台灣水產工業同業公會

輸美蝦申請

Harvesting Nation:

*Email:

2.Aquaculture Facility.

*Aquaculture Facility:

Facility Address:

3.Exporter.

ExporterName:

ExporterAddress:

ExporterTel:

ExporterFax:

4.U.S. Importer / Ultimate Consignee.

ImporterName:

ImporterAddress:

ImporterTel:

ImporterFax:

DATE OF EXPORT:

6.Description Of Product.

U.S.HTS Tariff Schedule Number:

Number of Units:

Net Weight in Kilograms:

7.Exporter’s Declaration (To be completed by a responsible agent of the product).I hereby declare that the shipment of shrimp accompanying this declaration was (check one):

Exporter’s Declaration :

Harvested in a manner not harmful to sea turtles. Check the condition of harvest which applies

Harvested in the waters of a nation currently certified pursuant to Section 609 of PL 101 – 162

Shrimp harvested in manner or under circumstances determined by the Department of state not to pose a of the incidental taking of sea turtles.

Harvested using non – mechanical net retrieval or by special gear (see the Instruction)

Harvested using TEDs

Harvested by aquaculture

ExporterTitle:

Exporter SignatureDate:

8.(Government Certification).

NAME:

Agency:

Title:

Address:

Tel:

Fax:

SignatureDate:

9.Import Information (To be completed by U.S. Importer or Customs broker).

DATE OF ENTRY:

Port Of Entry:

Entry Number:

確定儲存

THIS FORM MUST ACCOMPANY ALL SHIPMENTS OF SHRIMP AND SHRIMP PRODUCTS INTO THE UNITED STATES
* Public reporting burden for this collection of information is estimated to average 10 minutes per response,
including time required for searching existing data sources, gathering the necessary documentation,
providing the information and/or documents required, and reviewing the final collection.
You do not have to supply this information unless this collection displays a currently valid OMB
control number. If you have comments on the accuracy of this burden estimate and/or recommendations
for reducing it, please send them to: A/GIS/DIR, Room 2400 SA-22, U.S. Department of State, Washington, DC 20522-2202

TFSIA

Contact US

Chairman:LOK,KEN-TIEN

SECRETARY GENERAL:WU,TZU-JUNG