別添3(航空) 1 / 2 <AIR/EXP> 代表統番 XXXE 輸出者 申告種別 XXXX 区分 XXX E あて先税関 XXXXXXXXXE 提出先 申告年月日 XE yyyy/MM/dd 申告条件[ X ] 申告番号 XXX XXXX XX1E 搬入[ X ] XXXXXXXX-X1XE XXXXXXXXX1XXXXXXXXX2XXXXXXXXX3XXXXXXXXX4XXXXXXXXX5XXXXXXXXX6XXXXXXXXXE 住所 XXXXXXE 電話 XXXXXXXXX1E 9999999999& 999999999999999999999999999999999999999999999999999999999999999& ⛯㛵ົ⟶⌮ே XXXXXXXXX1XXXXE XXXXXXXXX1XXXXXXXXX2XXXXXXXXX3XXXXE XXXXXXXXX1XXXXXXXXX2XXXXXXXXX3XXXXE XXXXXXXXX1XXXXXXXXX2XXXXXXXXX3XXXXXXXXX4XXXXXXXXX5XXXXXXXXX6XXXXXXXXXE ཷ⌮␒ྕ 仕向人 住所 代理人 999999999& XXXXXXXX-X1XE XXXXXXXXX1XXXXXXXXX2XXXXXXXXX3XXXXXXXXX4XXXXXXXXX5XXXXXXXXX6XXXXXXXXXE XXXXXXXXE XXXXXXXXX1XXXXXXXXX2XXXXXXXXX3XXXXE XXXXXXXXX1XXXXXXXXX2XXXXXXXXX3XXXXE XXXXXXXXX1XXXXXXXXX2XXXXXXXXX3XXXXE 国コード XE XXXXXXXXX1XXXXXXXXX2XXXXXXXXX3XXXXE 通関士コード XXXXE XXXXXXXXX1XXXXXXXXX2XXXXXXXXX3XXXXXXXXX4XXXXXXXXXE XXXXE AWB番号 保税地域 最終仕向地 積込港 出港予定年月日 XXX-XXXXXX1XXXXXXXXX2XXXXXXXXX3XXXXE XXXXE XXXXXXXXX1XXXXXXXXXE XXXXE XXXXXXXXX1XXXXXXXXXE 貨物個数 XXXXE XXXXXXXXX1XXXXXXXXXE yyyy/MM/dd 貿易形態別符号 ㍺ฟᢎㄆド➼༊ศ XE ㍺ฟᢎㄆド␒ྕ➼ 999& 999999999999999999& (1) XXXE 999999999999999999& 999& 999999999999999999& (2) XXXE 999999999999999999& 999& 999999999999999999& (3) XXXE 999999999999999999& 999& 999999999999999999& (4) XXXE 999999999999999999& 999& 999999999999999999& (5) XXXE 999999999999999999& 999& 999999999999999999& 999& 999999999999999999& 999& 999999999999999999& 999& 999999999999999999& 999& 999999999999999999& 12,345,678 個 事前検査済貨物等識別[ X ] 船積(搭載)確認 調査用符号 XXE XXXXE (関税[ X ] 内国消費税[ X ] その他[ X ]) 仕入書番号 X仕入書番号(電子) 仕入書価格 XXE FOB価格 通貨レート XXE BPR合計 XXXXXXXXX1XXXXXXXXX2XXXXXXXXX3XXXXE XXXXXXXXXE XXE - 123,456,789,012,345,678 - X XXE - 123,456,789,012,345,678 123456789 XXE - 123456789 123,456,789,012,345,678 - X 構成 12 記事(税関) 記事(通関) 記事(荷主) 社内整理番号 枚 12 欄 JJJJJJJJJ1JJJJJJJJJ2JJJJJJJJJ3JJJJJJJJJ4JJJJJJJJJ5JJJJJJJJJ6JJJJJJJJJ7J JJJJJJJJ8JJJJJJJJJ9JJJJJJJJJ0JJJJJJJJJ1JJJJJJJJJ2JJJJJJJJJ3JJJJJJJJJE JJJJJJJJJ1JJJJJJJJJ2JJJJJJJJJ3JJJJJJJJJ4JJJJJJJJJ5JJJJJJJJJ6JJJJJJJJJE JJJJJJJJJ1JJJJJJJJJ2JJJJJJJJJ3JJJJJJJJJ4JJJJJJJJJ5JJJJJJJJJ6JJJJJJJJJE XXXXXXXXX1XXXXXXXXXE 利用者整理番号 XXXXE 税関通知欄 JJJJJJJJJ1JJJJJJJJJ2JJJJJJJJJ3JJJJJJJJJ4JJJJJJJJJ5JJJJJJJJJ6JJJJJJJJJE 許可年月日 yyyy/MM/dd JJJJJJJJJ1JJJJJJJJJ2JJJJJJJJJ3JJJJJE 保税運送承認期間 yyyy/MM/dd ~ yyyy/MM/dd (注)この申告に基づく処分について不服があるときは、その処分があったことを知った日の翌日から起算して 2月以内に税関長に対して異議申立てすることができます。 < XE 欄> 統合先欄 XE 品名 XXXXXXXXX1XXXXXXXXX2XXXXXXXXX3XXXXXXXXXE 申告価格(FOB) \1,234,567,890,123 ( \1,234,567,890,123 ) 価格再確認[ X ] 統計品目番号 XXXX.XX-XXE X 数量(1) 123,456,789,012 XXXE 数量(2) 123,456,789,012 XXXE BPR按分係数 123,456,789,012,345,678 BPR金額 XXE - 123,456,789,012,345,678 輸出令別表 XXXXE 外為法第48条[ X ] 関税法70条関係(1) XE (2) XE (3) XE (4) XE (5) XE 減免戻税条項符号 XXXXE (法) (令) JJJJJE JJJJJJJJJ1JJJJJJJJJ2JJJJJE JJJJJJJJJ1JJJJJJJJJ2JJJJJE 内消税免税符号 X- X JJJJJJJJJ1JJJJJJJJJ2JE < XE 欄> 統合先欄 XE 品名 XXXXXXXXX1XXXXXXXXX2XXXXXXXXX3XXXXXXXXXE 申告価格(FOB) \1,234,567,890,123 ( \1,234,567,890,123 ) 価格再確認[ X ] 統計品目番号 XXXX.XX-XXE X 数量(1) 123,456,789,012 XXXE 数量(2) 123,456,789,012 XXXE BPR按分係数 123,456,789,012,345,678 BPR金額 XXE - 123,456,789,012,345,678 輸出令別表 XXXXE 外為法第48条[ X ] 関税法70条関係(1) XE (2) XE (3) XE (4) XE (5) XE 減免戻税条項符号 XXXXE (法) JJJJJJJJJ1JJJJJJJJJ2JJJJJE (令) JJJJJJJJJ1JJJJJJJJJ2JJJJJE JJJJJE 内消税免税符号 X- X JJJJJJJJJ1JJJJJJJJJ2JE 別添3(海上) 6($(;3! ௦⾲⤫␒ 999& ㍺ฟ⪅ ఫᡤ 㟁ヰ ⛯㛵ົ⟶⌮ே ཷ⌮␒ྕ ⏦࿌✀ู 99 99 ༊ศ 999& 9999999999& ࠶࡚ඛ⛯㛵 999999999& ᥦฟඛ ⏦࿌ᖺ᭶᪥ 9& ZZZZ..EE ⏦࿌᮲௳> 9 @ 999999999999999999999999999999999999999999999999999999999999999& 999999& 999999999& 9999999999& 999999999& ྥே ఫᡤ 9999999999& 99999999& ௦⌮ே 9999& 9999999999999&9999999999999999999999999999999& 9999999999999999999999999999999& 999999999999999999999999999999999999999999999999999999999999999& 999999999999999999999999999999999999999999999999999999999999999& 999999999999999999999999999999999999999999999999999999999999999& 9999999999999999999999999999999& 9999999999999999999999999999999& 9999999999999999999999999999999& ᅜࢥ࣮ࢻ 9& 9999999999999999999999999999999& ㏻㛵ኈࢥ࣮ࢻ 9999& 999999999999999999999999999999999999999999999& ㍺ฟ⟶⌮␒ྕ 9999999999999999999999999999999& 㸿㹕㹀␒ྕ 9999999999999999999999999999999& ㈌≀ಶᩘ ㈌≀㔜㔞 ಖ⛯ᆅᇦ ᭱⤊ྥᆅ ✚㎸ ๓᳨ᰝ῭㈌≀➼㆑ู> 9 @ ㈠᫆ᙧែู➢ྕ 99& 9999& 9999& ⏦࿌␒ྕ 999999999& ᦙධ> 9 @ 999999999999999999& 999999999999999999& 99& 99& 9999& 999999999999999999& ㄪᰝ⏝➢ྕ 9999& ✚㍕ணᐃ⯪ᶵྡ 99999999& 9999999999999999999999999999999& ฟ ணᐃᖺ᭶᪥ ⯪✚ᦚ㍕☜ㄆ 㛵⛯> 9 @ෆᅜᾘ㈝⛯> 9 @ࡑࡢ> 9 @ ZZZZ..EE 999999999999999999999999999999999999999999999999999999999999999 グྕ␒ྕ 999999999999999999999999999999999999999999999999999999999999999& ㍺ฟᢎㄆド➼༊ศ 9& ㍺ฟᢎㄆド␒ྕ➼ 999& 999999999999999999& 999& 999999999999999999& 999& 999999999999999999& 999& 999999999999999999& 999& 999999999999999999& 999& 999999999999999999& 999& 999999999999999999& 9 ධ᭩␒ྕ㟁Ꮚ ධ᭩౯᱁ 99& 㹄㹍㹀౯᱁ ㏻㈌࣮ࣞࢺ 99& ධ᭩␒ྕ 999& 999999999999999999& 999& 999999999999999999& 999& 999999999999999999& 999& 999999999999999999& 999& 999999999999999999& 999& 999999999999999999& 999& 999999999999999999& 999& 999999999999999999& 㹀㹎㹐ྜィ 9999999999999999999999999999999& 999999999& 99& 9 99& 99& 9 ᵓᡂ ᯛ ḍ 9999999999& 9999999999& 9999999999& 9999999999& 9999999999& 999999999999999999999999999999999999999999999999999999999999999& ఫᡤ 9999999999999& 9999999999999999999999999999999& 9999999999999999999999999999999& 999999999999999999999999999999999999999999999999999999999999999& ࢥࣥࢸࢼᮏᩘ ᮏ ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ グ㸦⛯㛵㸧 ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++& グ㸦㏻㛵㸧 +++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++& グ㸦Ⲵ㸧 +++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++& ♫ෆᩚ⌮␒ྕ 999999999999999999& ⏝⪅ᩚ⌮␒ྕ 9999& Ⲵࣜࣇࣞࣥࢫ␒ྕ 9999999999999999999999999999999& ࣂࣥࢽࣥࢢሙᡤ ⛯㛵㏻▱ḍ +++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++& ZZZZ..EE チྍᖺ᭶᪥ ++++++++++++++++++++++++++++++++& ಖ⛯㐠㏦ᢎㄆᮇ㛫 ZZZZ..EE 㹼 yyyyMMdd ཪࡣ㐠㏦㈌≀ࡢⓎ㏦ࡢ᪥ࢆ㉳⟬᪥ࡍࡿྠᮇ㛫 ὀࡇࡢ⏦࿌ᇶ࡙ࡃฎศࡘ࠸࡚᭹ࡀ࠶ࡿࡁࡣࠊࡑࡢฎศࡀ࠶ࡗࡓࡇࢆ▱ࡗࡓ᪥ࡢ⩣᪥ࡽ㉳⟬ࡋ࡚ 㸰᭶௨ෆ⛯㛵㛗ᑐࡋ࡚␗㆟⏦❧࡚ࡍࡿࡇࡀ࡛ࡁࡲࡍࠋ 㸺 9& ḍ㸼 ⤫ྜඛḍ 9& ရྡ 999999999999999999999999999999999999& ⏦࿌౯᱁㸦㹄㹍㹀㸧 = = ౯᱁☜ㄆ> 9 @ ⤫ィရ┠␒ྕ 99999999& 9 ᩘ㔞 999& ᩘ㔞 999& 㹀㹎㹐ᣨศಀᩘ 㹀㹎㹐㔠㢠 99& ㍺ฟ௧ู⾲ 9999& እⅭἲ➨᮲> 9 @ 㛵⛯ἲ᮲㛵ಀ 9& 9& 9& 9& 9& ῶචᡠ⛯᮲㡯➢ྕ 9999& ἲ +++++++++++++++++++++++& ௧ +++++++++++++++++++++++& +++++& ෆᾘ⛯ච⛯➢ྕ 9 9 +++++++++++++++++++& 別添3(航空) $IR,03! ௦⾲⛯␒ 999& 9 ࠶࡚ඛ⛯㛵 999999999& ༊ศ 999& ⏦࿌✀ู 9 9 >9@ 99& >9@ ⏦࿌᮲௳ ㍺ ධ ⪅ 9999999999& ఫ ᡤ 999999& 㟁 ヰ 税関事務管理人 受 理 番 号 ㍺ධྲྀᘬ⪅ ฟ ே ఫ ᡤ ㍺ฟࡢጤク⪅ ௦ ⌮ ே AWB␒ྕ MAWB␒ྕ 取 卸 ✚ ฟ ᆅ ✚ ㍕ ᶵ ྡ ධ ᖺ᭶᪥ 999999999& 9999999999& 9999-99-9XX& 9999999999& 9999999999& 99999999& 㒊㛛 9& ⏦࿌␒ྕ 999999999& ⏦࿌ᖺ᭶᪥ ZZZZ..EE ⏦࿌ணᐃᖺ᭶᪥ ᮏ⏦࿌ >9@ ZZZZ..EE 999999999999999999999999999999999999999999999999999999999999999& 999999999999X& 9999999999999999999999999999999& 9999999999999999999999999999999& 999999999999999999999999999999999999999999999999999999999999999& 999999999999999999999999999999999999999999999999999999999999999& 999999999999999999999999999999999999999999999999999999999999999& 999999999999999999999999999999999999999999999999999999999999999& 9999999999999999999999999999999& 9999999999999999999999999999999& 9999999999999999999999999999999& 9999999999999999999999999999999& 9& 9999999999999999999999999999999999999999999999999999999999999997X& 9999& ㏻㛵ኈࢥ࣮ࢻ 9999& 999999999999999999999999999999999999999999999& 9999999999999999999999999999999& 9999999999999999999999999999999& 999999999999999999& 9999& 999999999999999999& 9999& 9999999999999999999999999999999& ZZZZ..EE ㍺ධᢎㄆド ㈠᫆⟶⌮௧ >9@ >9@ 9& 㛵⛯ἲ᮲㛵ಀチྍᢎㄆ 9& 9& ඹ㏻⟶⌮␒ྕ 999999999& 㣗 ရ 9 999999999& ᳜ 㜵 9 99999999999999& 9 999999999& ື ᳨ ㍺ධᢎㄆド␒ྕ➼ 999& XXXXXXXXX1XXXXXXXXXE 999& XXXXXXXXX1XXXXXXXXXE 999& XXXXXXXXX1XXXXXXXXXE 999& XXXXXXXXX1XXXXXXXXXE 999& XXXXXXXXX1XXXXXXXXXE ཎ⏘ᆅド᫂ >9@ ᡠ⛯⏦࿌ >9@ ⛯⛉┠ 9 ㍫㍫㍫㍫㍫㍫㍫㍫㍫㍄㍫㍫㍫㍫ 9 ㍫㍫㍫㍫㍫㍫㍫㍫㍫㍄㍫㍫㍫㍫ 9 ㍫㍫㍫㍫㍫㍫㍫㍫㍫㍄㍫㍫㍫㍫ 999& 999& 999& 999& 999& 9& XXXXXXXXX1XXXXXXXXXE XXXXXXXXX1XXXXXXXXXE XXXXXXXXX1XXXXXXXXXE XXXXXXXXX1XXXXXXXXXE XXXXXXXXX1XXXXXXXXXE ෆᐜⅬ᳨⤖ᯝ >9@ ḍᩘ /& /& /& 㸫 ෆᅜᾘ㈝⛯➼ ㄢ⛯ᶆ‽㢠 ZZZZ..EE 99& 9999& ⣡⛯㢠ྜィ ᢸ ಖ 㢠 ཱྀ ᗙ ⣡᪉ἲ = = >9@ 㒔㐨ᗓ┴ 9& >9@ ㏻㈌࣮ࣞࢺ 99& 99& 99& ᵓ ᡂ ////////& ////////& ////////& /&ᯛ /&ḍ 9999 9999& 9 ౯᱁☜ㄆ >9@ 999& 999& 999& 999& ㍺ධ௧ู⾲ 999& ≉ᜨ >9@ 㹀㹎㹐ᣨศಀᩘ 㹀㹎㹐㔠㢠 99& ⶶ⨨✀ู >9@ 㐠㈤ᣨศ >9@ ཎ⏘ᆅ 9& 999999& 999& ๓ᩍ♧ศ㢮 99999999E 事前教示ཎ⏘ᆅ 999999E ရ┠␒ྕ ᩘ㔞㸦㸯㸧 ᩘ㔞㸦㸰㸧 ㄢ⛯ᶆ‽ᩘ㔞 ㍫㍫㍫㍫㍫㍫㍫㍫㍫㍄㍫㍫㍫㍫ = = 9999999999999999999999& = = = ✀ู 999999999& 999& ㄢ⛯ᶆ‽ᩘ㔞 999& ῶච⛯ 99& ᮲㡯 ㍫㍫㍫㍫㍫㍫㍫㍫㍫㍄㍫ ㍫㍫㍫㍫㍫㍫㍫㍫㍫㍫㍫㍄㍫㍫㍫㍫㍫㍫㍫㍫㍫㍅ ㍫㍫㍫㍫㍫㍫㍫㍫㍫㍄㍫㍫㍫㍫ = = 9999999999999999999999& = = = 999999999& ✀ู ㄢ⛯ᶆ‽ᩘ㔞 999& 999& ῶච⛯ 99& ᮲㡯 ㍫㍫㍫㍫㍫㍫㍫㍫㍫㍄㍫ ㍫㍫㍫㍫㍫㍫㍫㍫㍫㍫㍫㍄㍫㍫㍫㍫㍫㍫㍫㍫㍫㍅ 㸫 ෆᅜᾘ㈝⛯➼ ㄢ⛯ᶆ‽㢠 ⛯⋡ ⛯㢠 ῶච⛯㢠 9999& 999999999999999999& 9999& 999999999999999999& 9 ධ᭩␒ྕ 9999999999999999999999999999999& 999999999& ධ᭩㟁Ꮚ㸧 99& 99& 9 ධ᭩౯᱁ 㐠 ㈤ 99& 9 99999E 9 ಖ 㝤 99& 99& ㏻㛵㔠㢠 ホ ౯ 9 9999999999& 9999999999& 9999999999& 999999999& 99& 99& ⿵ ṇ 9 9&999999999999999999XXXXXXXXX3XXXX& 9 9&999999999999999999XXXXXXXXX3XXXX& 9 9&999999999999999999XXXXXXXXX3XXXX& ๓ᩍ♧ホ౯1 999999E ๓ᩍ♧ホ౯2 999999E 9 㹀㹎㹐ྜィ ィ⟬ >9@ 㸺 9& ḍ㸼⤫ྜඛḍ 9& ရྡ 999999999999999999999999999999999999& ⛯⾲␒ྕ 99999999999999999& ⏦࿌౯᱁㸦㹁㹇㹄㸧 = = 9 9999999999999999999999& 㛵⛯⋡ 㛵⛯㢠 = ῶච⛯㢠 = = 9999& ㍫㍫㍫㍫ ἲ ㍫㍫㍫㍫㍫㍫㍫㍫㍫㍄㍫㍫㍫㍫㍫㍫㍫ ῶච⛯ ௧ ㍫㍫㍫㍫㍫㍫㍫㍫㍫㍄㍫㍫㍫㍫㍫㍫㍫ ู⾲ ㍫㍫㍫㍫㍫㍫㍫㍫ ⛯⋡ ⛯㢠 ῶච⛯㢠 ಖ⛯ᆅᇦ 搬入予定 ᭱ึⶶධᖺ᭶᪥ ㈠᫆ᙧែู➢ྕ ㄪᰝ⏝➢ྕ 9& ⛯㢠ྜィ = = = 99& 235689 99& ㈌≀ಶᩘ ㈌≀㔜㔞 グ⛯㛵 ㍫㍫㍫㍫㍫㍫㍫㍫㍫㍄㍫㍫㍫㍫㍫㍫㍫㍫㍫㍅㍫㍫㍫㍫㍫㍫㍫㍫㍫㍆㍫㍫㍫㍫㍫㍫㍫㍫㍫㍇㍫㍫㍫㍫㍫㍫㍫㍫㍫㍈㍫㍫㍫㍫㍫㍫㍫㍫㍫㍉ ㍫㍫㍫㍫㍫㍫㍫㍫㍫㍊㍫㍫㍫㍫㍫㍫㍫㍫㍫㍋㍫㍫㍫㍫㍫㍫㍫㍫㍫㍌㍫㍫㍫㍫㍫㍫㍫㍫㍫㍃㍫㍫㍫㍫㍫㍫㍫㍫㍫㍄㍫㍫㍫㍫㍫㍫㍫㍫㍫㍅ ㍫㍫㍫㍫㍫㍫㍫㍫㍫㍆㍫㍫㍫㍫㍫㍫㍫㍫㍫㍘ グ㏻㛵 ㍫㍫㍫㍫㍫㍫㍫㍫㍫㍄㍫㍫㍫㍫㍫㍫㍫㍫㍫㍅㍫㍫㍫㍫㍫㍫㍫㍫㍫㍆㍫㍫㍫㍫㍫㍫㍫㍫㍫㍇㍫㍫㍫㍫㍫ ⏝⪅ᩚ⌮␒ྕ 9999& グⲴ ㍫㍫㍫㍫㍫㍫㍫㍫㍫㍄㍫㍫㍫㍫㍫㍫㍫㍫㍫㍅㍫㍫㍫㍫㍫㍫㍫㍫㍫㍆㍫㍫㍫㍫㍫㍫㍫㍫㍫㍇㍫㍫㍫㍫㍫ ♫ෆᩚ⌮␒ྕ 9999&999999999999999999& 㹙⛯㛵㏻▱ḍ㹛 ㍫㍫㍫㍫㍫㍫㍫㍫㍫㍄㍫㍫㍫㍫㍫㍫㍫㍫㍫㍅㍫㍫㍫㍫㍫㍫㍫㍫㍫㍆㍫㍫㍫㍫㍫㍫㍫㍫㍫㍇㍫㍫㍫㍫㍫㍫㍫㍫㍫㍈㍫㍫㍫㍫㍫㍫㍫㍫㍫㍉ ㍫㍫㍫㍫㍫㍫㍫㍫㍫㍊㍫㍫㍫㍫㍫㍫㍫㍫㍫㍋㍫㍫㍫㍫㍫㍫㍫㍫㍫㍌㍫㍫㍫㍫㍫㍫㍫㍫㍫㍃㍫㍫㍫㍫㍫㍫㍫㍫㍫㍄㍫㍫㍫㍫㍫㍫㍫㍫㍫㍅ ㍫㍫㍫㍫㍫㍫㍫㍫㍫㍆㍫㍫㍫㍫㍫㍫㍫㍫㍫㍇㍫㍫㍫㍫㍫㍫㍫㍫㍫㍈㍫㍫㍫㍫㍫㍫㍫㍫㍫㍘ ㍫㍫㍫㍫㍫㍫㍫㍫㍫㍄㍫㍫㍫㍫㍫㍫㍫㍫㍫㍅ ㍺ධチྍ᪥ ZZZZ..EE ᑂᰝ⤊᪥ ZZZZ..EE ᚋᑂᰝ 9& 㸦ὀ㸧ࡇࡢ⏦࿌ᇶ࡙ࡃฎศࡘ࠸࡚᭹ࡀ࠶ࡿࡁࡣࠊࡑࡢฎศࡀ࠶ࡗࡓࡇࢆ▱ࡗࡓ᪥ࡢ⩣᪥ࡽ㉳⟬ࡋ࡚㸰᭶௨ෆ⛯㛵㛗ᑐࡋ࡚␗㆟⏦❧࡚を することができます 㸦ὀ㸧ࡇࡢ⏦࿌ࡼࡿㄢ⛯ᶆ‽ཪࡣ⣡ࡍࡁ⛯㢠ㄗࡾࡀ࠶ࡿࡇࡀࢃࡗࡓࡁࡣࠊಟṇ⏦࿌ཪࡣ᭦ṇࡢㄳồࢆࡍࡿࡇࡀ࡛ࡁࡲࡍࠋ ࠉࠉࠉ࡞࠾ࠊ㍺ධࡢチྍᚋࠊ⛯㛵㛗ࡢㄪᰝࡼࡾࠊࡇࡢ⏦࿌ࡼࡿ⛯㢠➼ࢆ᭦ṇࡍࡿࡇࡀ࠶ࡾࡲࡍࠋ 別添3(海上) 6($,03! ༊ศ 999& ⏦࿌✀ู 9 9 >9@ 99& ௦⾲⛯␒ 999& 9 ࠶࡚ඛ⛯㛵 999999999& >9@ ⏦࿌᮲௳ ㍺ 㒊㛛 9& ⏦࿌ணᐃᖺ᭶᪥ ⪅ 9999999999& 999999999999999999999999999999999999999999999999999999999999999& ᡤ ヰ 999999& 999999999& 9999999999999& 9999999999999999999999999999999& 9999999999999999999999999999999& 999999999999999999999999999999999999999999999999999999999999999& 999999999999999999999999999999999999999999999999999999999999999& ㍺ධྲྀᘬ⪅ ฟ ே ఫ ᡤ ᮏ⏦࿌ >9@ ZZZZ..EE ධ 税関事務管理人 9999999999& 受 理 番 号 9999-99-9XX& ⏦࿌␒ྕ 999999999& ⏦࿌ᖺ᭶᪥ ZZZZ..EE ఫ 㟁 9999999999& 9999999999& 99999999& 999999999999999999999999999999999999999999999999999999999999999& 999999999999999999999999999999999999999999999999999999999999999& 9999999999999999999999999999999& 9999999999999999999999999999999& 9999999999999999999999999999999& 9999999999999999999999999999999& 9& 9999999999999999999999999999999999999999999999999999999999999997X& 9999& ㏻㛵ኈࢥ࣮ࢻ 9999& 999999999999999999999999999999999999999999999& ㍺ฟࡢጤク⪅ ௦ ⌮ ே 㹀㸭㹊␒ྕ ࢥࣥࢸࢼᮏᩘ ㄪᰝ⏝➢ྕ 9999999999999999999999999999999& 9999999999999999999999999999999& 9999999999999999999999999999999& 9999999999999999999999999999999& 9999999999999999999999999999999& 999999999999999999999999999999999& ୍ᣓ⏦࿌ >9@ //&ᮏ ㈠᫆ᙧែู➢ྕ 99& 9999& ㍺ධᢎㄆド ㈠᫆⟶⌮௧ >9@ >9@ 9& 㛵⛯ἲ᮲㛵ಀチྍᢎㄆ 9& 9& ඹ㏻⟶⌮␒ྕ 999999999& 㣗 ရ 9 999999999& ᳜ 㜵 9 99999999999999& 9 999999999& ື ᳨ ㍺ධᢎㄆド␒ྕ➼ 999& XXXXXXXXX1XXXXXXXXXE 999& XXXXXXXXX1XXXXXXXXXE 999& XXXXXXXXX1XXXXXXXXXE 999& XXXXXXXXX1XXXXXXXXXE 999& XXXXXXXXX1XXXXXXXXXE ཎ⏘ᆅド᫂ >9@ ᡠ⛯⏦࿌ >9@ ⛯⛉┠ 9 ㍫㍫㍫㍫㍫㍫㍫㍫㍫㍄㍫㍫㍫㍫ 9 ㍫㍫㍫㍫㍫㍫㍫㍫㍫㍄㍫㍫㍫㍫ 9 ㍫㍫㍫㍫㍫㍫㍫㍫㍫㍄㍫㍫㍫㍫ 999& 999& 999& 999& 999& 9& 9& XXXXXXXXX1XXXXXXXXXE XXXXXXXXX1XXXXXXXXXE XXXXXXXXX1XXXXXXXXXE XXXXXXXXX1XXXXXXXXXE XXXXXXXXX1XXXXXXXXXE ෆᐜⅬ᳨⤖ᯝ >9@ ⛯㢠ྜィ = = = ḍᩘ /& /& /& ㈌≀ಶᩘ ㈌≀㔜㔞 ✚㍕⯪ᶵྡ ಖ⛯ᆅᇦ 99& ⯪༺ 9999& 999999999999999999& 999999999999999999& 235689 99& ✚ฟᆅ 9999& 99999999& 9999999999999999999999999999999& ZZZZ..EE 9999& 999999999999999999& ධ ᖺ᭶᪥ ZZZZ..EE ᭱ึⶶධᖺ᭶᪥ グྕ␒ྕ 999999999999999999999999999999999999999999999999999999 999999999999999999999999999999999999999999999999999999 999999999999999999& 9 ධ᭩␒ྕ 9999999999999999999999999999999& 999999999& ධ᭩㟁Ꮚ㸧 99& 99& 9 ධ᭩౯᱁ 㐠 ㈤ 99& 9 99999& 9 ಖ 㝤 99& 99& ㏻㛵㔠㢠 9999999999& 9999999999& ホ ౯ 9 9999999999& 999999999& 99& 99& ⿵ ṇ 9 9&999999999999999999XXXXXXXXX3XXXX& 9 9&999999999999999999XXXXXXXXX3XXXX& 9 9&999999999999999999XXXXXXXXX3XXXX& ๓ᩍ♧ホ౯1 999999E ๓ᩍ♧ホ౯2 999999E 9 㹀㹎㹐ྜィ ィ⟬ >9@ ⣡⛯㢠ྜィ ᢸ ಖ 㢠 ཱྀ ᗙ ⣡᪉ἲ 㸺 9& ḍ㸼⤫ྜඛḍ 9& ရྡ 999999999999999999999999999999999999& ⛯⾲␒ྕ 99999999999999999& ⏦࿌౯᱁㸦㹁㹇㹄㸧 = = 9 9999999999999999999999& 㛵⛯⋡ 㛵⛯㢠 = ῶච⛯㢠 = = 9999& ㍫㍫㍫㍫ ἲ ㍫㍫㍫㍫㍫㍫㍫㍫㍫㍄㍫㍫㍫㍫㍫㍫㍫ ῶච⛯ ௧ ㍫㍫㍫㍫㍫㍫㍫㍫㍫㍄㍫㍫㍫㍫㍫㍫㍫ ู⾲ ㍫㍫㍫㍫㍫㍫㍫㍫ 㸫 ෆᅜᾘ㈝⛯➼ ㄢ⛯ᶆ‽㢠 ⛯⋡ ⛯㢠 ῶච⛯㢠 ㏻㈌࣮ࣞࢺ 99& 99& 99& ᵓ ᡂ ////////& ////////& ////////& /&ᯛ /&ḍ 9999 9999& 9 ౯᱁☜ㄆ >9@ 999& 999& 999& 999& ㍺ධ௧ู⾲ 999& ≉ᜨ >9@ 㹀㹎㹐ᣨศಀᩘ 㹀㹎㹐㔠㢠 99& ⶶ⨨✀ู >9@ 㐠㈤ᣨศ >9@ ཎ⏘ᆅ 9& 999999& 999& ๓ᩍ♧ศ㢮 99999999E 事前教示ཎ⏘ᆅ 999999E ရ┠␒ྕ ᩘ㔞㸦㸯㸧 ᩘ㔞㸦㸰㸧 ㄢ⛯ᶆ‽ᩘ㔞 ㍫㍫㍫㍫㍫㍫㍫㍫㍫㍄㍫㍫㍫㍫ = = 9999999999999999999999& = = = ✀ู 999999999& 999& ㄢ⛯ᶆ‽ᩘ㔞 999& ῶච⛯ 99& ᮲㡯 ㍫㍫㍫㍫㍫㍫㍫㍫㍫㍄㍫ ㍫㍫㍫㍫㍫㍫㍫㍫㍫㍫㍫㍄㍫㍫㍫㍫㍫㍫㍫㍫㍫㍅ ㍫㍫㍫㍫㍫㍫㍫㍫㍫㍄㍫㍫㍫㍫ = = 9999999999999999999999& = = = 999999999& ✀ู ㄢ⛯ᶆ‽ᩘ㔞 999& 999& ῶච⛯ 99& ᮲㡯 ㍫㍫㍫㍫㍫㍫㍫㍫㍫㍄㍫ ㍫㍫㍫㍫㍫㍫㍫㍫㍫㍫㍫㍄㍫㍫㍫㍫㍫㍫㍫㍫㍫㍅ 㸫 ෆᅜᾘ㈝⛯➼ ㄢ⛯ᶆ‽㢠 ⛯⋡ ⛯㢠 ῶච⛯㢠 = = >9@ 㒔㐨ᗓ┴ 9& >9@ グ⛯㛵 ㍫㍫㍫㍫㍫㍫㍫㍫㍫㍄㍫㍫㍫㍫㍫㍫㍫㍫㍫㍅㍫㍫㍫㍫㍫㍫㍫㍫㍫㍆㍫㍫㍫㍫㍫㍫㍫㍫㍫㍇㍫㍫㍫㍫㍫㍫㍫㍫㍫㍈㍫㍫㍫㍫㍫㍫㍫㍫㍫㍉ ㍫㍫㍫㍫㍫㍫㍫㍫㍫㍊㍫㍫㍫㍫㍫㍫㍫㍫㍫㍋㍫㍫㍫㍫㍫㍫㍫㍫㍫㍌㍫㍫㍫㍫㍫㍫㍫㍫㍫㍃㍫㍫㍫㍫㍫㍫㍫㍫㍫㍄㍫㍫㍫㍫㍫㍫㍫㍫㍫㍅ ㍫㍫㍫㍫㍫㍫㍫㍫㍫㍆㍫㍫㍫㍫㍫㍫㍫㍫㍫㍘ グ㏻㛵 ㍫㍫㍫㍫㍫㍫㍫㍫㍫㍄㍫㍫㍫㍫㍫㍫㍫㍫㍫㍅㍫㍫㍫㍫㍫㍫㍫㍫㍫㍆㍫㍫㍫㍫㍫㍫㍫㍫㍫㍇㍫㍫㍫㍫㍫ ⏝⪅ᩚ⌮␒ྕ 9999& グⲴ ㍫㍫㍫㍫㍫㍫㍫㍫㍫㍄㍫㍫㍫㍫㍫㍫㍫㍫㍫㍅㍫㍫㍫㍫㍫㍫㍫㍫㍫㍆㍫㍫㍫㍫㍫㍫㍫㍫㍫㍇㍫㍫㍫㍫㍫ ♫ෆᩚ⌮␒ྕ 9999&999999999999999999& 㹙⛯㛵㏻▱ḍ㹛 ㍫㍫㍫㍫㍫㍫㍫㍫㍫㍄㍫㍫㍫㍫㍫㍫㍫㍫㍫㍅㍫㍫㍫㍫㍫㍫㍫㍫㍫㍆㍫㍫㍫㍫㍫㍫㍫㍫㍫㍇㍫㍫㍫㍫㍫㍫㍫㍫㍫㍈㍫㍫㍫㍫㍫㍫㍫㍫㍫㍉ ㍫㍫㍫㍫㍫㍫㍫㍫㍫㍊㍫㍫㍫㍫㍫㍫㍫㍫㍫㍋㍫㍫㍫㍫㍫㍫㍫㍫㍫㍌㍫㍫㍫㍫㍫㍫㍫㍫㍫㍃㍫㍫㍫㍫㍫㍫㍫㍫㍫㍄㍫㍫㍫㍫㍫㍫㍫㍫㍫㍅ ㍫㍫㍫㍫㍫㍫㍫㍫㍫㍆㍫㍫㍫㍫㍫㍫㍫㍫㍫㍇㍫㍫㍫㍫㍫㍫㍫㍫㍫㍈㍫㍫㍫㍫㍫㍫㍫㍫㍫㍘ ㍫㍫㍫㍫㍫㍫㍫㍫㍫㍄㍫㍫㍫㍫㍫㍫㍫㍫㍫㍅ ㍺ධチྍ᪥ ZZZZ..EE ᑂᰝ⤊᪥ ZZZZ..EE ᚋᑂᰝ 9& 㸦ὀ㸧ࡇࡢ⏦࿌ᇶ࡙ࡃฎศࡘ࠸࡚᭹ࡀ࠶ࡿࡁࡣࠊࡑࡢฎศࡀ࠶ࡗࡓࡇࢆ▱ࡗࡓ᪥ࡢ⩣᪥ࡽ㉳⟬ࡋ࡚㸰᭶௨ෆ⛯㛵㛗ᑐࡋ࡚␗㆟⏦❧࡚を することができます 㸦ὀ㸧ࡇࡢ⏦࿌ࡼࡿㄢ⛯ᶆ‽ཪࡣ⣡ࡍࡁ⛯㢠ㄗࡾࡀ࠶ࡿࡇࡀࢃࡗࡓࡁࡣࠊಟṇ⏦࿌ཪࡣ᭦ṇࡢㄳồࢆࡍࡿࡇࡀ࡛ࡁࡲࡍࠋ ࠉࠉࠉ࡞࠾ࠊ㍺ධࡢチྍᚋࠊ⛯㛵㛗ࡢㄪᰝࡼࡾࠊࡇࡢ⏦࿌ࡼࡿ⛯㢠➼ࢆ᭦ṇࡍࡿࡇࡀ࠶ࡾࡲࡍࠋ
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