To Whom It May Concern:

This is to certify that the shipment addressed to Mr /Mrs /Miss

________________________________________________________________________
(complete address of consignee ) contains following items for the personal use of the
consignee .
S.No.

Description

| No. of Pcs. |

Value in Indian Rupees

1
2
3
4
5
6
7
8
9
10
Total

Total Value in words _____________________________________________________

It is further certified that the shipment has no commercial value and no foreign
transaction is involved in it. The value declared here is for custom purpose only.
Sender details
Name :
Complete Address :

Phone No. :
Email :

Dated : ___________