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Name of the exporter : Name of the consignee : |
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Customs office of departure in the exporter country: Customs office of exit in the exporter country: |
Customs office of entry in the importer country: Customs office of destination in the importer country: |
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Plate /Flight/Voyage No. : Vehicle Name : Container No. : Waybill no. : Holder of the Waybill : |
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A |
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C* |
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No. |
Trademark and No. of containers |
Number (Qty) and type of containers |
Description of goods |
Gross Weight |
Invoice Date & No. |
Invoice Value |
HS Code |
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1 |
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2 |
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3 |
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4 |
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5 |
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6 |
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… |
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UNDERTAKING I declare the truth and accuracy of the information that I have provided, and I understand, agree and accept that the information above may be shared with customs authorities of the Russian Federation/Republic of Turkey |
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CERTIFIED BY** Date: Title: Stamp/Seal: Signature: |
DECLARED BY*** Date: Name & Surname: Signature: |
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