(DHA-92) Form 42

CERTIFICATE OF COMPLIANCE TO OBTAIN CLEARANCE FROM CUSTOMS

[Section 7(1)(g) read with section 35(8); Regulation 34(13)]

To: Officer in charge of Customs and Excise

Port of entry: ................................................................................................................................................................................................................................................

I hereby certify that the person in charge of ..................................................................................................................................................................................................

(make and registration number of conveyance) complied with the provisions of the Act on .................................................................................................................(date)

Immigration officer's name: ..........................................................................................................................................................................................................................

...................................................                                       ............................................                                   .............................................................                        ..................................

Signature                                                                                         Appointment No                                                            Place                                                                                                   Date