| 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: | ||||||||