EXPORT DECLARATION CERTIFICATE

※ Processing Period: Immediate

Number of Submission	⑦Declaration Number	⑧Declaration Date	⑨Declaration Type	⑩C/S Type
①Name of Declarant
Code
②Name of Exporter
Address of Exporter/Consignor	⑪Transaction Type		⑫Type		⑬Payment Type
Name of Consignor	Name	⑭Country of Destination		⑮Port of Lading
Clearance Code		Business License Number		⑯Transportation Type		⑰Preferred Date of Inspection
③Name of Manufacturer
Clearance Code	⑱Location of Goods
④Name of Buyer		Code
⑤Drawback Applicant	Exporter/Consignor		Manufacturer		⑲L/C Number
⑥Drawback Agency		Place of Manufacture		⑳Goods Status	Advance On-duty Notice
Item Description	Reason of Return
	H.S.Code
Product Code
Declared Value(FOB)	￦
Actual Weight
Quantity
Packaging Quantity/Type
	H.S.Code
Product Code
Declared Value(FOB)	￦
Actual Weight
Quantity
Packaging Quantity/Type
Total Lines	Total Weight	Unit	Total Packages	Total Declared Value(FOB)	￦
( ) Lines					$
R e l e v a n t / D o c	Export Permit License			Transaction Price
Export Recommendation			Freight(￦)		Insurance(￦)
Inspection Certificate			Customs Only Write Date of Declaration Processing( / / ) Term of Loading Obligation( / / )
Quarantine Certificate
Strategic Goods Export Permit
Import Cargo Management Number
B / T	Bonded Transportation Declarant
Period / / From / / To