Pharmaceutical Packing List Declaration
Sender Information
Company Name
Address
Contact Person
Phone
Recipient Information
Company/Institution Name
Address
Contact Person
Phone
Packing List Details
Invoice Number
Date
Shipment Reference
Product List
No.
Product Name
Batch/Lot No.
Quantity
Unit
Manufacture Date
Expiry Date
Declaration
I hereby declare that the above-mentioned products are properly packed and labeled according to the pharmaceutical shipment regulations and that the information provided is correct and complete.
Authorized Signature
Name
Date