Customs Clearance Form of Entry of Goods

1．Consignee

 

5．Mark & No.

2．Consignor

 

3．Contract or B/L (Waybill) No.

 

4． Export country or region

6．Name and No. of conveyance

7． Destination

8．Container specification and quantity

9．Name and specification of goods

 

 

10． H.S. code

11．Total value declared

12．数/重量、包装数量及种类

Quantity/weight, package quantity and type

13． Certificate

 

 

The above goods have been inspected and declared, and we hereby request the customs to release these goods.

Signature:              Date:

14． Remark