| CUSTOMS | May Be Opened | CN22 | ||
| DECLARATION | officially | |||
| Designated operator | PostNL | Important | ||
| see instructions on the back | ||||
| Gift | Commercial sample | |||
| Documents | × Other (Tick one or more boxes) |
|||
| Quantity and detailed description of contents(1) |
Weight(kg) | EUR Value (3) | ||
| PCS<{$quantity_1}> <{$title_1}> | <{$weight_1}> | <{$currency_symbol}><{$declare_1}> | ||
| PCS<{$quantity_2}> <{$title_2}> | <{$weight_2}> | <{$currency_symbol}><{$declare_2}> | ||
| PCS<{$quantity_3}> <{$title_3}> | <{$weight_3}> | <{$currency_symbol}><{$declare_3}> | ||
| For commercial items only | Total weight(in kg)(6) |
Total EUR value(7) |
||
| if known HS tariff number(4) | ||||
| and country of origin of goods(5) | ||||
| <{if isset($code_1)}><{$code_1}><{else}> <{/if}> | <{if isset($code_1)}>China<{else}> <{/if}> | <{$all_weight}> | <{if isset($currency_symbol)}><{$currency_symbol}><{/if}><{$all_purpose_declare}> | |
| <{if isset($code_2)}><{$code_2}><{else}> <{/if}> | <{if isset($code_2)}>China<{else}> <{/if}> | |||
| <{if isset($code_3)}><{$code_3}><{else}> <{/if}> | <{if isset($code_3)}>China<{else}> <{/if}> | |||
| I, the undersigned, whose name and address are given on the item, certify that the particulars given in 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 (8) |
||||
| <{$smarty.now|date_format:'%Y-%m-%d'}> Nick Sun | ||||
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| Return address:
ALFA GROUP
P.O. Box 71827 3000 PV Rotterdam the Netherlands |
|
| Return address:
CSCM
P.O. Box 71826 3000 PV Rotterdam the Netherlands |
|
| R Registered/recommandé | |
| To: | <{$data.address.oab_lastname}> <{$data.address.oab_firstname}> |
| Address: |
<{$data.address.oab_street_address1}> <{if $data.address.oab_street_address2}><{$data.address.oab_street_address2}> <{/if}> <{$data.address.oab_postcode}> <{$data.address.oab_city}> <{$data.address.oab_state}> <{$data.address.country.country_name_en|strtoupper}> |