Import Customs Declaration Form
for Agricultural Products
1. Importer/Consignee Information
Importer/Consignee Name
Address
Contact Number / Email
2. Exporter Information
Exporter Name
Country of Export
Exporter Address
3. Shipment Details
Port of Arrival
Date of Arrival
Mode of Transport
Country of Origin
Vessel/Flight/Vehicle Number
4. Product Details
Product Name
Botanical Name
HS Code
Quantity
Unit
Intended Use
5. Declarations
I hereby declare that the information provided above is true and correct to the best of my knowledge.
Signature (Importer)
Date