The Declaration Form
The declaration form or single administrative document is
used for all customs transactions; import, export or transit.
It must be complete to be acceptable in customs.
Click here to view a sample form
The declaration form has three segments.
1. In the first section(Boxes No.1-23) enter general information
on importer, exporter and declarant as well as transport and
transaction details.
2. In the second section (Boxes No.24-42) enter details on
the item declared, including amount of duties and taxes payable
or exempted.
3. Summary of Payment and Responsibility of Declaration Section.
It is presented in the form of (i.) a header sheet, which is
used to declare importation, exportation or in transit information
for each commodity item (ii.) continuation sheets to declare
other commodity items and (iii.) section sheet for official
use.
Note. Declaration forms are on sale at all Regional Customs
offices.
Instructions to fill each box of the form.
Box No.1 Declaration Regime
Inscribe one of the following codes to identify the type of
transaction the declaration is for:
Regime Code Description
10 Exportation of domestic Goods
14 Exportation under a drawback regime
20 Temporary Exportation
35 Re-Exportation
40 Importation of goods for Home consumption.
4A Importation of goods for diplomatic use, returning residents,
and humanitarian assistance; samples, educational materials
and certain religious articles.
4B Goods ex-warehoused to duty free shops
4C Goods ex-warehoused for exportation out of Lao PDR
45 Home Consumption of Goods after temporary admission
47 Home Consumption of Goods entered under a warehousing regime
50 Temporary Importation
62 Re-Importation of Goods Exported temporarily
70 Warehousing of Goods
80 Transit
Office Codes.
Enter the code of the office where the declaration is presented.
See Annex
I for a list of all customs offices and their codes.
Manifest /Airway bill number.
Enter the cargo control number from the air waybill if the
goods arrive or leave by air or from the manifest if goods arrive
or leave by any other mode of transport.
Declaration Number and Date.
Customs will assign the declaration number and the date when
the declaration is presented and registered with customs.
Box No.2 Exporter and Address
If you enter goods for exportation, indicate your name and
address as well as the taxpayer identification number (TIN)
issued by the Tax Department. If you have not yet been issued
a TIN please obtain a number from the nearest tax office and
use it on all subsequent customs declarations. Also include
your office telephone number. For diplomatic and personal exportations,
leave the number field blank.
Box No.3 Gross Mass Kg.
Indicate the gross weight in kilograms of the entire consignment
of goods as declared on the manifest or air waybill.
Box No.4 Items
Indicate the total number of items as shown on the invoice.
Box No.5 Total Packages.
Indicate the total number of packages as declared on the manifest
or airway bill. In case of bulk cargo, indicate BULK only.
Box No. 6 Importer and Address
If you enter goods for importation, indicate your name and
address as well as the taxpayer identification number (TIN)
issued by the Tax Department. If you have not been issued a
TIN please obtain a number from the nearest tax office and use
it on all subsequent customs declarations. Also include your
office telephone number. For diplomatic and personal importations,
leave the number field blank.
Box No.7 Consignee.
If you are importing goods on behalf of another person, or
the other party holds title to the good at time of importation
indicate the name and address of the consignee as well as the
TIN issued by the Tax Department. Please contact the nearest
tax office for a number and use on all subsequent declarations,
or obtain the TIN number from the consignee if one has been
issued to the consignee by the tax department. For diplomatic
importations, leave the number field blank.
Box No.8 Declarant.
If you are a licensed agent authorized to transact business
in customs, enter the TIN issued by the Tax Department. If you
do not have a TIN, contact the nearest tax office.
Box No.9 Country of Consignment/Destination.
For importation, indicate the country and the code from where
the goods have been consigned.
For exportation, indicate the country and the code to where
the goods are exported or re-exported.
See Annex II: List of Country and Currency Codes.
Box No.10 Type of License.
Indicate the type of trade or industry license held by you.
Box. No.11 Delivery Terms.
Indicate the terms of delivery of goods either CIF for importation,
or FOB for exportation.
Box No.12 Total Invoice in Foreign Currency.
For importation, indicate the total amount of the invoice in
foreign currency. See list of Country and Currency Codes in
Annex II.
Box No.13 Total Invoice in Local Currency.
Enter here the total value of the invoice in Kip by converting
the value declared in box No. 12 with the rate of exchange indicated
in box No.16. If there is only one item, this value should correspond
to the value declared in box no.38. If there are many items,
the total value should correspond to the total of values declared
in all the boxes no.38 on the Continuation sheets.
Box No.14 Total FOB (Exports)
Indicate the FOB value of the goods in foreign currency.
(if known)
Box No. 14 Total FOB (Imports)
Enter the FOB value in foreign currency. (if known)
Box No.15 Total FOB Ncy (Import/Export)
For import, leave blank.
For export, indicate the FOB value of the goods in Kip.
Box No.16 Rate of Exchange.
Indicate the rate of exchange of the foreign currency to the
Kip and the code of the foreign currency. (The exchange rate
shall be that which is in force at time of importation, unless
otherwise advised).
Box No.17 Mode of Transport.
Indicate the mode of transport, the voyage number. Also the
country code of the nationality of the aircraft, truck or ship.
(if known)
The codes for mode of transport are:
SEA 1
RAIL 2
ROAD 3
AIR 4
Box No.18 Port of Loading/Unloading.
For imports indicate the name and the code of the foreign country
where goods are loaded,
For exports, indicate the name and the code of the foreign country
where goods are destined.
See Annex II for a list of Country Codes.
Box No.19 Place of Shipping/ Landing.
For imports, indicate the place in Lao PDR where goods have
arrived. At export, or re-export, indicate the place in Lao
PDR from where the goods are exported or re-exported.
Box No.20 Entry/Exit Office.
Indicate the code of the Lao customs office where the declaration
is presented for clearance.
In a transit operation, indicate the code of the customs office
where the transit operation commences. Also indicate the code
of the exit customs office where the transit operations is to
be terminated.
Box No.21 Identification Warehouse (Leave blank until bonded
warehouses are established)
Indicate the code of the bonded warehouse where goods are to
be warehoused or ex-warehoused.
Box No.22 Financial and Banking Data.
Indicate the terms of payment of the transaction, as well as
the name of the bank and the branch where payment for the commercial
transaction is made.
Box No.23 Attached Documents.
Indicate the codes of attached documents, which support your
declaration. (Documents must be originals or certified as true
copies).
1234567891011 InvoiceManifestAirway billPacking ListCertificate
of Origin (If required)Phytosanitary Certificate (If required)Import
Permit from Ministry of Trade (If required)Import permit from
Ministry of Agriculture (If required)Import Permit from Ministry
of Heath (If required) Authorization from Department of Transport
(If required)If claiming duty and tax exemptions, documents
authorizing such exemptions must be presented with the declaration.
Box No.24 Marks, Numbers and Description of Goods
Indicate the marks and numbers of the packages as shown on
the manifest or airway bill.
If goods arrive or leave by containers, indicate the container
number as shown on the manifest.
The total number of packages should correspond to the total
number of packages indicated in box No.5.
Give a detailed description of the goods. Avoid, as far as
possible, trade names. Except in the case of vehicles and electronic
devices, provide make and model.
Box No.25 No. of Items.
Indicate the number of items on the invoice.
Box No.26 Tariff Code
Indicate the classification code of the commodity imported.
This classification code in based on the AHTN and must be eight
digits.
Box No.27 Customs Procedure Codes.
(Leave blank at this time)
Box No.28 Country of Origin/Destination
For imports, indicate the code of the country of origin of
the goods imported, if the country of origin of the goods is
different from the country where the goods have been consigned.
Box No.29 Zone.
It the goods originate from ASEAN member countries and
are supported by a certificate of origin enter ASEAN. For other
countries enter GEN. At export enter XPT.
Box No.30 Valuation Code
Indicate the code of the valuation method used to determine
the customs value for duty.
There are six valuation methods and coded as follows:
Valuation Method Code
Transaction Method 1
Identical Goods Method 2
Similar Goods Method 3
Deductive Method 4
Computed Method 5
Flexible Method 6
Note: The transaction valuation method must be used as the
primary method for valuation if possible.
Box No.31 Gross Mass.
Enter the gross weight in kilograms for the item on the first
page only. The total weight of all items on the continuation
sheets in the declaration should be equal to the weight declared
in box no.3 of the general segment.
Box No.32 Net Mass.
Enter the net weight of the goods in kilograms for each item
declared. If a continuation sheet is used a net mass must be
inscribed for each item.
Box No.33 FOB Foreign Currency.
Enter the FOB value of the item in foreign currency (if known).
Box No.34 FOB Local Currency, only if transport and insurance
are not prepaid by exporter. If prepaid, enter the value that
includes transportation and insurance.
Enter the FOB value of the item in Kips, only if transport
and insurance are not prepaid by exporter. If prepaid, enter
the value that includes transportation and insurance.
Box No. 35 Freight.
Enter the amount of freight paid or payable for the item in
Kip. For a shipment of various items, the freight charges are
apportioned according to freight paid or payable and by weight.
If freight is prepaid by exporter and included in the value,
mark the box "Prepaid".
Box No.36 Insurance.
Enter the amount of insurance in Kip for the item.
For a shipment of various items, the insurance paid or payable
is to be apportioned.
If the insurance is prepaid by the exporter and included in
the value, mark the box "prepaid"
Box No.37 Other Costs.
Enter other costs and expenses incurred for the import
of goods and paid to the exporter for the imported goods.
Box No.38 Customs Value in Local Currency.
Enter the customs value for the item, which is the total of
values of boxes 33, 34, 35 and 36.
Box No. 39 Supplementary Unit/Quantity.
Some of the most common international units of quantity are
as follows:
Unit Code
Cubic Metre MTQ
Gigawatt-hour GWH
Hundred CEN
Kilogram KGM
Litre LTR
Metre MTR
Number NMB
Number of packs NMP
Square Metre MTK
Ten TEN
Ten Pairs TPR
Thousand MIL
Tonne TNE
Enter any of the code, which describes the unit quantity of
goods imported/exported. If the units of imports or exports
are not included in this list, consult a customs officer for
more detailed lists.
Box No.40 Duty Payable.
Enter the amount of duties and taxes payable for the item declared
per category of duty, tax and excise.
Enter also the taxable base for each category of duty, tax
and excise. Duty rate is calculated on the Customs value. The
tax is calculated on the customs value plus the duty payable.
The excise tax is calculated on the customs value plus duty
payable plus tax payable.
For other items of the declaration, on the continuation sheets
enter the duty, tax and excise payable.
Box No.41 Permit Numbers.
Enter permit number and date of issue for the shipment, if
required.
Box No.42 Previous Declaration.
If the declaration refers to a previous declaration, the registration
number and date of the previous declaration is entered here.
Present a copy of the previous declaration with the declaration
you have just prepared.
Responsibility of Declaration
You must enter your full name, indicate the capacity in which
you are acting. And sign the declaration.
You must also indicate the mode of payment by which duty and
taxes are to be paid.
After you have completed your declaration, you can now lodge
it at the designated customs office where your goods are held.
After customs review and approval of the declaration, please
make the payment of all applicable duties and taxes, and present
a copy of the payment receipt to the customs office where the
declaration was presented.
On receipt of the customs release note, present the release
note to the warehouse keeper for delivery of the imported goods
and sign for receipt of the goods or have the carrier sign for
receipt.