Export Declaration Form for Jewelry and Precious Metals
Exporter Information
Full Name / Company Name
Address
Country
Contact Number
Email
Consignee (Recipient) Information
Full Name / Company Name
Address
Country
Contact Number
Email
Shipment Details
Date of Export
Point of Departure
Destination Country
Mode of Transport
Air
Sea
Land
Courier
Other
Jewelry & Precious Metals Details
Description
Type (e.g. Gold, Silver)
Purity
Weight (grams)
Quantity
Value (USD)
Declaration
I hereby declare that the information provided above is accurate and complete to the best of my knowledge.
Name of Signatory
Position/Title
Date
Signature