FORM:发件人
发件日期
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CUSTOMS
DECLARATION
May be opened officially
CN 22
Designated operator
Important!See instructions on the back
Gift
Document
Commercial sample
Other Tick one or more boxes
Quantity and detailed description of contents (1)
Weight (in kg)(2)
Poids
Value (3)
Valeur
dress
Total Weight
Poids total
(in kg) (6)
Total Value (7)
Valeur totale
I,the undersigned,whose name and address are given on the item,certify that the particulars given in this
decla-ration are correct and the item does not contain any dangerous ar-ticles prohibited by legislation or by
postal or customs regulations.
Date and sender's signature(8):
Electric
For commercial items only
If known,HS taniff number(4) and country of origian of goods(5)
CN
RU
P
N
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