Customs Declaration Form

Company Letterhead

{{company_name}}

{{company_address}}

Phone: {{phone}}

Email: {{email}}

Website: {{website}}

Declaration Details

Declaration Type: {{declaration_type}} (e.g., Import, Export, Transit)

Declaration Date: {{date}}

Reference Number: {{reference_number}}

Consignor/Exporter Information

Name: {{consignor_name}}

Address: {{consignor_address}}

Tax/VAT Number: {{consignor_tax_id}}

Contact Person: {{consignor_contact_person}}

Phone: {{consignor_phone}}

Consignee/Importer Information

Name: {{consignee_name}}

Address: {{consignee_address}}

Tax/VAT Number: {{consignee_tax_id}}

Contact Person: {{consignee_contact_person}}

Phone: {{consignee_phone}}

Shipment Details

Mode of Transport: {{mode_of_transport}} (e.g., Air, Sea, Road)

Carrier: {{carrier_name}}

Flight/Voyage/Vehicle Number: {{flight_voyage_vehicle_number}}

Port/Airport of Loading: {{port_of_loading}}

Port/Airport of Discharge: {{port_of_discharge}}

Final Destination: {{final_destination}}

Total Number of Packages: {{total_packages}}

Gross Weight (KG): {{gross_weight_kg}}

Net Weight (KG): {{net_weight_kg}}

Goods Description

Please provide a detailed description of each item in the shipment. Attach additional sheets if necessary.

| Item No. | Description of Goods | HS Code | Quantity | Unit Price ({{currency}}) | Total Value ({{currency}}) | Country of Origin |

|----------|----------------------|---------|----------|-----------------------|--------------------------|-------------------|

| 1 | {{item_1_description}} | {{item_1_hs_code}} | {{item_1_quantity}} | {{item_1_unit_price}} | {{item_1_total_value}} | {{item_1_country_of_origin}} |

| 2 | {{item_2_description}} | {{item_2_hs_code}} | {{item_2_quantity}} | {{item_2_unit_price}} | {{item_2_total_value}} | {{item_2_country_of_origin}} |

| | | | | | | |

Total Declared Value ({{currency}}): {{total_declared_value}}

Declaration of Value

Basis of Valuation: {{basis_of_valuation}} (e.g., FOB, CIF, EXW)

Currency of Invoice: {{currency_of_invoice}}

Exchange Rate: {{exchange_rate}}

Freight Charges: {{freight_charges_currency}} {{freight_charges_amount}}

Insurance Charges: {{insurance_charges_currency}} {{insurance_charges_amount}}

Other Charges: {{other_charges_currency}} {{other_charges_amount}} (e.g., packing, handling)

Legal Declarations and Undertakings

I/We, the undersigned, declare that the information provided in this customs declaration is true, accurate, and complete to the best of my/our knowledge and belief.

I/We understand that any false or misleading declaration may result in penalties, seizure of goods, or other legal action.

I/We undertake to pay all duties, taxes, and other charges lawfully due in respect of this shipment.

Signature Block

_____________________________

Signature of Declarant

Name: {{declarant_name}}

Title: {{declarant_title}}

Date: {{declaration_signature_date}}