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Applicant(s) (Name and full address) Importer …

CPC: ST. KITTS AND NEVIS Application for relief from Duty and / or Taxes form C101 Applicant(s) ( name and full address ) Importer ( name and full address ) Quantity and Description of Goods Purpose of use Declaration of Application *I/We the undersigned, hereby declare that the above were Imported by *me/us or on *my/our behalf and are solely for the use by the applicant*(s) herein and for the purposes stated.. Date and Signature of Authorized Signatory *Strike out Inappropriate Words Recommendation by Competent Authority

CPC: ST. KITTS AND NEVIS Application for relief from Duty and / or Taxes form C101 Applicant(s) (Name and full address) Importer (Name and Full Address) Quantity and Description of Goods

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Transcription of Applicant(s) (Name and full address) Importer …

1 CPC: ST. KITTS AND NEVIS Application for relief from Duty and / or Taxes form C101 Applicant(s) ( name and full address ) Importer ( name and full address ) Quantity and Description of Goods Purpose of use Declaration of Application *I/We the undersigned, hereby declare that the above were Imported by *me/us or on *my/our behalf and are solely for the use by the applicant*(s) herein and for the purposes stated.. Date and Signature of Authorized Signatory *Strike out Inappropriate Words Recommendation by Competent Authority.

2 Date, Signature and Stamp of Competent Authority Approved by Ministry of Finance

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4 Date, Signature and Stamp of Financial Secretary Comptroller s Directions

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7 Date, Signature and Stamp of Comptroller of Customs


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