| User: | Payment Tobe*: | ||||||||||
| Shipper/Exporter* | Consignee* | ||||||||||
| Country of Export*: | Importer If Other Than Consignee*: | ||||||||||
| Country of Origin Goods *: | |||||||||||
| Country of Ultimate Destination *: | |||||||||||
| Airway Bill No. | |||||||||||
| Mark/No.* | No. of pkgs* | Description of Goods* | Quantity* | Weight* | Unit Value* | Tatal Value* | |||||
| TOTAL: | |||||||||||