| Gift | Commercial sample | ||
| Documents | X | OtherTick one or more boxes |
| Quantity and detailed description of contents(1) |
Weight (in kg) |
Value(3) |
|
<{foreach from=$hsList key=key item=val}>
<{$val.loh_hs_name}> X <{$val.loh_quantity}> <{/foreach}> |
<{foreach from=$hsList key=key item=val}>
<{$val.loh_total_price}> <{/foreach}> |
|
| For commercial items only If known, HS HS tariff number (4) and country of origin of goods (5) |
Total weight (in kg)(6) |
Total value(7) |
| CN | <{$aOrder.lo_weight}> | <{$totalPrice}> |
| I,the undersigned,whose name and address are given on the item, certify that the partioulars given in this declaration are correct and that this item does not contain any dangerous article or articles pro- hibited by legislation or by postal or customs regulations Date and sender's signature(8) Carina |
||