(Attachment: Blank Invoice Sample)

(Company letterhead required)

Invoice Statement

INVOICE STATEMENT

Consigner:

Address:

Postcode Phone/Fax No.

Consignee:

Company name

Address:

Postcode

Country

Contact person

Phone / Fax No.

Detailed Product Name

Full Description of Goods

Quantity

No. of Items

Unit Price

Item Value

Total Value for Customs

Total Value for Customs

Reason for Export...

Reason for Export...

I declare that the above information is true and correct to the best of my knowledge and that the

goods are of………origin

On behalf of the above named company

For an on behalf of the above named company

Name (printed letters) signature

Name (in print)…………………………………………Signature…………………………………………..

Position Official Seal

Position in Company………………………………..Stamp…………………………………………