| Sender
Name:__________________________________________________ |
Address:______________________________________________________
______________________________________________________________
|
| Date
of Arrival at Destination:_______/_______/_______________________ |
| Telephone:
(B.H)_______________________(A.H.)_____________________ |
|
|
| Important:
please read
carefully |
*Delete where appropriate
|
a)
All goods were personally packed by me and have been in
my constant possession since packing.
b)
I have declared all ELECTRICAL ITEMS on the packing list.
c)
My consignment contains personal effects only and NO goods
of a hazardous nature, nor any explosive, corrosive, or
firearms of any description.
d)
I hereby declare that the above information is true and
correct.
|
Passport
No:
|
_______________________ |
Today's
Date:
|
_______/_______/_________ |
|
Place
of Issue:
|
_______________________ |
Date
of Issue:
|
_______/_______/_________ |
|
Nationality:
|
_______________________ |
Signature:
|
________________________ |
|
|
