Tag

Name

St

Format

St

Usage / Remarks

NAD

3035

Party function code qualifier

M

an..3

M

PQ

Certifying party

C082

Party identification details

C

C

3039

Party identifier

M

an..35

M

In Proof of Exportation Declaration - Client Customs Code

1131

Code list identification code

C

an..17

N

Not used

3055

Code list responsible agency code

C

an..3

N

Not used

C058

Name and address

C

C

3124

Name and address description

M

an..35

M

In Proof of Exportation Declaration - Name and Surname

3124

Name and address description

C

an..35

C

In Proof of Exportation Declaration - Name of the Firm

3124

Name and address description

C

an..35

C

I / we attach a copy of the *B/E export / proof of export / receipt of acceptance on *ship / rail / aircraft / other vehicle in terms of the
provisions of the above stated drawback / refund item(s) of the Customs and Excise Act, *I / we hereby apply for a drawback /
refund of the duty paid on the *materials / articles / export mentioned above.

Y

Yes

N

No

In Proof of Exportation Declaration - Declaration Check Box

3124

Name and address description

C

an..35

C

In Proof of Exportation Declaration - Designation

3124

Name and address description

C

an..35

N

Not used

C080

Party name

C

N

3036

Party name

M

an..70

N

Not used

3036

Party name

C

an..70

N

Not used

3036

Party name

C

an..70

N

Not used

3036

Party name

C

an..70

N

Not used

3036

Party name

C

an..70

N

Not used

3045

Party name format code

C

an..3

N

Not used

C059

Street

C

N

3042

Street and number or post office box identifier

M

an..256

N

Not used

3042

Street and number or post office box identifier

C

an..256

N

Not used

3042

Street and number or post office box identifier

C

an..256

N

Not used

3042

Street and number or post office box identifier

C

an..256

N

Not used

3164

City name

C

an..35

N

Not used

C819

Country subdivision details

C

N

3229

Country subdivision identifier

C

an..9

N

Not used

1131

Code list identification code

C

an..17

N

Not used

3055

Code list responsible agency code

C

an..3

N

Not used

3228

Country subdivision name

C

an..70

N

Not used

3251

Postal identification code

C

an..17

N

Not used

3207

Country identifier

C

an..3

N

Not used