SCHEDULE II
CUSDEC I SRI LANKA CUSTOMS - GOODS DECLARATION 1 DECLARATION Customs - 53
Header 2 Exporter TIN: IM 4 CBHQ1 Colombo Head Quaters
Information Customs Reference Number:
CHAOZHOU CHAOAN JIEXIA CERAMICS
INDUSTRY CO.,LTD CHAOAN RD CHAOAN 3 Forms 4 Load List I 81100 13/05/2026
CHAOZHOU CITY GUANGDONG PRO 1 1 Manifest SECMB W194 20/04/2026
CHINA 5 Items 6 Total Packages 7 Declarant's Sequence Number
1 1,070.00 2026 #75
8 Consignee TIN: 2417342187000 9 Person Responsible for Financial Settlement TIN:
ENVISION TRADING (PVT) LTD
352/8,MUVERS LANE, THIHARIYA
KALAGEDIHENA
10 Cty of Last 11 Trading 12 Value Details 13 C.A.P.
Cons/First Dst.
CN CN Cty. 45,913 1
14 Declarant/Representative TIN: 1008716882525-1 15 Country of Export 15 Cty. Ex. Code 17A Cty. Dst. Code
T R S CLEARING & FORWARDING AGENCY China a CN b a LK b
NO 100/10B, W WIMALARATHNE MW, 16 Country of origin 17 Country of destination
MAHABUTHGAMUWA, ANGODA China Sri Lanka
18 Vessel/Flight 19 Ctr. 20 Delivery Terms
PORT KELANG EXPRESS yes CFR
21 Voyage No./Date 22 Currency & Total Amount Invoiced 23 Exchange Rate 24 Nature of
W194 OF 24/04/2026 USD 9,403.00 325.5338 Transt.
25 Mode Trans. 26 Inland Mode 27 Place of Loading/Discharging 28 Financial and banking data Bank Code 7287
1 at Border Transport CNSHK SHEKOU Terms of payment 10 Advanced payment
29 Office of Entry/Exit 30 Location of Goods Bank Name : Seylan Bank
CBHQ1 Colombo Head Quaters CICT Branch : 001 Ref. No: TTSCDPET26/10473
31 Packages Marks and numbers - Containers No(s) - Number and kind 32 Item No. 33 Commodity (HS) Code
and 1 X 40" FCL 1 69109090 00
Marks & Nos
Description
of Goods
of Packages: WHSU5358098 34 Cty. Orig. Code 35 Gross Mass (Kg) 36 Preference
Number & 1,070.00 CT a CN b 19,390.00
Kind Carton 37 Procedure Code 38 Net Mass (Kg) 39 Quota
Containers No(s)
4000 000 18,302.00
Description:
40 Previous Pocument / BL No. / AWB No. S/L
WASHDOWN TWO-PIECE TOILET WITH SEAT COVER
CONCEAL CISTERN , CERAMIC BEND JSJY26040079
BASIN & MINI PEDESTAL , WALL-HUNG BASIN & TOILET 41 UOM & Qty. 1 42 Item Price(FOB/CIF) 43 V.M.
44 Add. Info Licence No [Link] [Link] 18302 NIU 556.00 9,403 cod
Documents
0+0+45,913+0-0 41 UOM & Qty. 2 A.I. 45 Adjustment
Produced
Certificates A.D. KGM 18,302.00 1.0000
and Autho- 41 UOM & Qty. 3 46 Statistical Value
rization
3,106,907
Type Tax Base Rate Amount MP 48 A.C. Number 49 Identification of warehouse & period
ation of
Taxes CID 3,106,907 20.00 621,382 1
EIC 18,302 100.00 1,830,200 1 B ACCOUNTING DETAILS
PAL 3,106,907 10.00 310,691 1 CASH
Mode of Payment :
SSL 6,179,870 2.50 154,497 1
Assessment Number : A 81102 Date : 13/05/2026
VAT 6,179,871 18.00 1,112,377 1
Receipt Number : Date :
Guarantee : 0 LKR Date :
Total Fees : Rs. 2,350 LKR
Total 4,029,147 1 Total Declaration : Rs. 4,031,497 LKR
50. C. (Total Invoiced Amount) Currency Amount
Invoice Value: USD 9,403.00
Freight: USD 0.00
Office
Use 51. Insurance: USD 141.04
Other: USD 0.00
(For manual submissions to be filled by the declarant)
52. 53. I do hereby confirm that all particulars entered by me or on my behalf in
the CusDec and electronically transferred to the Sri Lanka Customs are
true & correct, and that the same particulars appear in print form on this
document.
D.
SIGNATURE OF IMPORTER / EXPORTER / AGENT: ..............................
DATE: ...........................
54. DECLARATION SUBMITTED BY
ABDUL NAZEER
.................................................................... ...........................................
SIGNATURE OF CUSTOMS HOUSE AGENT ID NUMBER