CUSTOMS DECLARATION / PROFORMA INVOICE  
 
Consignment Note Number:  
Ship to (Consignee) :
Company Name   No. of Pieces  
Address   Total Weight (Kg)  
  Dimensions (cms)           x         x       
  (l x b x h)  
                                                        Telephone Number  
                                                        Fax Number  
email address  
Contact Name  
Full Description of Goods No. of Items Unit Value Total Value
       
        
        
       
       
       
       
       
       
Total Invoice Value:  
Currency Used:   
NOTE: 'NIL' VALUE IS NOT ACCEPTABLE
Reason for Export:  
                                                                                             
Country of Manufacture:  
Name & Address of Shipper:  
 
 
  Tel No.:  
I certify that the above information is correct and that the shipment described above does not contain
dangerous goods.
Name(printed):      Position:  
Signed for and on behalf of the above named company,
Signed:                                                          Date: