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EXPORTER STATUS
I hereby apply for confirming exporter status under section 114B of the Customs Act 1901
The following details are supplied in support of the request:
1 Exporter
1a. Name of exporter:
5 Declaration: I hereby declare that the information provided in this application is complete and correct.
Signature: Date:
/ /
Company:
Address:
Telephone number:
Fax number:
Email address: