and booking/reference number
12	HS code	Enter the HS code of the cargo according to the information provided in the transfer document (if any) ( HS code of 4 or 6 or 8 digits issued together with the list of imports and exports in Vietnam) Note: In case there is more than one commodity, provide the HS code of the one whose value accounts for the largest proportion of total cargo value.
13	Container number	Enter the container number in a sufficient and accurate manner in the form prescribed or under the data standard such as declare in the capital letter, no space between the prefix and container number, sepcial symbols such as .,-)/\(=!“%&*;<>@&\|?:+‘’`~ is not allowed.	X
14	Container seal number	Enter the container seal number provided in the transfer document in a sufficient and accurate manner Note: Container seal number is required for cargo transported by the container attatched with seal.
15	Net weight	Enter the weight of cargo provided in the transfer document or the weight of each container (for cargo transported by containers)
16	Weight unit	Enter the unit code acoording to the UN/ECE code list, for instance: KGM (kilogram), TNE (tonne), etc Note: Make reference to the ;ist of measurement unit codes on the website www.customs.gov.vn of the customs authority		X
17	Gross weight	Enter the weight of cargo provided in the transfer document or the weight of each container (for cargo transported by containers)	X	X
18	Weight unit	Enter the weight unit code according to the UN/ECE code list, for instance: KGM (kilogram), TNE (tonne), etc Note: Make reference to the list of measurement unit codes on the website www.customs.gov.vn of the customs authority	X	X
19	Number of packages	Enter total number of packages provided in the transfer document (if any)	X
20	Kind of packages	Enter the kind of packages, for instance: CS (cask), BX (box), PACKET Note: Make reference to the list of measurement unit codes on the wesite www.customs.gov.vn of the customs authority	X	X
21	Size/Volume	Enter the information about size/volume provided in the transfer document (if any)
22	Size/volume unit	Enter the unit code of size/volume Note: Make reference to the list of measurement unit codes on the website www.customs.gov.vn of the customs authority		X
23	Cargo description	Enter name, symbol/HS code of the cargo and other information (if any, including: model, symbol/HS code, characteristic, technical parameters, components and function of the goods) provided in the transfer document	X
24	Port of loading	Enter name and code of the port according to the UN LOCODE code list Note: (1) Make reference to the code list of “Domestic ports and depot” and “Overseas ports” posted on the website www.customs.gov.vn of the customs authority (2) As for ships entering Vietnam: in case the port of loading is not on the UN/LOCODE code list, the declarant shall provide the code of place where the cargo is loaded which include 2 characters and "ZZZ"	X	X
25	Port of unload/discharge	Enter name and code of the port according to the UN LOCODE code list Note: (1) Make reference to the code list of “Domestic ports and depot” and “Overseas ports” posted on the wbesite www.customs.gov.vn of the customs authority (2) As for ships leaving from Vietnam: in case the port of discharge is not on the UN/LOCODE code list, the declarant shall provide the code of place where the cargo is loaded which include 2 characters and "ZZZ" (3) As for ships entering Vietnam To ensure that the port operator and warehouse provider have sufficient to carry out the delivery pricedures with the consignee via the customs electronic data processing system, the declarant (shipping line/shipping agent/logistics company must provide the code of port in which the cargo is discharged in a sufficient and accurate manner.	X	X
26	Port of destination/Final destination	Port of destination/Final destination Enter the port code according to the UN LOCODE code list Note: Make reference to the code list of “Domestic ports and depot” and “Overseas ports” posted on the wesite www.customs.gov.vn of the customs authority		X
27	Proper shipping name	Enter the name and address of the shipping company	X
28	Class	Enter the class of cargo	X
29	UN number	Enter UN number of the cargo	X
30	Packing group	Enter packing group information	X
31	Subsidiary risk(s)	Enter subsidiary risk information	X
32	Flash point – In oC, c.c	Specify information about flash point of the cargo	X
33	Marine pollutant	Specify marine pollutant information	X
34	Ems	Enter ems information	X
35	Additional information	Specify additional information (if any)

8.Ship s store declaration

No.	Information indiciator	Description and note	Required	Code list
General ship information (Information indicators from 1 to 10 provided hereinafter will be automatically displayed on the system according to the information declared in the ship dossier)
1	Name and type of ship	Automatically displayed on the system according to the information provided in the ship dossier by the customs declarant	X	X
2	Arrival/Departure	Automatically displayed on the system according to the information provided in the ship dossier by the customs declarant	X
3	IMO number	Automatically displayed on the system according to the information provided in the ship dossier by the customs declarant	X
4	Call sign	Automatically displayed on the system according to the information provided in the ship dossier by the customs declarant	X
5	Voyage number	Automatically displayed on the system according to the information provided in the ship dossier by the customs declarant	X
6	Flag State of ship	Automatically displayed on the system according to the information provided in the ship dossier by the customs declarant	X	X
7	Name of master	Automatically displayed on the system according to the information provided in the ship dossier by the customs declarant	X
8	Port of arrival/departure	Automatically displayed on the system according to the information provided in the ship dossier by the customs declarant	X	X
9	Last port of call/next port of call	Automatically displayed on the system according to the information provided in the ship dossier by the customs declarant	X	X
10	Date-time of arrival/departure	Automatically displayed on the system according to the information provided in the ship dossier by the customs declarant	X
Ship’s store information
11	Name of article	Enter name of article on board	X
12	Quantity	Enter the quantity/weight of article on board	X
13	Kind of packages	Enter the kind of packages, for instance: CS (cask), BX (box), PACKET Note: Make reference to the kind of package list on the wesite www.customs.gov.vn of the customs authority	X	X
14	Location on board	Enter name or symbol or code of the location on board	X
15	Official use	Specify the use purpose on board	X

Form No.1 – Appendix I

CUSTOMS DEPARTMENT OF….. SUB-DEPARTMENT OF CUSTOMS OF ….. -------	SOCIALIST REPUBLIC OF VIETNAM Independence - Freedom - Happiness ---------------
No………/PC-CCHQ

SHIPPING NOTE

1. Information about ship and entry/exit checkpoint

1.1. Number of announcement of document receipt:

1.2. Receipt date: …/…/… at ...:...

1.3. Flag of state:

1.4. Port of arrival: ........................................................... at ...:.... on .../..../...

1.5.Port of departure: ............................................... at ...:... on .../.../...

2. Components of customs documents for change of destination

2.1. General declaration*

2.2. Cargo manifest (cargo discharged at the port of arrival)*

2.3. Manifest of dangerous cargo*

2.4. Declaration of ship’s stores*

2.5. Declaration of crew’s luggage and passengers’ luggage*

2.6. List of ship crew and passengers (if any)*

3. Information about cargo on board

3.1. Cargo condition (carried by containers/bulk cargo/liquid cargo):

3.2. Quantity of imported cargo loaded on board at the port of arrival (if any):

- (20) Container Full: Cont 20: …….. (= ……. TEU), Cont 40: ....... (= …… TEU); Cont 45: ……….. (= ……… TEU);

- Container empty: Cont 20: …….. (=……. TEU), Cont 40: ......... (= ….... TEU), Cont 45: ………. (= ……… TEU);

- Barrel: …………. (=……………. TNE/KGM, total barrel number: ……….. (Units: unit, piece...)

- Bulk: ……………..(=………………TNE/KGM)

- Liquid, gas =: ……………(=…………….TNE/KGM)

3.3. Seal condition (if any):

3.4. For change of destination shipment with change of means of transport: name and serial number of means of transport to the port of arrival

CUSTOMS SUB-DEPARTMENT OF DEPARTURE PORT

4. Customs document of port of arrival

4.1. Port of arrival: ………………………………….. at…:… on…/…/….

4.2. Condition of cargo on board (intact, changed, etc)

CUSTOMS SUB-DEPARTMENT OF ARRIVAL PORT

APPENDIX II

INFORMATION INDICATORS PROVIDED IN CUSTOMS DECLARATION OF OUTGOING, INCOMING AND IN-TRANSIT AIR VEHICLES UNDER NATIONAL SINGLE-WINDOW SYSTEM
(Issued together with Circular No.50/2018/TT-BTC dated May 23, 2018 of the Minister of Finance)

1.Customs declaration of cargoes exported or imported by air transport

No.	Information indiciator	Required	List	Note
	General information
1	Operator or Carrier Code	x	x
2	Flight Number	x
3	Date and Time of Scheduled Departure	x		YYMMDD/ HHMM
4	Airport Code of Loading	x	x
5	Aircraft Registration	x
	First destination
6	ISO Country Code	x	x
7	Date and Time of Scheduled Arrival	x		YYMMDD/ HHMM
8	Airport/City Code of Arrival	x	x
	Point of Unloading
9	Airport Code of Unloading	x	x
10	Nil Cargo Code
11	Date and Time of Scheduled Arrival	x		YYMMDD/ HHMM
12	Date and Time of Scheduled Departure	x		YYMMDD/ HHMM
	Bill of Lading			Can be repeated
13	AWB number	x
13.1	Airport/City Code of Origin	x	x
13.2	Airport/City Code of Destination	x	x
13.3	Shipment Description Code	x	x
13.4	Number of Pieces	x
13.5	Manifest Description Nature of Goods	x
13.6	Special Handling Code (SHC)		x
13.7	Weight code	x	x
13.8	Weight	x
13.9	Measurement Unit Code	x	x
13.10	Length Dimension	x
13.11	Width Dimension	x
13.12	Height Dimension	x
13.13	Number of Pieces	x
14	Bulk Bill of Lading:
14	Number of Pieces	x
15	ULD Bill of Lading:
15.1	ULD Type	x	x
15.2	ULD Serial Number	x
15.3	ULD Owner Code	x
15.4	ULD Loading Locator
15.5	ULD Remark
16	Other information
16	Cargo manifest formation date			YYMMDD

2.Information about Master bill of lading/House bill of lading

No.	Information indiciator	Required	List	Note
	Master Bill
1	Master AWB Number	x
	*AWB Origin and Destination*	x
2	Airport/City Code of Origin	x	x
3	Airport/City Code of Destination	x	x
	*Quantity Detail*	x
4	Shipment Description Code	x	x
5	Number of Pieces	x
6	Weight code	x	x
7	Weight	x
8	Shipper
8.1	Name	x
8.2	Street Address	x
	*Location*
8.3	Place	x
8.4	State/Province
8.5	ISO Country Code	x	x
8.6	Post Code
	*Contact Detail*
8.7	Contact Number
9	Consignee
9.1	Name	x
9.2	Street Address	x
	*Location*	x
9.3	Place	x
9.4	State/Province
9.5	ISO Country Code	x	x
9.6	Post Code
	*Contact Detail*
9.7	Contact Number	x
	House Waybill Summary Details of MAWB Number
10	HWB Serial Number	x
	*House Waybill Origin and Destination*	x
10.1	Airport/City Code of Departure	x	x
10.2	Airport/City Code of Destination	x	x
11	*House Waybill Totals*	x
11.1	Number of Pieces	x
11.2	Weight code	x	x
11.3	Weight	x
11.4	Nature of Goods	x
11.5	Special Handling Code (SHC)		x
11.6	Free Text Description of Goods	x
12	Shipper
12.1	Name	x
12.2	Street Address	x
	*Location*
12.3	Place	x
12.4	State/Province
12.5	ISO Country Code	x	x
12.6	Post Code
	*Contact Detail*
12.7	Contact Number
13	Consignee
13.1	Name	x
13.2	Street Address	x
	*Location*	x
13.3	Place	x
13.4	State/Province
13.5	ISO Country Code	x	x
13.6	Post Code
	*Contact Detail*
13.7	Contact Number	x
	Charge Declarations
14	ISO Currency Code	x	x
	*Prepaid/Collect Charge Declarations*	x
15	P/C Ind. (Weight/Valuation)	x
17	P/C Ind. (Other Charges)	x
	*Value for Carriage Declaration*	x
18	Declared Value for Carriage or No Value Declared (NVD)	x
	*Value for Customs Declaration*	x
19	Declared Value for Carriage or No Value Declared (NVD)	x
	*Value for Insurance Declaration*	x
20	Amount of Insurance(No Value (XXX))	x

3.Passenger List

No.	Information indiciator	Required	List	Note
	Flight information
1	Operator	x
2	Airline Code and Flight Number	x	x
3	Schedule Local Departure Dates/Times	x		YYMMDD/ HHMM
4	Aircraft Registration	x
5	Marks of Nationality	x	x
6	Departure from	x	x
7	Arrive at	x	x
8	Scheduled Local Arrival Dates/Times			YYMMDD/ HHMM
9	Total Number of Passengers and Number of Crew Members	x
	Detailed Passenger Information
10	Seat	x
11	Gender	x	x
12	Surname/Given Name(s)	x
13	Nationality	x	x
14	Date of Birth	x		YYMMDD
15	Doc.No	x
16	Document Type	x	x
17	Place of issue	x
18	Expiration Date of Official Travel Document	x		YYMMDD
19	Luagge tag No. (state "No" if not available)	x
20	Number of luggage (state “No” if not available)	x
21	Weight of luggage (state “No” if not available)	x
22	Place/Port of Original Embarkation	x	x
23	Place/Port of Original Debarkation	x	x

4.List of pilot team members on board

No.	Information indiciator	Required	List	Note
	Flight information
1	Operator	x
2	Airline Code and Flight Number	x	x
3	Schedule Local Departure Dates/Times	x		YYMMDD/ HHMM
4	Aircraft Registration	x
5	Marks of Nationality	x	x
6	Departure from	x	x
7	Arrive at	x	x
8	Scheduled Local Arrival Dates/Times			YYMMDD/ HHMM
9	Total Number of Passengers and Number of Crew Members	x
	Detailed Crew Member Information
10	Surname/Given Name(s)
11	Gender	x	x
12	Position	x
13	Nationality	x	x
14	Date of birth	x		YYMMDD
15	Doc.No	x
16	Document Type	x	x
17	Place of issue	x
18	Expiration Date of Official Travel Document	x		YYMMDD
19	Luagge tag No. (state "No" if not available)	x
20	Number of luggage (state “No” if not available)	x
21	Weight of luggage (state “No” if not available)	x
22	Place/Port of Original Embarkation	x	x
23	Place/Port of Original Debarkation	x	x

5.Booking status of passengers (PNR information)

No.	Information indiciator	Required	List	Note
1	Passenger Name Record Locator	x		Record for verification of booking information
2	Date of Reservation	x
3	Date(s) of Intended Travel	x
4	Passenger Name	x
5	Other Names			Including names of other passengers
6	Addresses	x		Addresses of all passengers
7	Contact Telephone Number	x		Including contact telephone numbr of passengers, travel agent or the hotel
8	Email Address	x		Email addresses of persons making reservation
9	Contact Details	x		Name, address, phone number and email address of each individual making reservation
10	All Forms of Payments Information	x		Information concerning payments such as credit card information CSC or CVV or full serial number of the card is not required.
11	Billing Address			Address for bill receiving
12	Ticketing Field Information	x		Including ticket number and ticket type
13	Travel Itinerary	x		Itinerary for pessegers making reservation
14	Frequent Traveller Information	x		Number or type of frequent traveller card or equivalent informatio
15	Travel Agent	x		Name, code (according toIATA code list) or phone number of the travel agent
16	Identity of Person Who Made the Booking	x		Indentity of the person/travel agent making the booking
17	Group Indicator/Code Share	x		Code share in case a group of passengers booking the same seat
18	Split/Divided OPI Indicator	x		For the case in which 2 or more than 2 passengers request split of seat due to change of itinerary
19	Seat Requested			Providing seat class, seat number and cabin number (if any)
20	Seat Allocated			Providing seat class, seat number and cabin number (if any)
21	Baggage Information			Number of baggages, total weight, bag tag number, destination and other information (during the check-in process)
22	General Remarks			Other additional information
23	OSI information			Other additional information such information about kids, staff or VIP guests, etc
24	Special Service Information/Special Service Request Information			Special service information or special service requests (SSI/SSR) exclusive information on religion or political opinions
25	Any Collected API Information			Any API information collected during booking process or check-in process
26	Group Indicator	x		Group of passengers or individual passengers
27	Number of travellers
28	All Historical Changes			All historical changes of booking including booking addition, revision or cancelation

APPENDIX III

FORMS OF DOCUMENTS USED FOR CUSTOMS DECLARATION OF OUTGOING, INCOMING AND IN-TRANSIT AIR VEHICLES
(Issued together with Circular No.50/2018/TT-BTC dated May 23, 2018 of the Minister of Finance)

Form No.1- – Appendix III

BẢN KHAI HÀNG HÓA (CARGO MANIFEST)
GENERAL INFORMATION
1. Mã hãng chuyên chở (Operator or Carrier Code):				2. Số hiệu chuyến bay (Flight Number):
3. Thời gian khởi hành dự kiến (Date and Time of Scheduled Departure):				4. Mã sân bay xếp hàng (Airport Code of Loading):
5. Số đăng ký tàu bay (Aircraft Registration):				6. Mã nước đến (ISO Country Code):
7. Thời gian dự kiến đến (Date and Time of Scheduled Arrival):				8. Tàu bay không chở hàng hóa (Nil Cargo Code):
9. Mã sân bay/ thành phố nơi đi của hàng hóa (Airport/ City Code of Origin of goods):				10. Mã sân bay nơi đến của hàng hóa (Airport/ City Code of Destination of goods):
11. Mã sân bay dỡ hàng (Airport Code of Unloading):				12. Mã sân bay đến (Airport Code of Arrival):
13. Thời gian đến dự kiến (Date and Time of Scheduled Arrival):				14. Thời gian đi dự kiến (Date and Time of Scheduled Departure):
BILL OF LADING
Số vận đơn (MAWB No.) (15)	Mô tả hàng hóa (Manifest Description Nature of Goods) (16)	Mã xử lý hàng hóa đặc biệt (Special Handling Code (SHC)) (17)	Đơn vị tính trọng lượng (Weight Code) (18)	Trọng lượng (Weight) (19)	Đơn vị tính kích thước (Measurement Unit Code) (20)	Số lượng kiện (Number of Pieces) (21)





BULK BILL OF LADING
22. Số lượng (Number of Pieces)

ULD BILL OF LADING
23. Loại ULD (ULD type)
24. Số ULD (ULD Serial Number)
25. Tổng (Total)

…., ngày (date)….. tháng (month)... năm(year)……..
_{Người khai hải quan (Signature of Declarant)

Form No.2 – Appendix III

Thông tin vận đơn chủ (Master Airway Bill):
1. Số vận đơn chủ (Master AWB Number):
*Điểm đi và đến của hàng hóa trên vận đơn chủ (Master AWB Origin and Destination):*
2. Mã cảng/sân bay/thành phố của nơi hàng đi (Airport/City Code of Origin)			3. Mã cảng/sân bay/thành phố của nơi hàng đến (Airport/City Code of Destination)
*Thông tin chi tiết số lượng trên vận đơn chủ (Quantity Detail):*
4. Số vận đơn thứ cấp (House AWB Serial Number)	5. Mô tả hàng hóa (Description of goods)	6. Số lượng (Number of Pieces)		7. Đơn vị tính trọng lượng (Weight Code)	8. Trọng lượng (Weight)













9. Tổng (Total):

……, ngày (date) …… tháng (month) …... năm(year)…….
Người khai hải quan (Signature of Declarant)

Form No.3 – Appendix III

Thông tin vận đơn thứ cấp (House Airway Bill):

1. Số vận đơn thứ cấp (House airway bill No.):

2. Số vận đơn chủ (Master airway bill No.):

3.Cảng/sân bay/thành phố nơi hàng đi (Airport/City Code of Departure):

4. Cảng/sân bay/thành phố nơi hàng đến (Airport/City Code of Destination):

5. Số chuyến bay/ Ngày bay (Flight/Date):

6. Mã nước (ISO Country Code):

7. Người vận chuyển/người gửi hàng (Shipper):

- Họ và tên (full name):

- Địa chỉ (Address):

- Số điện thoại liên hệ (Contact Number):

8. Người nhận hàng (Consignee):

- Họ và tên (full name):

- Địa chỉ: (Address):

- Số điện thoại liên hệ (Contact Number):

Địa điểm (Place):

Quận/ Huyện (State/ Province:

Mã quốc gia (ISO Country code):

Mã bưu điện (Post code):

Địa điểm (Place)

Quận/ Huyện (State/ Province):

Mã quốc gia (ISO Country code):

Mã bưu điện (Post code):

9. Mã tiền tệ (Currency code):

10. Cước và chi phí trả trước (Prepaid):

11. Cước và chi phí trả sau (Collect):

12. Trị giá khai báo vận chuyển (Declared Value for Carriage):

13. Trị giá khai báo hải quan (Declared Value for Customs):

14. Trị giá khai báo bảo hiểm (Value for Insurance Declaration):

Số tiền bảo hiểm(Amount of Insurance) / Không có phí bảo hiểm (No Value (XXX):

Tên hàng (Description of good)
(15)

Số lượng (No. of pcs)
(16)

Trọng lượng (Weight)
(17)

Đơn vị tính trọng lượng (Weight code)
(18)

Đặc tính hàng hóa (Nature of good)
(19)

Hàng hóa đặc biệt (Special handling code)
(20)

Mã HS (Harmonized commodity code)
(21)

……ngày (date) …… tháng (month) ..... năm (year)……
ĐẠI LÝ GIAO NHẬN
(ký tên, đóng dấu)
Signature of issuing Carries or its agent

Form No.4 – Appendix III

DANH SÁCH TỔ LÁI, NHÂN VIÊN TRÊN TÀU VÀ HÀNH KHÁCH (CREW AND PASSENGER MANIFEST)
Số chuyến bay (Flight)/ Ngày (Date):					Mã của hãng hàng không (AC REG):
Từ quốc gia (From):					Đến quốc gia (To):
Danh sách tổ lái và nhân viên trên tàu (Crew list)
TT	Họ và tên(Full name)	Ngày, tháng, năm sinh(Date of birth)	Giới tính(Gender)	Tổng kiện hành lý ký gửi(Total pcs)		Số thẻ hành lý ký gửi(Tag No.)	Quốc tịch(Nationality)	Số hộ chiếu(Passport No.)


Tổng/Total
Danh sách hành khách (Passenger list)
TT	Họ và tên(Full name)	Ngày, tháng, năm sinh(Date of birth)	Giới tính(Gender)	Tổng kiện hành lý ký gửi(Total pcs)		Số thẻ hành lý ký gửi(Tag No.)	Quốc tịch(Nationality)	Số hộ chiếu(Passport No.)


Tổng/Total

……., ngày (date) ….. tháng (month) ... năm(year) ……
Người khai hải quan ký
(Signature of Declarant)

Form No.5 – Appendix III

DANH SÁCH HÀNH LÝ KÝ GỬI (CARGO MANIFEST OWNER OR OPERATOR):
Nhãn hiệu quốc tịch và đăng ký tàu bay (Marks of nationality and registration):
Số chuyến bay (Flight):			Ngày (Date):
Sân bay xếp hàng (Port of loading):			Sân bay dỡ hàng (Port of unloading):
Vận đơn số (AWB No)	Số lượng (PCS)	Tên hàng (Name of goods)	Tổng kiện và trọng lượng hành lý ký gửi (Total Pcs and weight)	Dành cho cơ quan quản lý (For official use only):



Tổng số lượng và trọng lượng (Total pcs and weight):
Tổng số trên vận tải đơn (Total No. of Awb):
Số lượng thực và trọng lượng thực (G/TTL pcs and weight):
Số lượng vận tải đơn thực có (G/TTL No.of Awb):

…….., ngày (date) …… tháng (month) ……. năm(year) ………….
Người khai hải quan ký
(Signature of Declarant)

Form No.6- – Appendix III

APPENDIX IV

FORMS OF DOCUMENTS USED FOR CUSTOMS DECLARATION OF OUTGOING, INCOMING AND IN-TRANSIT RAILWAY VEHICLES
(Issued together with Circular No.50/2018/TT-BTC dated May 23, 2018 of the Minister of Finance)

ISSUANCE AUTHORITY
No………../DSHK

Form No.1 – Appendix IV

Form No.2 – Appendix IV

ISSUANCE AUTHORITY
No………../BTLHHNK

MANIFEST OF IMPORTED CARGOES DISCHARGED AT EACH INTERNATIONAL INTERMODAL RAIL TERMINAL

No.

No. of Incoming train

Date of arrival

Carriage No.

Bill of lading No.

Seal No.

Date of departure

Rail terminal of loading

Rail terminal of unloading

Name of goods

Quantity

Unit

Note

Customs authority

Carrier

(1)

(2)

(3)

(4)

(5)

(6)

(7)

(8)

(9)

(10)

(11)

(12)

(13)

Date/month/year
(14) REPRESENTATIVE OF BORDER INTERMODAL RAIL TERMINAL
(Signature and seal)

Date/month/year
(15) CUSTOMS AUTHORITY OF BORDER INTERMODAL RAIL TERMINAL
(Signature and seal)

Date/month/year
(16) CUSTOMS AUTHORITY OF INLAND INTERMODAL RAIL TERMINAL
(Signature and seal)

Form No.3 – Appendix IV

ISSUANCE AUTHORITY
No………../BTLHHNK

MANIFEST OF CARGOES EXPORTED AT INTERNATIONAL INTERMODAL RAIL TERMINALS

No.

Outgoing train No.

Carriage No.

Bill of lading No.

Seal No.

Date of departure

Rail terminal of origin

Rail terminal of destination

Name of goods

Quantity

Unit

Note

Customs authority

Carrier

(1)

(2)

(3)

(4)

(5)

(6)

(7)

(8)

(9)

(10)

(11)

(12)

Date/month/year
(13) REPRESENTATIVE OF INLAND INTERMODAL RAIL TERMINAL
(Signature and seal)

Date/month/year
(14) CUSTOMS AUTHORITY OF INLAND INTERMODAL RAIL TERMINAL
(Signature and seal)

Date/month/year
(15) CUSTOMS AUTHORITY OF BORDER INTERMODAL RAIL TERMINAL
(Signature and seal)

Form No.4 – Appendix IV

CUSTOMS DEPARTMENT OF .... SUB-DEPARTMENT OF CUSTOMS OF..... -------	SOCIALIST REPUBLIC OF VIETNAM Independence - Freedom - Happiness ---------------
No……/BBBG-HHNK

RECORD

TRANSFER OF IMPORTED CARGOES TO INLAND INTERMODAL RAIL TERMINALS

I. Declaration by Sub-department of Customs of border intermodal rail terminal making the record

To the Sub-department of Customs of inland intermodal rail terminal .....................

The imported cargoes are transferred to you for customs procedures purpose.

Time of transfer: …:…. On …/…/…

Time of intended arrival: …:… on …/.../…

1.Documents transferred include the following:

a) An original record of transfer of imported cargoes to inland intermodal rail terminal

b) An original copy of manifest of imported cargoes unloaded at each inland intermodal rail terminal

c) A copy of bill of unloading at inland intermodal rail terminal

2.Cargo manifest

No.	Carriage No.	Bill of lading No.	Name of goods	Quantity	Unit	Carrier seal No.	Customs authority s seal no.	Note
No.	(1)	(2)	(3)	(4)	(5)	(6)	(7)	(8)

a) Condition of means of transport:

b)Cargo condition:………………………………………………………………..

II.Declaration by Sub-department of Customs of inland intermodal rail terminal receiving the record

1.Time of receipt: …:… on …/…/…

2.Verification of carrier seal and customs authority s seal (if any) in reality and cargo condition in reality

………………………………………………………………………….................

CUSTOMS AUTHORITY OF BORDER INTERMODAL RAIL TERMINAL
(Signature and seal)

CUSTOMS AUTHORITY OF INLAND INTERMODAL RAIL TERMINAL
(Signature and seal)

Form No.5 – Appendix IV

CUSTOMS DEPARTMENT OF….. CUSTOMS SUB-DEPARTMENT OF….. -------	SOCIALIST REPUBLIC OF VIETNAM Independence - Freedom - Happiness ---------------
No………/BB-CCHQ

RECORD

TRANSFER OF EXPORTED CARGOES TO BORDER INTERMODAL RAIL TERMINAL

1.Declaration by Sub-department of Customs of inland intermodal rail terminal making the record_0}

To the Sub-department of Customs of border intermodal rail terminal .....................

The imported cargoes are transferred to you for customs procedures purpose.

Time of transfer: …:…. On …/…/…

Time of intended arrival: …:… on …/.../…

1.Documents transferred include the following:

a) An original copy of record of transfer of exported cargoes transported to bordering intermodal rail terminals;

b) An original copy of manifest of cargoes exported at inland intermodal rail terminal

A copy of bill of lading

2.Cargo manifest

No.	Carriage No.	Bill of lading No.	Name of goods	Quantity	Unit	Carrier seal No.	Customs authority s seal no.	Note
No.	(1)	(2)	(3)	(4)	(5)	(6)	(7)	(8)

a) Condition of means of transport:

b) Cargo condition:………………………………………………………………..

II.I. Declaration of Sub-department of Customs of border intermodal rail terminal receiving the record

1.Time of receipt: …:… on …/…/…

2.Verification of carrier seal and customs authority s seal (if any) in reality and cargo condition in reality

……………………………………………………………………………….........

CUSTOMS AUTHORITY OF INLAND INTERMODAL RAIL TERMINAL
(Signature and seal)

CUSTOMS AUTHORITY OF BORDER INTERMODAL RAIL TERMINAL
(Signature and seal)

APPENDIX V

FORMS OF DOCUMENTS USED FOR CUSTOMS DECLARATION OF OUTGOING, INCOMING AND IN-TRANSIT ROAD AND RIVERWAY VEHICLES
(Issued together with Circular No.50/2018/TT-BTC dated May 23, 2018 of the Minister of Finance)

Form No.1 – Appendix V

TỜ KHAI PHƯƠNG TIỆN VẬN TẢI ĐƯỜNG BỘ TẠM NHẬP-TÁI XUẤT

(CUSTOMS DECLARATION FOR TEMPORARY IMPORT AND RE-EXPORT MEANS OF TRANSPORTATION)
(Liên 1: Bản giao người điều khiển phương tiện/
Copy 1: For the operator of means of transportation)

Số tờ khai (Declaration No.): ……………../TN/HQCK…………….,

Ngày (Date-d/m/y): …../...…/20……

PHẦN NGƯỜI ĐIỀU KHIỂN KHAI BÁO
(DECLARATION OF THE DRIVER)

PHẦN HẢI QUAN LÀM THỦ TỤC
(FOR CUSTOMS USE)

A. Người điều khiển phương tiện/Driver’s Detail:

- Họ và tên/Full name: ……………………………;

- Quốc tịch/Nationality: …………………………….;

- Hộ chiếu số/Passport No.: ……………………….;

- Giấy thông hành số/Border Pass No: ………….;

+ Ngày Cấp/Issue Date: ……………………………;

+ Nơi Cấp/Issue Place: …………………………….;

- Địa chỉ/Address: ………………………………….;

B. Nhận dạng phương tiện/Detail of means of transportation:

- Loại/Type: ………………………………………….;

- Nhãn hiệu/Label or mark: …………………………;

- Biển kiểm soát số/Licence Plate No: ……………;

- Nước đăng ký/Registering Country: …………….;

- Mầu/color: ………….; - Số chỗ ngồi/seats: ….…..;

- Số khung/Chassis Serial No.: ……………………..;

- Số máy/Engine Serial No.: …………………………;

C. Chủ sở hữu phương tiện/Owner of means of transportation:

Khai báo, nếu người điều khiển không là chủ sở hữu phương tiện (gồm: cá nhân, công ty, cơ quan) /Full in, if Driver is not the Owner of means of transportation (included: private, company, organization)

+ Họ và tên/Full name: …………………………….;

+ Quốc tịch/Nationality: …………………………..;

+ Địa chỉ/Address: ………………………………..;

D. Giấy phép cho PTVT qua biên giới (Permitted Document of means of transportation):

- Giấy phép qua biên giới so/Transit No: ………….;

- Ngày Cấp/Issue date: ………………………………;

- Cơ quan cấp/Issue by: …………………………….;

- Thời hạn cho phép/Duration allowed for being in Viêt Nam: ……………………. ngày/days;

Ngày tái xuất/Re-exportation date: ………………..;

- Phạm vi hoạt động/Travelling Area:

………………………………………………………..;

I. XÁC NHẬN TẠM NHẬP (TEMPORARY-IMPORT)

1. Xác nhận của công chức tiếp nhận hồ sơ:

(Authentication of customs documents receiver)

□ Ispection exemption;

□ Inspection of means of transportation;

Ký, đóng dấu công chức
(Signature and stamp)
………………………

2. Xác nhận của công chức kiểm tra, giám sát:

(Authentication of examiner of means of transportation)

□ Violation record (if any);

Result: ……………………………………

………………………………………………;

Time of entry:
……..: ….. date ..../…../20…….

Ký, đóng dấu công chức:
(Signature and stamp)

II. XÁC NHẬN TÁI XUẤT (RE-EXPORT)

1. Xác nhận của công chức tiếp nhận hồ sơ:

(Authentication of customs documents receiver)

- Exit checkpoint: ………………………;

- Date: ……/ ……./20………..

□ Inspection exemption;

□ Inspection of means of transportation;

□ Supplemental declaration (if any);

Ký, đóng dấu công chức
(Signature and stamp)
…………………………..

2. Xác nhận của công chức kiểm tra, giám sát:

(Authentication of examiner of means of transportation)

□ Violation record (if any);

Result: ………………………………….

……………………………………………;

Time of exit: ……. : …… date ……/...../20 …..

Ký, đóng dấu công chức
(Signature and stamp)
………………………………….

- Cửa khẩu tái xuất/Exit Checkpoint:

………………………………………………………;

E. Thông tin về hàng hóa, hành khách/information of commodity, passengers:

□ Hàng hóa /Commodity:

- Tên hàng/Name of goods:

……………………………………………………..;

- Tờ khai hải quan số/declaration No.:

……………………………... dated:..../..../20....;

□ Số lượng/Numbers: ……… khách/passengers;

Ngày (date-d/m/y) …/..../20...
Người điều khiển/Driver
Ký/Signature

…………………….

Ghi chú/Note: khai bổ sung (nếu có) ở trang sau/Supplemental declaration (if any) in verso.

PHẦN KHAI BỔ SUNG PHƯƠNG TIỆN VẬN TẢI
(SUPPLEMENTAL DECLARATION FOR MEANS OF TRANSPORTATION)

PHẦN NGƯỜI ĐIỀU KHIỂN KHAI BÁO (DECLARATION OF THE DRIVER)		PHẦN HẢI QUAN LÀM THỦ TỤC (FOR CUSTOMS USE)
1. Thay đổi so với tạm nhập/tạm xuất (nếu có) (Changes made to the means of transportation (if any)): a/ Thay người điều khiển PTVT(Change made to Operator of means of transportation): □ - Họ và tên/Full name: …………………………..; - Địa chỉ thường trú/Permanent residential address: …..………………………………………..; - Số Hộ chiếu hoặc Giấy thông hành/Passport or Border-pass No.:…………….………………; + Ngày cấp (date of issue-d/m/y): ……/…../20….. b/ Gia hạn thời hạn lưu hành PTVT(Extenssion of operation of means of transportation): □ - Văn bản gia hạn số: (Permitted document No. allowing such extenssion): ……………………………………………………….; + Được phép lưu hành đến hết ngày: (Duration of operation extended to): ……/…../20……, + Cơ quan gia hạn: (Authority allowing such extension): ………………………………………… + Ngày cấp (date-d/m/y): …../…../20…… - Lý do gia hạn: (Reason for such extension) + Sửa chữa (repair) □ + Tai nạn giao thông (accidents) □ + Lý do khác (other): ……………………………………………………….. c/ Thông tin về hàng hóa, hành khách (information of commodity, passengers): □ Hàng hóa/Commodity: - Tên hàng/name of goods: ………………………; - Tờ khai hải quan số/declaration No: ……. dated …./…./20…; □ Số lượng/numbers: ………..khách/passengers; Ngày(date-d/m/y) …../…../20…. Người khai báo(Customs declarant)		2. Xác nhận của công chức tiếp nhận:(Authentication of customs documents receiver) - Về hồ sơ (Of dossiers) ……………. ………………………………………… + Ngày (Date): …../…../20.... Ký, đóng dấu công chức (Signature and stamp) …………………….
Ký(Signature) ……………………..	Ghi rõ họ tên(Full name) ……………………..

TỜ KHAI PHƯƠNG TIỆN VẬN TẢI ĐƯỜNG BỘ TẠM NHẬP-TÁI XUẤT
(CUSTOMS DECLARATION FOR TEMPORARY IMPORT AND RE-EXPORT MEANS OF TRANSPORTATION)
(Liên 2: Bản cơ quan Hải quan lưu/Copy 2: Retained by Customs)

Số tờ khai (Declaration No.): …………/TN/HQCK…..………,

Ngày (Date-d/m/y): …../…./20…..

PHẦN NGƯỜI ĐIỀU KHIỂN KHAI BÁO (DECLARATION OF THE DRIVER)		PHẦN HẢI QUAN LÀM THỦ TỤC (FOR CUSTOMS USE)
A. Người điều khiển phương tiện/Driver’s Detail: - Họ và tên/Full name: ………………………………; - Quốc tịch/Nationality: ……………………………..; - Hộ chiếu số/Passport No: ………………………..; - Giấy thông hành số/Border Pass No: ………….; + Ngày cấp/Issue Date: …………………………….; + Nơi cấp/Issue Place: ……………………………..; - Địa chỉ/Address: …………………………………….; B. Nhận dạng phương tiện/Detail of means of transportation: - Loại/Type: ………………………………………….; - Nhãn hiệu/Label or mark: ………………………..; - Biển kiểm soát số/Licence Plate No: …………...; - Nước đăng ký/Registering Country: …………….; - Mầu/color: …………; - Số chỗ ngồi/seats: ……..; - Số khung/Chassis Serial No.: ……………………; - Số máy/Engine Serial No.: ………………………….; C. Chủ sở hữu phương tiện/Owner of means of transportation: Khai báo, nếu người điều khiển không là chủ sở hữu phương tiện (gồm: cá nhân, công ty, cơ quan) /Full in, if Driver is not the Owner of means of transportation (included: private, company, organization) + Họ và tên/Full name: ………………………………; + Quốc tịch/Nationality: ………………………………; + Địa chỉ/Address: …………………………………….; D. Giấy phép cho PTVT qua biên giới/Permitted Document of means of transportation: - Giấy phép qua biên giới số/Transit No: ………….; - Ngày cấp/Issue date: ……………………………….; - Cơ quan cấp/Issue by: …………………………….; - Thời hạn cho phép/Duration Allowed for being in Việt Nam: ……. ngày/days; Ngày tái xuất/Re-exportation date: …….; - Phạm vi hoạt động/Travelling Area: ………………; - Cửa khẩu tái xuất/Exit Checkpoint: ……………….; E. Thông tin về hàng hóa, hành khách(informations of commodity, passengers): □ Hàng hóa/Commodity: - Tên hàng/goods name: ……………………………..; - Tờ khai hải quan số/declaration No: …..dated: …/…/20...; □ Số lượng/numbers: ……….. khách/passengers;		I. XÁC NHẬN TẠM NHẬP(TEMPORARY-IMPORT) 1. Xác nhận của công chức tiếp nhận hồ sơ: (Authentication of customs documents receiver) □ Inspection exemption; □ Inspection of means of transportation; Ký, đóng dấu công chức (Signature and stamp) ……………. 2. Xác nhận của công chức kiểm tra, giám sát: (Authentication of examiner of means of transportation) □ Violation record (if any); Result: ……………………………. ………………………………………; Time of entry: …….. : ….. date …./…../20….. Ký, đóng dấu công chức: (Signature and stamp) ……………..
		II. XÁC NHẬN TÁI XUẤT(RE-EXPORT) 1. Xác nhận của công chức tiếp nhận hồ sơ: (Authentication of customs documents receiver) - Exit checkpoint: ……………….; - Date: ……./……/20…….. □ Inspection exemption; □ Inspection of means of transportation; □ Supplemental declaration (if any); Ký, đóng dấu công chức (Signature and stamp) …………… 2. Xác nhận của công chức kiểm tra, giám sát: (Authentication of examiner of means of transportation) □ Violation record (if any); Result: ………………………………. …………………………………………; Time of exit: ….. : ……. date …../…../20…… Ký, đóng dấu công chức (Signature and stamp) ………………….
	Ngày(date-d/m/y) ......./…../20…. Người điều khiển/Driver Ký/Signature ……………………….
Ghi chú/Note:khai bổ sung (nếu có) ở trang sau/suplemental Declaration (if any) in verso.

PHẦN KHAI BỔ SUNG PHƯƠNG TIỆN VẬN TẢI

(SUPPLEMENTAL DECLARATION FOR MEANS OF TRANSPORTATION)

PHẦN NGƯỜI ĐIỀU KHIỂN KHAI BÁO (DECLARATION OF THE DRIVER)		PHẦN HẢI QUAN LÀM THỦ TỤC (FOR CUSTOMS USE)
1. Thay đổi so với tạm nhập/tạm xuất (nếu có) (Changes made to the means of transportation (if any)): a/ Thay người điều khiển PTVT(Change made to Operator of means of transportation): □ - Họ và tên/Full name: ……………………………..; - Quốc tịch/Nationality: ……………………………….; - Địa chỉ thường trú/Permanent residential address: …..………………………………………..; - Số Hộ chiếu hoặc Giấy thông hành: ………….., (Passport or Border-pass No.) + Ngày cấp (date of issue-d/m/y): ……/…../20….. b/ Gia hạn thời hạn lưu hành PTVT(Extenssion of operation of means of transportation): □ - Văn bản gia hạn số: ………………………., (No of permitted document allowing such extenssion): + Được phép lưu hành đến hết ngày: ……/…../20……, (Duration of operation extended to): + Cơ quan gia hạn: ………………………………………… (Authority allowing such extension): + Ngày cấp (date-d/m/y): …../…../20…… - Lý do gia hạn: (Reason(s) for such extension) + Sửa chữa (repair) □ + Tai nạn giao thông (accidents) □ + Lý do khác (other): ……………………………………………………….. c/ Thông tin về hàng hóa, hành khách (information of commodity, passengers): □ Hàng hóa/Commodity: - Tên hàng/name of goods: ………………………; - Tờ khai hải quan số/declaration No: ……. dated …./…./20…; □ Số lượng/numbers: ………..khách/passengers; Ngày(date-d/m/y) …../…../20…. Người khai báo(Customs declarant)		2. Xác nhận của công chức tiếp nhận:(Authentication of customs documents receiver) - Về hồ sơ (Of dossiers) ……………. ………………………………………… + Ngày (Date): …../…../20.... Ký, đóng dấu công chức (Signature and stamp) …………………….
Ký(Signature)	Ghi rõ họ tên(Full name)

Form No.2 – Appendix V

TỜ KHAI PHƯƠNG TIỆN VẬN TẢI ĐƯỜNG BỘ TẠM XUẤT-TÁI NHẬP

(CUSTOMS DECLARATION FOR TEMPORARY EXPORT AND RE-IMPORT MEANS OF TRANSPORTATION)
(Liên 1: Bản giao người điều khiển phương tiện/
Copy 1: For the operator of means of transportation)

Số tờ khai(Declaration No.): …………/TN/HQCK…..………,

Ngày(date-d/m/y): …../…./20…..

PHẦN NGƯỜI ĐIỀU KHIỂN KHAI BÁO (DECLARATION OF THE DRIVER)		PHẦN HẢI QUAN LÀM THỦ TỤC (FOR CUSTOMS USE)
A. Người điều khiển phương tiện/Driver’s Detail: - Họ và tên/Full name: ………………………………; - Quốc tịch/Nationality: …………………………..; - Hộ chiếu số/Passport No: ……………………..; - Giấy thông hành số/Border Pass No: ……….; + Ngày cấp/Issue Date: ………………………….; + Nơi cấp/Issue Place: …………………………..; - Địa chỉ/Address: ……………………………….; B. Nhận dạng phương tiện/Detail of means of transportation: - Loại/Type: ……………………………………….; - Nhãn hiệu/Label or mark: ……………………..; - Biển kiểm soát số/Licence Plate No: ………...; - Nước đăng ký/Registering Country: ………….; - Mầu/color: …………; - Số chỗ ngồi/seats: …….; - Số khung/Chassis Serial No.: …………………; - Số máy/Engine Serial No.: …………………….; C. Chủ sở hữu phương tiện/Owner of means of transportation: Khai báo, nếu người điều khiển không là chủ sở hữu phương tiện (gồm: cá nhân, công ty, cơ quan) /Full in, if Driver is not the Owner of means of transportation (included: private, company, organization) + Họ và tên/Full name: …………………………; + Quốc tịch/Nationality: …………………………; + Địa chỉ/Address: ……………………………….; D. Giấy phép cho PTVT qua biên giới/Permitted Document of means of transportation: - Giấy phép qua biên giới số/Transit No: ……….; - Ngày cấp/Issue date: ………………………….; - Cơ quan cấp/Issue by: ……………………….; - Thời hạn cho phép/Duration Allowed for being in Việt Nam: ……. ngày/date; Ngày tái nhập/Re-importation date: …….; - Phạm vi hoạt động/Travelling Area: ……………; - Cửa khẩu tái nhập/Entry Checkpoint: ………….; E. Thông tin về hàng hóa, hành khách(informations of commodity, passengers): □ Hàng hóa/Commodity: - Tên hàng/goods name: ………………………..; - Tờ khai hải quan số/declaration No: …..dated: …/…/20...; □ Số lượng/numbers: ……….. khách/passengers;		I. XÁC NHẬN TẠM XUẤT(TEMPORARY-EXPORT) 1. Xác nhận của công chức tiếp nhận hồ sơ: (Authentication of customs documents receiver) □ Inspection exemption; □ Inspection of means of transportation; Ký, đóng dấu công chức (Signature and stamp) ……………. 2. Xác nhận của công chức kiểm tra, giám sát: (Authentication of examiner of means of transportation) □ Violation record (if any); Kết quả: …………………………………. ……………………………………………; Time of exit: …….. : ….. date …./…../20….. Ký, đóng dấu công chức: (Signature and stamp) …………….. II. XÁC NHẬN TÁI NHẬP(RE-IMPORT) 1. Xác nhận của công chức tiếp nhận hồ sơ: (Authentication of customs documents receiver) - Entry checkpoint: ……………………; - Date: ……./……/20…….. □ Inspection exemption; □ Inspection of means of transportation; □ Supplemental declaration (if any); Ký, đóng dấu công chức (Signature and stamp) …………… 2. Xác nhận của công chức kiểm tra, giám sát: (Authentication of examiner of means of transportation) □ Violation record (if any); Result: …………………………………. ……………………………………………; Time of entry: ….. : ……. date …../…../20…… Ký, đóng dấu công chức (Signature and stamp) ………………….
	Ngày(date-d/m/y) .../…/20… Người điều khiển/Driver Ký/Signature ……………………….
Ghi chú/Note:khai bổ sung (nếu có) ở trang sau/suplemental Declaration (if any) in verso.

PHẦN KHAI BỔ SUNG PHƯƠNG TIỆN VẬN TẢI
(SUPPLEMENTAL DECLARATION FOR MEANS OF TRANSPORTATION)

PHẦN NGƯỜI ĐIỀU KHIỂN KHAI BÁO (DECLARATION OF THE DRIVER)		PHẦN HẢI QUAN LÀM THỦ TỤC (FOR CUSTOMS USE)
1. Thay đổi so với tạm nhập/tạm xuất (nếu có) (Changes made to the means of transportation (if any)): a/ Thay người điều khiển PTVT(Change made to Operator of means of transportation): □ - Họ và tên/Full name: ………………………………..; - Quốc tịch/Nationality: ……………………………….; - Địa chỉ thường trú/Permanent residential address: …..…………………………………………..; - Số Hộ chiếu hoặc Giấy thông hành: ………….., (Passport or Border-pass No.) + Ngày cấp (date of issue-d/m/y): ……/…../20….. b/ Gia hạn thời hạn lưu hành PTVT(Extenssion of operation of means of transportation): □ - Văn bản gia hạn số: (Permitted document No. allowing such extenssion): ………………………….., + Được phép lưu hành đến hết ngày: (Duration of operation extended to) ……/…../20……, + Cơ quan gia hạn: (Authority allowing such extension): ………………………………….., + Ngày cấp (date-d/m/y): …../…../20…… - Lý do gia hạn: (Reason(s) for such extension) + Sửa chữa (repair) □ + Tai nạn giao thông (accidents) □ + Lý do khác (other): ………………………………….. c/ Thông tin về hàng hóa, hành khách (information of commodity, passengers): □ Hàng hóa/Commodity: - Tên hàng/name of goods: ………………………; - Tờ khai hải quan số/declaration No: ……. dated …./…./20…; □ Số lượng/numbers: ………..khách/passengers; Ngày(date-d/m/y) …../…../20……. Người khai báo(Customs declarant)		2. Xác nhận của công chức tiếp nhận:(Authentication of customs documents receiver) - Về hồ sơ (Of dossiers) ……………. ……………………………………….… + Ngày (Date): ….. /….. /20.... Ký, đóng dấu công chức (Signature and stamp) …………………….
Ký(Signature)	Ghi rõ họ tên(Full name)

TỜ KHAI PHƯƠNG TIỆN VẬN TẢI ĐƯỜNG BỘ TẠM XUẤT-TÁI NHẬP
(CUSTOMS DECLARATION FOR TEMPORARY EXPORT AND RE-IMPORT MEANS OF TRANSPORTATION)
(Liên 2: Bản cơ quan Hải quan lưu/Copy 2: Retained by Customs)

Số tờ khai(Declaration No.): …………/TN/HQCK…..………,

Ngày(date-d/m/y): …../…./20…..

PHẦN NGƯỜI ĐIỀU KHIỂN KHAI BÁO (DECLARATION OF THE DRIVER)		PHẦN HẢI QUAN LÀM THỦ TỤC (FOR CUSTOMS USE)
A. Người điều khiển phương tiện/Driver’s Detail: - Họ và tên/Full name: ………………………; - Quốc tịch/Nationality: …………………………..; - Hộ chiếu số/Passport No: ……………………..; - Giấy thông hành số/Border Pass No: ……….; + Ngày cấp/Issue Date: ………………………….; + Nơi cấp/Issue Place: …………………………..; - Địa chỉ/Address: ……………………………….; B. Nhận dạng phương tiện/Detail of means of transportation: - Loại/Type: ……………………………………….; - Nhãn hiệu/Label or mark: ……………………..; - Biển kiểm soát số/Licence Plate No: ………...; - Nước đăng ký/Registering Country: ………….; - Mầu/color: ………; - Số chỗ ngồi/seats: ……..; - Số khung/Chassis Serial No.: …………………; - Số máy/Engine Serial No.: …………………….; C. Chủ sở hữu phương tiện/Owner of means of transportation: Khai báo, nếu người điều khiển không là chủ sở hữu phương tiện (gồm: cá nhân, công ty, cơ quan) /Full in, if Driver is not the Owner of means of transportation (included: private, company, organization) + Họ và tên/Full name: …………………………; + Quốc tịch/Nationality: …………………………; + Địa chỉ/Address: ……………………………….; D. Giấy phép cho PTVT qua biên giới/Permitted Document of means of transportation: - Giấy phép qua biên giới số/Transit No: …….; - Ngày cấp/Issue date: ………………………….; - Cơ quan cấp/Issue by: ……………………….; - Thời hạn cho phép/Duration Allowed for being in Việt Nam: ……. ngày/days; Ngày tái nhập/Re-importation date: …….; - Phạm vi hoạt động/Travelling Area: …………; - Cửa khẩu tái nhập/Entry Checkpoint: …………………………………………….…….; E. Thông tin về hàng hóa, hành khách(informations of commodity, passengers): □ Hàng hóa/Commodity: - Tên hàng/goods name: ………………………..; - Tờ khai hải quan số/declaration No: …..dated:…/…/20...; □ Số lượng/numbers: ……….. khách/passengers;		I. XÁC NHẬN TẠM XUẤT(TEMPORARY-EXPORT) 1. Xác nhận của công chức tiếp nhận hồ sơ: (Authentication of customs documents receiver) □ Inspection exemption; □ Inspection of means of transportation; Ký, đóng dấu công chức (Signature and stamp) ……………. 2. Xác nhận của công chức kiểm tra, giám sát:(Authentication of examiner of means of transportation) □ Violation record (if any); Result: …………………………………. ………………………………………………; Time of exit:….. : ….. date …./…../20….. Ký, đóng dấu công chức: (Signature and stamp) ……………..
		II. XÁC NHẬN TÁI NHẬP(RE-IMPORT) 1. Xác nhận của công chức tiếp nhận hồ sơ:(Authentication of customs documents receiver) - Entry checkpoint: ……………………; - Date: ……./……/20…….. □ Inspection exemption; □ Inspection of means of transportation; □ Supplemental declaration (if any); Ký, đóng dấu công chức (Signature and stamp) …………… 2. Xác nhận của công chức kiểm tra, giám sát:(Authentication of examiner of means of transportation) □ Violation record (if any); Result: ……………………………………. ……………….………………………………; Time of entry:….. : ……. date …../…../20… Ký, đóng dấu công chức (Signature and stamp) ………………….
	Ngày(date-d/m/y) .../…/20… Người điều khiển/Driver Ký/Signature ……………………….
Ghi chú/Note:Khai bổ sung (nếu có) ở trang sau/suplemental Declaration (if any) in verso.

PHẦN KHAI BỔ SUNG PHƯƠNG TIỆN VẬN TẢI
(SUPPLEMENTAL DECLARATION FOR MEANS OF TRANSPORTATION)

PHẦN NGƯỜI ĐIỀU KHIỂN KHAI BÁO (DECLARATION OF THE DRIVER)		PHẦN HẢI QUAN LÀM THỦ TỤC (FOR CUSTOMS USE)
1. Thay đổi so với tạm nhập/tạm xuất (nếu có) (Changes made to the means of transportation (if any)): a/ Thay người điều khiển PTVT(Change made to Operator of means of transportation): □ - Họ và tên/Full name: ……………………………..; - Quốc tịch/Nationality: …………………………….; - Địa chỉ thường trú/Permanent residential address: …..………………………………………..; - Số Hộ chiếu hoặc Giấy thông hành: (Passport or Border-pass No.): …………………………………, + Ngày cấp (date of issue-d/m/y): ……/ …../20…….. b/ Gia hạn thời hạn lưu hành PTVT(Extenssion of operation of means of transportation): □ - Văn bản gia hạn số: (No of permitted document allowing such extenssion): ………………………………………………………., + Được phép lưu hành đến hết ngày: (Duration of operation extended to): ……/ …../20……, + Cơ quan gia hạn: (Authority allowing such extension): ………………………………………….. + Ngày cấp (date-d/m/y): …/…/20… - Lý do gia hạn: (Reason(s) for such extension) + Sửa chữa (repair) □ + Tai nạn giao thông (accidents) □ + Lý do khác (other): ……………………………….. c/ Thông tin về hàng hóa, hành khách (information of commodity, passengers): □ Hàng hóa/Commodity: - Tên hàng/name of goods: ………………………; - Tờ khai hải quan số/declaration No: ……. dated …./…./20…; □ Số lượng/numbers: ………..khách/passengers; Ngày(date-d/m/y) …../…../20……. Người khai báo(Customs declarant)		2. Xác nhận của công chức tiếp nhận:(Authentication of customs documents receiver) - Về hồ sơ (Of dossiers) ………………. …………………………………………… + Ngày (Date): ….. /….. /20.... Ký, đóng dấu công chức (Signature and stamp) …………………….
Ký(Signature)	Ghi rõ họ tên(Full name)

Form No.3 – Appendix V

TỜ KHAI PHƯƠNG TIỆN VẬN TẢI ĐƯỜNG THỦY NỘI ĐỊA TẠM NHẬP-TÁI XUẤT

(CUSTOMS DECLARATION FOR TEMPORARY IMPORT AND RE-EXPORT MEANS OF TRANSPORTATION)
(Liên 2: Bản cơ quan Hải quan lưu/Copy 2: Retained by Customs)

Số tờ khai(Declaration No.): …………/TN/HQCK…..………,

Ngày(date-d/m/y): …../…./20…..

PHẦN NGƯỜI ĐIỀU KHIỂN KHAI BÁO (DECLARATION OF THE DRIVER)		PHẦN HẢI QUAN LÀM THỦ TỤC (FOR CUSTOMS USE)
A. Người điều khiển phương tiện (Skipper/Master’s Detail): - Họ và tên/Full name: …………………………; - Quốc tịch/Nationality: ………………………..; - Hộ chiếu số/Passport No: …………………..; - Giấy thông hành số/Border Pass No: …….; + Ngày cấp/Issue Date: ……………………….; + Nơi cấp/Issue Place: ………………………..; - Địa chỉ/Address: …………………………….; B. Nhận dạng phương tiện/Detail of means of transportation: - Loại/Type: …………………………………….; - Nhãn hiệu/Label or mark: …………………..; - Biển kiểm soát số/Licence Plate No: ……...; - Nước đăng ký/Registering Country: ……….; - Tải trọng/Loading Capacity: ………..……..; C. Chủ sở hữu phương tiện/Owner of means of transportation: Khai báo, nếu người điều khiển không là chủ sở hữu phương tiện (gồm: cá nhân, công ty, cơ quan) /Full in, if Master is not the Owner of means of transportation (included: private, company, organization) + Họ và tên/Full name: ………………………; + Quốc tịch/Nationality: ………………………; + Địa chỉ/Address: …………………………….; D. Giấy phép cho PTVT qua biên giới/Permitted Document of means of transportation: - Giấy phép qua biên giới số/Transit No: ……; - Ngày cấp/Issue date: ……………………….; - Cơ quan cấp/Issue by: ……………………….; - Thời hạn cho phép/Duration Allowed for being in Việt Nam: ……. ngày/days; Ngày tái xuất/Re-exportation date: …….; - Phạm vi hoạt động/Travelling Area: ………; - Cửa khẩu tái xuất/Exit Checkpoint: ……….; E. Thông tin về hàng hóa, hành khách(informations of commodity, passengers): □ Hàng hóa/Commodity: - Tên hàng/goods name: ……………………..; - Tờ khai hải quan số/declaration No: ………………………….…..dated: …/…/20...; □ Số lượng/numbers: ………..khách/passengers;		I. XÁC NHẬN TẠM NHẬP(TEMPORARY-IMPORT) 1. Xác nhận của công chức tiếp nhận hồ sơ: (Authentication of customs documents receiver) □ Inspection exemption; □ Inspection of means of transportation; Ký, đóng dấu công chức (Signature and stamp) ……………. 2. Xác nhận của công chức kiểm tra, giám sát:(Authentication of examiner of means of transportation) □ Violation record (if any); Result: …………………………………. ………………………………………………; Time of entry:…….. : ….. date …./…../20….. Ký, đóng dấu công chức: (Signature and stamp) ……………..
		II. XÁC NHẬN TÁI XUẤT(RE-EXPORT) 1. Xác nhận của công chức tiếp nhận hồ sơ:(Authentication of customs documents receiver) - Exit checkpoint: …………………….; - Date: ……./……/20…….. □ Inspection exemption; □ Inspection of means of transportation; □ Supplemental declaration (if any); Ký, đóng dấu công chức (Signature and stamp) …………… 2. Xác nhận của công chức kiểm tra, giám sát: (Authentication of examiner of means of transportation) □ Violation record (if any); Result: ……………………………………. ………………………………………………; Time of exit:….. : ……. Date …../…../20…… Ký, đóng dấu công chức (Signature and stamp) ………………….
	Ngày(date-d/m/y)...../…../20 …. Người điều khiển/ Skipper/Master Ký/Signature ……………………….
Ghi chú/Note:Khai bổ sung (nếu có) ở trang sau/suplemental Declaration (if any) in verso.

PHẦN KHAI BỔ SUNG PHƯƠNG TIỆN VẬN TẢI
(SUPPLEMENTAL DECLARATION FOR MEANS OF TRANSPORTATION)

PHẦN NGƯỜI ĐIỀU KHIỂN KHAI BÁO (DECLARATION OF THE DRIVER)		PHẦN HẢI QUAN LÀM THỦ TỤC (FOR CUSTOMS USE)
1. Thay đổi so với tạm nhập/tạm xuất (nếu có) (Changes made to the means of transportation (if any)): a/ Thay người điều khiển PTVT(Change made to Operator of means of transportation): □ - Họ và tên/Full name: ………………………………..; - Quốc tịch/Nationality: ……………………………….; - Địa chỉ thường trú/Permanent residential address: …..…………………………………………..; - Số Hộ chiếu hoặc Giấy thông hành: (Passport or Border-pass No.): …………………………………, + Ngày cấp (date of issue-d/m/y): ……/…../20…… b/ Gia hạn thời hạn lưu hành PTVT(Extenssion of operation of means of transportation): □ - Văn bản gia hạn số: (Permitted document No. allowing such extenssion) ………………………., + Được phép lưu hành đến hết ngày (Duration of operation extended to): ……/…../20……, + Cơ quan gia hạn: (Authority allowing such extension): ………………………………….. + Ngày cấp (date-d/m/y): …../…../20…… - Lý do gia hạn: (Reason(s) for such extension) + Sửa chữa (repair) □ + Tai nạn giao thông (accidents) □ + Lý do khác (other): ……………………………….. c/ Thông tin về hàng hóa, hành khách (information of commodity, passengers): □ Hàng hóa/Commodity: - Tên hàng/name of goods: ………………………; - Tờ khai hải quan số/declaration No: ……. dated …./…./20…; □ Số lượng/numbers: ………..khách/passengers; Ngày(date-d/m/y) …../…../20……. Người khai báo(Customs declarant)		2. Xác nhận của công chức tiếp nhận:(Authentication of customs documents receiver) - Về hồ sơ (Of dossiers) ……………. ………………………………………… + Ngày (Date): …../…../20.... Ký, đóng dấu công chức (Signature and stamp) …………………….
Ký(Signature) ……………………..	Ghi rõ họ tên(Full name)

Form No.4 – Appendix V

TỜ KHAI PHƯƠNG TIỆN VẬN TẢI ĐƯỜNG THỦY NỘI ĐỊA TẠM XUẤT-TÁI NHẬP

(CUSTOMS DECLARATION FOR TEMPORARY EXPORT AND RE-IMPORT MEANS OF TRANSPORTATION)
(Liên 1: Bản giao người điều khiển phương tiện/Copy 1: For the Skipper/Master of ship)

Số tờ khai (Declaration No.): …………………./TN/HQCK…………………,

Ngày (date-d/m/y): ……/..../20…..

NGƯỜI ĐIỀU KHIỂN KHAI BÁO (DECLARATION OF THE DRIVER)		PHẦN HẢI QUAN LÀM THỦ TỤC (FOR CUSTOMS USE)
A. Người điều khiển phương tiện (Skipper/Master’s Detail): - Họ và tên/Full name: ………………………………; - Quốc tịch/Nationality: ……………………………..; - Hộ chiếu số/Passport No: ………………………..; - Giấy thông hành số/Border Pass No: ………….; + Ngày cấp/Issue Date: …………………………….; + Nơi cấp/Issue Place: ……………………………..; - Địa chỉ/Address: ………………………………….; B. Nhận dạng phương tiện/Detail of means of transportation: - Loại/Type: ………………………………………….; - Nhãn hiệu/Label or mark: ………………………..; - Biển kiểm soát số/Licence Plate No: …………...; - Nước đăng ký/Registering Country: …………….; - Tải trọng/Loading Capacity: ……………….……..; C. Chủ sở hữu phương tiện/Owner of means of transportation: Khai báo, nếu người điều khiển không là chủ sở hữu phương tiện (gồm: cá nhân, công ty, cơ quan) /Full in, if Master is not the Owner of means of transportation (included: private, company, organization) + Họ và tên/Full name: ……………………………; + Quốc tịch/Nationality: ……………………………; + Địa chỉ/Address: ………………………………….; D. Giấy phép cho PTVT qua biên giới/Permitted Document of means of transportation: - Giấy phép qua biên giới số/Transit No: ……….; - Ngày cấp/Issue date: …………………………….; - Cơ quan cấp/Issue by: .………………………….; - Thời hạn cho phép/Duration Allowed for being in Việt Nam: ……. ngày/days; Ngày tái nhập/Re-importation date: ………….….; - Phạm vi hoạt động/Travelling Area: ……………; - Cửa khẩu tái nhập/Entry Checkpoint: ………….; E. Thông tin về hàng hóa, hành khách(informations of commodity, passengers): □ Hàng hóa/Commodity: - Tên hàng/goods name: …………………………..; - Tờ khai hải quan số/declaration No: …………………………………..dated: …/…/20...; □ Số lượng/numbers: ……….. khách/passengers;		I. XÁC NHẬN TẠM XUẤT(TEMPORARY-EXPORT) 1. Xác nhận của công chức tiếp nhận hồ sơ: (Authentication of customs documents receiver) □ Inspection exemption; □ Inspection of means of transportation; Ký, đóng dấu công chức (Signature and stamp) ……………. 2. Xác nhận của công chức kiểm tra, giám sát: (Authentication of examiner of means of transportation) □ Violation record (if any); Result: …………………………………. ……………………………………………; Time of exit …….. : ….. date …./…../20….. Ký, đóng dấu công chức: (Signature and stamp) ……………..
		II. XÁC NHẬN TÁI NHẬP(RE-IMPORT) 1. Xác nhận của công chức tiếp nhận hồ sơ: (Authentication of customs documents receiver) - Entry checkpoint: ……………………; - Date: ……./……/20…….. □ Inspection exemption; □ Inspection of means of transportation; □ Supplemental declaration (if any); Ký, đóng dấu công chức (Signature and stamp) …………… 2. Xác nhận của công chức kiểm tra, giám sát: (Authentication of examiner of means of transportation) □ Violation record (if any) Result: …………………………………. ……………………………………………; Time of entry:….. : ……. date …../…../20…… Ký, đóng dấu công chức (Signature and stamp) ………………….
	Ngày(date-d/m/y) ......./…../20…. Người điều khiển/Skipper/Master Ký/Signature ……………………….
Ghi chú/Note:Khai bổ sung (nếu có) ở trang sau/suplemental Declaration (if any) in verso.

PHẦN KHAI BỔ SUNG PHƯƠNG TIỆN VẬN TẢI
(SUPPLEMENTAL DECLARATION FOR MEANS OF TRANSPORTATION)

PHẦN NGƯỜI ĐIỀU KHIỂN KHAI BÁO (DECLARATION OF THE DRIVER)		PHẦN HẢI QUAN LÀM THỦ TỤC (FOR CUSTOMS USE)
1. Thay đổi so với tạm nhập/tạm xuất (nếu có)(Changes made to the means of transportation (if any)): a/ Thay người điều khiển PTVT(Change made to Operator of means of transportation): □ - Họ và tên/Full name: …………………………..; - Quốc tịch/Nationality: ………………………….; - Địa chỉ thường trú/Permanent residential address: …..…………………………………..; - Số Hộ chiếu hoặc Giấy thông hành: ………….., (Passport or Border-pass No.) + Ngày cấp (date of issue-d/m/y): ……/…../20…….. b/ Gia hạn thời hạn lưu hành PTVT(Extenssion of operation of means of transportation): □ - Văn bản gia hạn số (Permitted document No. allowing such extenssion) ………………….., + Được phép lưu hành đến hết ngày (Duration of operation extended to): ……/ …../20……, + Cơ quan gia hạn (Authority allowing such extension): …………………………………….. + Ngày cấp (date-d/m/y): …../…../20…… - Lý do gia hạn: (Reason(s) for such extension) + Sửa chữa (repair) □ + Tai nạn giao thông (accidents) □ + Lý do khác (other): ………………………………….. c/ Thông tin về hàng hóa, hành khách (information of commodity, passengers): □ Hàng hóa/Commodity: - Tên hàng/name of goods: ……………………; - Tờ khai hải quan số/declaration No: …………………………..……. dated …./…./20…; □ Số lượng/numbers: ……….khách/passengers; Ngày(date-d/m/y) …../…../20……. Người khai báo(Customs declarant)		2. Xác nhận của công chức tiếp nhận:(Authentication of customs documents receiver) - Về hồ sơ (Of dossiers) ………. ……………………………………… + Ngày (Date): ….. /…../20.... Ký, đóng dấu công chức (Signature and stamp) …………………….
Ký(Signature)	Ghi rõ họ tên(Full name)

TỜ KHAI PHƯƠNG TIỆN VẬN TẢI ĐƯỜNG THỦY NỘI ĐỊA TẠM XUẤT-TÁI NHẬP
(CUSTOMS DECLARATION FOR TEMPORARY EXPORT AND RE-IMPORT MEANS OF TRANSPORTATION)
(Liên 2: Bản cơ quan Hải quan lưu/Copy 2: Retained by Customs)

Số tờ khai(Declaration No.): …………/TN/HQCK…..………,

Ngày(date-d/m/y): …../…./20…..

PHẦN NGƯỜI ĐIỀU KHIỂN KHAI BÁO (DECLARATION OF THE DRIVER)		PHẦN HẢI QUAN LÀM THỦ TỤC (FOR CUSTOMS USE)
A. Người điều khiển phương tiện/Skipper/Master’s Detail: - Họ và tên/Full name: ………………………………; - Quốc tịch/Nationality: ……………………………..; - Hộ chiếu số/Passport No: ………………………..; - Giấy thông hành số/Border Pass No: ………….; + Ngày cấp/Issue Date: …………………………….; + Nơi cấp/Issue Place: ……………………………..; - Địa chỉ/Address: ………………………………….; B. Nhận dạng phương tiện/Detail of means of transportation: - Loại/Type: ………………………………………….; - Nhãn hiệu/Label or mark: ………………………..; - Biển kiểm soát số/Licence Plate No: …………...; - Nước đăng ký/Registering Country: …………….; - Tải trọng/Loading Capacity: ………………..……..; C. Chủ sở hữu phương tiện/Owner of means of transportation: Khai báo, nếu người điều khiển không là chủ sở hữu phương tiện (gồm: cá nhân, công ty, cơ quan) /Full in, if Master is not the Owner of means of transportation (included: private, company, organization) + Họ và tên/Full name: ……………………………; + Quốc tịch/Nationality: ……………………………; + Địa chỉ/Address: ………………………………….; D. Giấy phép cho PTVT qua biên giới/Permitted Document of means of transportation: - Giấy phép qua biên giới số/Transit No: ……….; - Ngày cấp/Issue date: …………………………….; - Cơ quan cấp/Issue by: ………………………….; - Thời hạn cho phép/Duration Allowed for being in Việt Nam: ……. ngày/days; Ngày tái nhập/Re-importation date: ………….….; - Phạm vi hoạt động/Travelling Area: ……………; - Cửa khẩu tái nhập/Entry Checkpoint: …………….; E. Thông tin về hàng hóa, hành khách(informations of commodity, passengers): □ Hàng hóa/Commodity: - Tên hàng/name of goods: …………………………..; - Tờ khai hải quan số/declaration No: …..dated: …/…/20...; □ Số lượng/numbers: ……….. khách/passengers;		I. XÁC NHẬN TẠM XUẤT(TEMPORARY-EXPORT) 1. Xác nhận của công chức tiếp nhận hồ sơ: (Authentication of customs documents receiver) □ Inspection exemption; □ Inspection of means of transportation; Ký, đóng dấu công chức (Signature and stamp) ……………. 2. Xác nhận của công chức kiểm tra, giám sát: (Authentication of examiner of means of transportation) □ Violation record (if any); Result: …………………………………. ……………………………………………; Time of exit:….. : ….. date …./…../20….. Ký, đóng dấu công chức: (Signature and stamp) ……………..
		II. XÁC NHẬN TÁI NHẬP(RE-IMPORT) 1. Xác nhận của công chức tiếp nhận hồ sơ: (Authentication of customs documents receiver) - Entry checkpoint: ………………….; - Date: ……./……/20…….. □ Inspection exemption; □ Inspection of means of transportation; □ Supplemental declaration (if any)s; Ký, đóng dấu công chức (Signature and stamp) …………… 2. Xác nhận của công chức kiểm tra, giám sát: (Authentication of examiner of means of transportation) □ Violation record (if any) Result: …………………………………. ……………………………………………; Time of entry:….. : ……. date../…../20…… Ký, đóng dấu công chức (Signature and stamp) ………………….
	Ngày(date-d/m/y) ......./…../20…. Người điều khiển (Skipper/Master) Ký/Signature ……………………….
Ghi chú/Note:Khai bổ sung (nếu có) ở trang sau/suplemental Declaration (if any) in verso.

PHẦN KHAI BỔ SUNG PHƯƠNG TIỆN VẬN TẢI
(SUPPLEMENTAL DECLARATION FOR MEANS OF TRANSPORTATION)

PHẦN NGƯỜI ĐIỀU KHIỂN KHAI BÁO (DECLARATION OF THE DRIVER)		PHẦN HẢI QUAN LÀM THỦ TỤC (FOR CUSTOMS USE)
1. Thay đổi so với tạm nhập/tạm xuất (nếu có) (Changes made to the means of transportation (if any)): a/ Thay người điều khiển PTVT(Change made to Operator of means of transportation): □ - Họ và tên/Full name: ………………………………..; - Quốc tịch/Nationality: ……………………………….; - Địa chỉ thường trú/Permanent residential address: ….……………………………………………..; - Số Hộ chiếu hoặc Giấy thông hành: ………….., (Passport or Border-pass No.) + Ngày cấp (date of issue-d/m/y): ……/…../20…….. b/ Gia hạn thời hạn lưu hành PTVT(Extenssion of operation of means of transportation): □ - Văn bản gia hạn số (No of permitted document allowing such extenssion): …………………………., + Được phép lưu hành đến hết ngày (Duration of operation extended to): ……/…../20……, + Cơ quan gia hạn (Authority allowing such extension): ………………………………….. + Ngày cấp (date-d/m/y): …../…../20…… - Lý do gia hạn: (Reason(s) for such extension) + Sửa chữa (repair) □ + Tai nạn giao thông (accidents) □ + Lý do khác (other): ………………………………….. c/ Thông tin về hàng hóa, hành khách (information of commodity, passengers): □ Hàng hóa/Commodity: - Tên hàng/goods name: ………………………; - Tờ khai hải quan số/declaration No: ……………………………………. dated …./…./20…; □ Số lượng/numbers: ………..khách/passengers; Ngày(date-d/m/y) …../…../20……. Người khai báo(Customs declarant)		2. Xác nhận của công chức tiếp nhận:(Authentication of customs documents receiver) - Về hồ sơ (Of dossiers) ……………. ………………………………………… + Ngày (Date): ….. /…../20.... Ký, đóng dấu công chức (Signature and stamp) …………………….
Ký(Signature)	Ghi rõ họ tên(Full name)

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Decree No. 122/2024/ND-CP dated October 04, 2024 of the Government amending and supplementing a number of articles the Government’s Decree No. 14/2018/ND-CP dated January 23, 2018, prescribing in detail border trade activities

Decision No. 2286/QD-BTC dated September 26, 2024 of the Ministry of Finance on the addition of the List of border gates applying customs declarations for people on exit and entry

Resolution No. 124/NQ-CP dated November 29, 2017 of the Government on supplementing the list of countries whose citizens are eligible for pilot grant of e-visas

Decision No. 43/2017/QD-TTg dated September 26, 2017 of the Prime Minister on prescribing the responsibility to carry out procedures for aircraft on exit and entry and in transit through the National Single Window mechanism

Decree No. 07/2017/ND-CP dated January 25, 2017 of the Government on process and procedures for pilot issuance of electronic visa to foreigners entering Vietnam