Commencement

These Regulations shall come into force on the 22nd day of January 2019. FIRST SCHEDULE FORM 1 [Regulation 5(2)] APPLICATION FOR A CUSTOMS BROKER’S LICENCE Complete all sections as fully as possible and attach supplementary sheets, where necessary. Complete application form and provide all supporting documentation including a police record, Company Registry Certificate and a non-refundable application fee $150, and submit the form in duplicate to the Secretary of the Board, Customs Brokers and Customs Clerks Board, Customs House, Belize City, Belize. 1. Name of applicant: (Surname) (Given Names) 2. Business Address 3. Contact details: Tel: Cel: E-mail: 4. Date of birth: 5. Place of birth: (Attach a certified copy of the birth certificate or other form of identification) 6. Are you a resident of Belize? ( ) Yes ( ) No 18 If “No”, state your place of residence 7. School/College attended: Certificate/Degree Awarded: Graduate Studies Certificate/Degree awarded: Others: (Continue on a separate sheet, if necessary) 8. List employment record for the last ten years DATE EMPLOYER AND POSITION HELD ADDRESS 9. a) I give permission for any present employer to be contacted ( ) Yes ( ) No b) I give permission for my former employers to be contacted ( ) Yes ( ) No c) Names, address, phone numbers, or email addresses of two independent references. Name and contact information of first reference: Name and contact information of second reference: 10. Provided any other relevant information which may assist the Board in its consideration of your application for a licence. Dated this day of 20 I hereby declare under penalty of perjury that I am acting on my own behalf, and that the foregoing statements are true and correct to the best of my knowledge and belief. (Signature of Applicant) 20 FORM 2 [Regulation 8(3)(b)] APPLICATION FOR RENEWAL OF CUSTOMS BROKER’S LICENCE I (Applicant’s Name) doing Business at (Business Address) hereby apply for the renewal of my licence in accordance with the Customs Brokers and Customs Clerks Act. I hereby declare that: 1. I am the holder of Licence No. 2. 3. List of further documents requested LICENCE NO. (Licence Certificate copy attached) Date (Signature of Applicant) FORM 3 [Regulation 16(2)(a)] APPLICATION TO REGISTER AS A CUSTOMS CLERK Complete all sections as fully as possible and attach supplementary sheets, where necessary. Complete application form, and provide all supporting documentation including a police record, and a non-refundable application fee $100, and submit the form in duplicate to the Secretary of the Board, Customs Brokers and Customs Clerks Board, Customs House, Belize City, Belize. 1. Name of applicant: (Surname) (Given Names) 2. Business Address 3. Contact details: Tel: Cel: E-mail: 4. Date of birth: 5. Place of birth: (Attach a certified copy of the birth certificate or other form of identification) 6. School/College attended: Certificate/Degree Awarded Graduate Studies Certificate/Degree awarded: Others: 22 (Continue on a separate sheet, if necessary) 7. Provided any other relevant information which may assist the Board in its consideration of your application for a licence. Dated this day of 20 I hereby declare under penalty of perjury that I am acting on my own behalf, and that the foregoing statements are true and correct to the best of my knowledge and belief. (Signature of Applicant) FORM 4 [Regulation 17] RECORD OF CUSTOMS CLERKS Date: ………………… File No ……….. CUSTOMS BROKERS AND CUSTOMS CLERKS BOARD The following customs clerk(s) are employed by my firm Messrs: …………………………………………………………… NAME OF CUSTOMS CLERK SIGNATURE SPECIMEN Name & Licence No of Employer Signature of Employer Name of employer Signature of employer 24 SECOND SCHEDULE [Regulation 5, 6(4), 7, 8(2) and (3)(c), 15, 16(2)(a) and (3)] FEES 1. Application for customs broker’s license $50 2. Registration for examination $50 3. Issue of customs broker’s license $150 4. Application for renewal of customs broker’s license $50 5. Issue of renewed customs broker’s license $150 6. Application for registration of customs clerk $100 7. Application for renewal of registration of customs clerk $100 MADE by the Customs Brokers and Customs Clerks Board this______ day of _______________, 2019. (COLIN GRIFFITH) CHAIRMAN Customs Brokers and Customs Clerks Board APPROVED by the Minister responsible for Customs this 22nd day of January 2019. RT. HON. DEAN O. BARROW Minister of Finance (Minister responsible for Customs) Prime Minister and Minister of Finance, Labour, Local Government, Rural Development, Energy, Public Utilities Public Services, and Elections and Boundaries