PC 6-1 www.mida.gov.my (03.07.2012) APPLICATION FOR IMPORT DUTY AND/OR SALES TAX EXEMPTION ON ADDITIONAL QUANTITIES OF RAW MATERIALS, COMPONENTS AND/OR SEMI-FINISHED PRODUCTS FOR OWNERS OF MALAYSIAN BRAND NAMES IN OUTSOURCING MANUFACTURING ACTIVITIES 1. Type of application (Please tick () where relevant): (a) Import Duty exemption (b) Sales Tax exemption Market: (a) Domestic (b) Export (c) Free Zone/Licensed Manufacturing Warehouse(FZ/LMW) HS Finished products* tariff code 2. Import Duty % Sales Tax % Maximum capacity Contract Manufacturers (Name and Factory address) Note: * Please list products related to application for additional quantity manufactured by the company PC 6-1 A. 1. PARTICULARS OF COMPANY (a) Name of company: Company registration no.: (b) Correspondence address: 2. 3. Contact person: Designation: Telephone no.: Fax no.: E-mail: Website: Please attach a copy of the relevant approval letter of exemption from the Ministry of Finance State reasons why additional quantities of raw materials, components and semi finished goods are required 2 PC 6-1 B. 1. RAW MATERIALS AND COMPONENTS Raw materials and components Import Duty and Sales Tax Exemption on additional quantities: (a) Domestic market Total import per annum No. (1) Raw materials and components; semi finished goods (2) HS tariff code (3) Country of Origin (4) Customs Stations** (5) Quantity used per unit of finished product including wastage Quantity *** (6) (7) CIF Value (RM) (8) Total import per annum Rate Value (RM) (9) (10) Total Note: * If there is more than one finished product, list the raw materials and components by each product ** For more than one customs station, give the breakdown by each station *** Units as specified in the “Malaysian Trade Classification and Customs Duties Order” 3 Sales Tax (RM) (11) Total duty (RM) Finished products (12) (13) PC 6-1 (b) Export market/Free Zone/Licenced Manufacturing Warehouse Total import per annum No. (1) Raw materials and components; semi finished goods (2) HS tariff code (3) Country of Origin (4) Customs Stations** (5) Quantity used per unit of finished product including wastage Quantity *** (6) (7) CIF Value (RM) (8) Total import per annum Rate Value (RM) (9) (10) Total Note: * If there is more than one finished product, list the raw materials and components by each product ** For more than one customs station, give the breakdown by each station *** Units as specified in the “Malaysian Trade Classification and Customs Duties Order” 4 Sales Tax (RM) (11) Total duty (RM) Finished products (12) (13) PC 6-1 2. Raw materials and components for Sales Tax exemption on additional quantities: (a) Raw materials and components to be sourced from local manufacturers No. Raw materials and components (1) (2) HS tariff code Sales Tax (%) Quantity used per unit of finished product including wastage Quantity exempted from: ………….. to ………….. Opening stock as at the date of commencement of exemption Quantity purchase from date of commencement of exemption until: ……………….. (3) (4) (5) (6) (7) (8) Note : * ** If there is more than one finished product, list the raw materials and components by each product Units as specified in the “Malaysian Trade Classification and Customs Duties Order” 5 Consumption of Additional quantities applied for raw materials and components from date of Total Sales commencement Tax Quantity** of exemption (RM) until: …………………. (9) (10) (11) Finished products (12) PC 6-1 C. DECLARATION I, , the Managing Director of (i) hereby declare that to the best of my knowledge, the particulars furnished in this application are true. (ii)* have engaged/is planning to engage the services of the following consultant for my application : Company Name : Address : Contact Person : Designation : Telephone no. : Fax no. : E-mail : I take full responsibility for all information submitted by the consultant(s). Date (Signature) (Company’s Stamp or Seal) *Please complete this section if the company has engaged/is planning to engage the services of consultant(s) to act on behalf of the company. Please provide information on a separate sheet of paper if space is insufficient 6
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