Application for Registration as an Exporter for Preferential Market Access

PERSONAL INFORMATION

SURNAME

FIRST NAME

TELEPHONE

CELL :

EMAIL :

COMPANY INFORMATION

EXPORTER :

ADDRESS

PHYSICAL ADDRESS:

EMAIL ADDRESS:

TYPE :

CONTRAVENTION AND OTHER MATTERS

Please indicate whether during the preceding five years, the business entity(Check if Yes or leave unchecked if No)

a) Has contravened or failed to comply with the provision of the Act
b) Has failed to comply with any condition, obligation or other requirement imposed by the Commissioner
c) Has been convicted of any offence under the Act
d) Has been convicted of any offence involving dishonesty
e) Has made any false or misleading statement in any material respect or omitted to state any material fact which was required to be stated in any application for registration or for any other purpose under the Act
f) Has ever been insolvent or in liquidation.

ABOUT GOODS

ESTIMATE VALUE OF CONSIGNMENTS PER YEAR IN ESWATINI CURRENCY:(Do NOT include comma or currency)

ESTIMATE NUMBER OF CONSIGNMENTS PER YEAR:(Do NOT include comma)

IF YOU ARE THE MANUFACTURER/PRODUCER OF THE GOODS, BRIEFLY DESCRIBE HOW THE GOODS ARE MANUFACTURED.

ITEM INFORMATION

MARKET	HSCODE	GOODS DESCRIPTION	COMMERCIAL DESCRIPTION	ORIGN CRITERION

ATTACHMENTS

APPLICATION LETTER(limit 500KB)
FLOW DIAGRAM(limit 500KB)
Applicable Rules of Origin(limit 500KB)
Signature Image (limit 500KB)
Company Stamp Image(limit 500KB)

DECLARATION

I ,

Declare that the particulars in the application and all enclosed are true and correct, and
Undertake to:

Inform the Eswatini Revenue Service immediately of any changes in the particulars furnished in this application.
Comply with such Customs and Excise laws.

Eswatini Revenue Service