Temporary Import/Export Customs Form
Form Number
Date
Exporter/Importer Name
Company Name
Address
Contact Number
Customs Office
Country of Origin
Country of Destination
Means of Transport
Air
Sea
Land
Rail
Description of Goods
HS Code
Quantity
Unit
Value (Currency)
Reason for Temporary Import/Export
Period (From)
Period (To)
Remarks
Authorized Signature
Date