Export Value Declaration Form
Export Value Declaration Form
Sample
Gift
Other
Rule 4
Rule 5
Rule 6
No
No
7. Terms of Payment
8. Terms of Delivery
9. Previous exports of identical/ similar goods, if any
Shipping Bill No. and date:
10. Any other relevant information (Attach separate sheet, if necessary)
Declaration
1. I/We hereby declare that the information furnished above is true, complete and correct in
every respect.
2. I/We also undertake to bring to the notice of proper officer any particulars which
subsequently come to my/our knowledge which will have bearing on a valuation.
Place:
Date:
Signature of the Exporter
Name of the Signatory