1Declaration 0 2 Consignor/exporter A Office of dispatch/export and date of acceptance Other SC1 (S32) Number CAP EXPORT CIE CONTROL 3 Cont. sheets 5 Items 8 Consignee Number 6 Total packages 7 Reference number Seal number (S28) C10 RPA guarantee number 14 Declarant/representative Number 15 C disp. /exp. code 15a Country of export Transport charges method of payment (S29) a b Country(ies) of routing codes (S13) 18 Identity and nationality of means of transport at departure 19 CTR 22 Currency and total amount invoiced 21 Identity and nationality of active means of transport crossing the border 25 Mode of transport at the border 29 Office of exit 44 A.I. statement b 17 Country of destination 0 31 Packages and description of goods a 17a Country destin. code 26 Inland mode of transport 23 Exchange rate 27 Place of loading 30 Location of goods Marks and numbers — container number(s) — number and kind 32 Line number 33 Commodity code/ERN code 34a Country origin code 35 Gross mass (kg) Document Document Reference (for example T5, recipe, ingredient SD code, AFC, refund certificate and licence) status code code Quantity Percentage 37 P r o c e d u r e 38 Net mass (kg) 40 Summary declaration/previous document 41 Supplementary units Seal number (S28) A.I. code 47a Tax type 46 Statistical value 47e Method of payment B Accounting details 49 Identification of warehouse Date received in central control For RPA use only Route code 50 Principal 51 Intended offices of transit (and country) Number C Office of departure Signature Represented by Place and date 53 Office of destination (and country) D Control by office of departure Place and date Stamp Result Seals affixed number Signature Identity Time limit (date) Name of declarant or representative (use capital letters) Signature Warning: By signing this form you make the legal declarations set out in the Instructions for completion. C88(CAP)CIE Phone number Page 1 HMRC 08/11 Route codes Code Goods exported directly from the UK to a non-member country 01 Goods left the UK for export from the Community in transit via another Member State - T5 required 02 Goods transhipped in the UK or another Member State before export from the Community 03 Goods delivered in UK to a victualling warehouse 06 Goods delivered in UK to an entitled destination 07 Goods exported directly from the UK to an entitled destination in a non-member country 08 Goods left the UK for delivery to an entitled destination in another Member State - T5 required 09 Goods transhipped in the UK or another Member State before export to an entitled destination in a non-member country 10 Goods left the UK for delivery to an entitled destination in a non-member country in transit via another Member State - T5 required 11 Goods left the UK for direct delivery to an entitled destination in another Member State 12 Tick box Only to be completed by HM Revenue & Customs during fallback Examination summary Line number of goods Refund claim? (Y or N) ERM standard Risk examination recommendation (Y, N or M). Insert M if this is mandatory Officers comments Accept recommendation (Y or N) Other (specify below) Override reason code Examination reference Sample reference Examination satisfactory? (Y or N) Examination of report form(s) attached (insert number) Signature (name of officer) Certificate of shipment or disposal Satisfied that goods have been shipped or disposed of, as per the route code in box 44 on page 1 Signature Phone number Mobile number Name of officer Fax number Full office address Office date stamp Page 2 If examination not satisfactory, give C&E 596/DCIS reference number. If C&E 596 not completed give reason Office date stamp
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