| <{$nowTime}> |
| Order No: |
| <{$data.order.order_code}> |
| tm: | <{$nowTime2}> | refNo: | <{$data.order.order_code}> |
| Gift\Cadeau | Commercial sample\Echantillon commercial |
| Documents | X Other\Autre Tick one or more boxes |
| Quantity and detailed description of contents (1) Quantité et description détaillée du contenu | Weight (in kg) (2)Poids | Value (3) Valeur | |
| <{$row.product_title_en}>*<{$row.op_quantity}> | <{$row.product_weight*$row.op_quantity}> | USD <{$row.op_purpose_declared_value*$row.op_quantity}> | |
| For commercial items onlyIf known, HS tariff number (4) and country of origian of goods(5)N°tarifaire du SH et pays d'origine des marchandises (si connus) | Total Weight Poids total (in kg) (6) <{$all_weight}> | Total Value(7) Valeur totale USD <{$all_purpose_declare}> | |
| 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 danergous article or articles prohibited by legislation or by postal or customs regulations Date and sender's signature (8) <{$nowTime}> | |||