{{ $globalSiteName }}
Shipping & Logistics (Filer)
Exporter Details
{{ $shipment->sender_name }}
{{ $shipment->sender_address }}
Tax ID (EIN/EORI)
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Ultimate Consignee & Destination
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{{ $shipment->receiver_address }}
Ultimate Country of Destination
{{ strtoupper($shipment->destination_country) }}
|
Port of Export
{{ $shipment->origin_city }}
|
Port of Import
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|
Mode / Incoterm
{{ $shipment->shipping_mode }} / DAP
|
Export License / ECCN
NLR (No License Required)
|
ITN / AES Filing No.
{{ $shipment->tracking_number }}
|
| HS Code / Schedule B |
Description of Commodity |
Qty |
Origin |
Unit Value (USD) |
Total Value (USD) |
| 8471.50 |
{{ $shipment->shipment_name }} |
{{ $shipment->quantity }} |
{{ strtoupper($shipment->origin_country) }} |
500.00 |
12,500.00 |
|
TOTAL STATISTICAL VALUE (FOB Equivalent)
|
12,500.00
|
AWB / BL Reference
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Declaration Date
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Filer Contact
{{ $globalSiteName }} - Compliance Department
Contact Phone / Email
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CERTIFICATION STATEMENT: I certify that all statements made and all information contained in this declaration are true and correct. I understand and acknowledge that knowingly making false or fraudulent statements is punishable by fine or imprisonment, or both. This declaration is filed on behalf of the Exporter/Principal Party in Interest.
/s/ {{ $globalSiteName }} Agent
Signature of Filer / Agent
{{ $globalSiteName }}, Licensed Customs Broker
Date: {{ $shipment->created_at->format('Y-m-d') }}