The Miscellaneous Fees and Levies (Forms) Regulations

Legal Notice 85 of 2019

This is the latest version of this Legal Notice.
The Miscellaneous Fees and Levies (Forms) Regulations
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LAWS OF KENYA

MISCELLANEOUS FEES AND LEVIES ACT

THE MISCELLANEOUS FEES AND LEVIES (FORMS) REGULATIONS

LEGAL NOTICE 85 OF 2019

  • Published in Kenya Gazette Vol. CXXI—No. 79 on 21 June 2019
  • Commenced on 21 June 2019
  1. [Revised by 24th Annual Supplement (Legal Notice 221 of 2023) on 31 December 2022]
1.These Regulations may be cited as the Miscellaneous Fees and Levies (Forms) Regulations.
2.The form, for purposes of section 7(4) of the Act, shall be as set out in the Schedule hereto.

SCHEDULE [r. 2]

IMPORT DECLARATION FORM

REPUBLIC OF KENYA
KENYA REVENUE AUTHORITY
CUSTOMS AND BORDER CONTROL DEPARTMENT
Importers name and addressPIN No.
Contact nameEmail
Telephone NoFax
Sellers name & addressPIN No.
Contact nameEmail
Telephone No.Fax/Telex
Country of supplyPort of Discharge (Kenya)Port of Customs ClearanceMode of TransportETD
EAC/COMESA (Y/N)Origin Certificate ReferencesTransaction TermsInvoice No & Date (DD/MM/YYIncoterm
Currency Exchange RateFOB ValueFreightInsuranceOther Charges
New/Used(Year)Fulldescriptionandapplicablestandard(s)OriginHSCodeQuantityUnit ofmeasureFOB Value
       
TOTAL 
This Form is issued by the Customs and Border Control Department in accordance with the provisions of the Miscellaneous Fees and Levies Act (Cap. 469C). The information herein is declared by the named importer and is for the sole use by the Government of Kenya. This declaration does not in any way absolve the named importer of any legal liabilities to comply with Laws of Kenya.I/we declare that the above particulars are true and correctName: Signature:Date:
FOR OFFICIAL USE ONLY
 ALERTS TO PORTS OF ENTRY TO VERIFYVALUE (Y/N/)QUANTITY (Y/N)TARIFF ITEM (Y/N)GOK AGENCIES PRIOR APPROVALAPPLICABLE? (Y/N)
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History of this document

31 December 2022 this version