COMPLETING TIEP-IV FORM
Name & Address of Applicant
Customs Ref. Number
Address of Workshop/Factory
Type of Operation
*Type of Approval
Purpose of Importing the Items and
their Relation to Production
Names and Address of Exporters (to
be filled only by indirect Exporters use overleaf if
The commercial description of the product(s) exported.
Production volume (Next 12 months), and Value %
Total estimated volume of production of the industry during the next 12 months. This has to be expressed in the relevant unit of production of the particular industry. This could be in Kilo grams, grams, liters, or units etc.
In the cage for Value%, enter the percentage of the value of the production during the next 12 months.
Export volume (Next 12 months), and Value %
Total volume of products of the said industry exported during the next 12 months. This also has to be expressed in the relevant unit of production of the particular industry as in the case of Production volume (Next 12 months) above.
In the cage for Value%, enter the estimated percentage of the value of the production to be exported during the next 12 months.
Sequence number of the items listed in the application.
Description of Import Item(s)
Description of the item (plant, machinery, equipment, tool or part) applied to be imported under the scheme. It is important here to include full description of the item together with make and models.
Quantity applied for each and every item to be imported
Approximate CIF Value
Approximate total of cost, insurance and freight of each and every item applied under the scheme.
The applicant enters his/her name and designation and places his/her signature, applying for duty fee a clearance of items and agrees to the terms and conditions governing the scheme and declares that all particulars are true and correct.The applicant here requests the preferred manner in which the applicable Customs duties are secured on clearance i.e. whether it is by bank/exporter
Recommends clearance of the above item(s) under exemption of duty subject to conditions governing the scheme:
The certificate authorizes the type of the approval, i.e. whether the approval is general/specific, and manner in which the Customs duties payable if any are secured i.e. Bank/Exporter guarantees.
When the certificate is signed by the Superintendent of Customs on duty at Export Facilitation Unit with signature and date, the applicant is authorized to import the item subject to the terms and conditions applicable to the scheme.
Content & Design: Thilak Arumapperuma Arachchi - Superintendent of Customs