E-commerce Import Customs Broker Authorization

I/We, the undersigned importer, hereby authorize:

Broker/Agent Name:
Company Name:
Address:
Contact Number:

to act as my/our authorized Customs Broker for the purpose of declaring and clearing goods in my/our name on all E-commerce importations arriving in the country. The Broker/Agent is authorized to sign, endorse, submit, or deliver all necessary documents and perform all acts required in connection with the customs clearance process.

Importer Information

Importer Name:
Company Name:
Address:
Tax Identification No.:
Contact Email/Number:

This authorization shall remain valid unless revoked in writing by the undersigned importer.

Authorized Signatory
Date