Restricted Goods Export Clearance Form
Exporter Information
Exporter Name
Address
Contact Number
Email
Consignee Information
Consignee Name
Country
Address
Contact Number
Goods Details
Description of Goods
HS Code
Quantity
Unit
Declared Value
Additional Details
Export License Number
Issue Date
Purpose of Export
Declaration
I declare that the above information is true and correct to the best of my knowledge.
Name
Date