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CUSTOMS DECLARATION CN22

Country of Origin: INDIA


Gift Commercial Samples
Documents Others Tick one or more boxes
Quantiy and detailed description of contents (1) Weight (in KG) (2)

For commercial items only Total waight (in KG) (6)


If known HS tariff no (4) and country of origin of goods (5)

I, the undersigned, whose name and address are given on the item, certify that the particulars give
this declaration are correct and that this item does not contain any dangerous article or articles
prohibited by legislation or by postal or customs regulations.

Date and Sender's Signature


CUSTOMS DECLARATION CN22

al Samples
one or more boxes
Value (3)

Total value (7)

y that the particulars given in


rous article or articles