Export Declaration Form for Industrial Machinery
Exporter Information
Exporter Name
Exporter Address
Country of Export
Contact Number
Consignee Information
Consignee Name
Consignee Address
Country of Destination
Contact Number
Shipment Details
Port of Loading
Port of Discharge
Expected Date of Shipment
Mode of Transport
Sea
Air
Land
Rail
Machinery Details
No.
Machine Name/Description
Make/Brand
Model
Serial Number
Quantity
Net Weight (kg)
Value (USD)
1
2
3
Declaration
I hereby declare that the information provided above is true and accurate to the best of my knowledge.
Name
Designation
Date
Signature