Singapore Customs

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Application for Duty Exemption of Dutiable Goods by Industrial Users

This form may take you about 20 minutes to fill in. You will need the following information/documents to fill in the form: Entity Identifier/UEN of Applicant Details of Factory Premise Raw Material Information Finished Product Information Export Information

Step 1 of 3: Fill in the Application Form
Fields marked with asterisk(*) are mandatory

Company information

Company Name*

Factory Address*

Address Type *
Block/House No.
Street Name
Level - Unit No.		# -
Building Name
Postal Code *

Raw Materials Information

Item*

Hs Code*

Quantity Required for one Year*

Unit

CIF Value a Year (S$)*

Duty Rate (S$)*

Duty a Year (S$)*

To be Imported or Purchased From *

Finished Product Information
Item(s)*	Quantity to be Produced a Year / Unit*	Ex-Factory Value a Year (S$)*

Reasons For Application
Raw Material*		Not produced locally Produced locally but not up to specification Produced locally but costs more Produced locally but quantity insufficient
Other Reason (s) (max 100 chars)

Annual Statistics (For The Past 3 Years)
Finished Product(s) Produced
Period	Quantity / Unit	Ex-Factory Value (S$)
To
To
To

Finished Product(s) Sold
Period	Quantity / Unit	Ex-Factory Value (S$)
To
To
To

Other Information
Percentage of Finished Goods for Export*
Duty as a percentage of Ex-factory Value*
No. Of Worker Engaged in Production of Goods:
(a) Factory *
(b) Other Factory
How would the consumer benefit price-wise (max 100 chars)
Proposed Price of finished product:
Without Customs Duty		S($) Per
Wih Customs Duty		S($) Per
Other Benefits (max 100 chars)
Have you previously applied for duty-exemption on this product? *		Yes No
Were you successful?*		Yes No Not Applicable
State Customs reference and Date

Applicant Information
Applicant Name*
Identification Type*
Applicant NRIC / Passport / FIN number*
Designation*
Contact Number (At least one to be filled) *		(Office) (Fax No.)
Entity Identifier/UEN*
Email Address
Remarks (max 150 chars)
Declaration
I hereby declare that the information given in this application is true and correct. I also undertake to inform Singapore Customs, immediately of any changes in the particular of this Application Form.