Export Customs Declaration

Exporter Details

Exporter Name
Exporter Address
Country

Consignee Details

Consignee Name
Consignee Address
Country

Shipment Details

Date of Export
Port of Loading
Port of Discharge
Means of Transport

Goods Information

Description of Goods
HS Code
Quantity
Unit
Total Value
Currency

Declaration

Name of Declarant
Position/Title
Signature
Date