MOSIC - One Stop Info Center

ROEA: *

Business License No. *

Business Name *

Business Owner *

Dzongkhag *

Contact No *

Email Address*

Address *

Name*

Country*

Address*

Transport(land/air/sea)*

Custom Exit Point*

LC number

LC date

Invoice number*

Invoice date*

Chapter

Heading

#	Title.	Tariff Item No.	Description	Unit

#	Tariff Item No.	Description	No of Packages	Quantity	Unit of Measurement()	Price per unit(USD)	Price in Total(USD)	Gross weight	Net Weight
1

*Documents to be uploaded should be in PDF format only.*

Invoice*
Letter of Credit
Any other relevant documents
License Copy

Declaration

The undersigned hereby Declares that the above details and statements are correct: that all the goods were produced in Bhutan.