(Company’s letterhead)

To: Director-General, Singapore Customs

END-USER DECLARATION FOR GOODS IMPORTED UNDER AN IMPORT CERTIFICATE

We,
End-user Details
Unique Entity Identifier
(UEN):
Telephone Number:
Email Address:

hereby confirm that the following goods

Product Details1
Product Description:
Quantity:

For more than 1 product, please itemise the products by adding on to table accordingly. (E.g. Product Description #1, Product Description #2, etc.)
1

to be imported into Singapore under an Import Certificate are for our use.

We shall comply with all the terms and conditions of the Import Certificate issued for the goods.

We shall inform the importer and Singapore Customs in writing within 14 days of a change of
ownership and/or address of the goods in Singapore.

Name (in block letters):

Designation2:
Date:
Authorised Signature:

2
At least managerial level.