INDIA POST CUSTOMS DECLARATION CN 23

No.of items May be opened Important

(barcode if any) officially see instructions
From Name- KAISRA Sender's Customs
on the back
reference (if any)
Business 5 TA 10, HOUSING BOARD,
Street - SHASTRI NAGAR,
Post Code 302016 City - JAIPUR

Country - INDIA

To Name

Business

Street

Post Code City Importer's reference (f any) (fax code/VAT No./lmporter code) (Optional)

Country Importer's telephone/fax/email (if known)

Detailed description of contents (1) Quantity (2) Net weight (in Value (S) For community items only
Metal HS tariff number (7) Country of origin of goods (8)

Total gross weight (4) Total value (6) Postal charges/Fee (9)

of item(10) Office of Origin/Date

tegory Commercial sample Explanation of Posting
Gift Returned goods
Documents Other

Comments (11) : eg goods subject to quarantine, sanitar,'/phytosanitary inspection or other restrictions) I certify that the particulars given in this customs declaration are correct
and that the item does not contain any dangerous article or articles
prohibited by legislation or by postal or customs regulations

Date and sender's signature (IS)

Licence (12) Certificate (13)
No(s). Of certificate(s)
No(s). Of Licence(s) Invoice (14) No-of invoice

For all articles value exceeding Rs.23000/-

INDIA POST CUSTOMS DECLARATION CN 23

No.of items May be opened Important
(barcode if any) officially see instructions
From Sender's Customs on the back
Name- KAISRA reference (if any)
Business-5 TA 10, HOUSING BOARD,
Street- SHASTRI NAGAR,
Post Code- 302016 City-JAIPUR

Country-INDIA

To Name

Business

Street

Post Code City Importer's reference (f any) (fax code/VAT No./lmporter code) (Optional)

Country Importer's telephone/fax/email (if known)

Detailed description of contents (1) Quantity (2) Net weight (in Value (S) For community items only
Metal HS tariff number (7) Country of origin of goods (8)

Total gross weight (4) Total value (6) Postal charges/Fee (9)

of item(10) Office of Origin/Date

tegory Commercial sample Explanation of Posting
Gift Returned goods
Documents Other

Comments (11) : eg goods subject to quarantine, sanitar,'/phytosanitary inspection or other restrictions) I certify that the particulars given in this customs declaration are correct
and that the item does not contain any dangerous article or articles
prohibited by legislation or by postal or customs regulations

Date and sender's signature (IS)

Licence (12) Certificate (13) Invoice (14) No-of invoice
No(s). Of Licence(s) No(s). Of
 certificate(s)

For all articles value exceeding Rs.23000/-