Document text
For the Information Sheet of the Bureau of Customs (Customs Administrative Order No. 01-2018, sec. 5.1.2). Personal and household effects only — not in commercial quantities, not for sale, barter or hire.
Sender
Full name (first, middle, surname, suffix) [FULL NAME]
Date of birth · citizenship [DATE OF BIRTH] · Filipino
Passport no. [PASSPORT NUMBER]
Address abroad [ADDRESS ABROAD]
Address in the Philippines [ADDRESS IN THE PHILIPPINES]
Contact number · e-mail [NUMBER] · [E-MAIL]
Consignee
Full name [FULL NAME OF CONSIGNEE]
Relationship to the sender [E.G. MOTHER, SPOUSE]
Contact number · postal and e-mail address [NUMBER] · [ADDRESS] · [E-MAIL]
Contents
Box no. Item Description Qty Value
[1] [ITEM] [DESCRIPTION] [QTY] ₱[VALUE]
[1] [ITEM] [DESCRIPTION] [QTY] ₱[VALUE]
[1] [ITEM] [DESCRIPTION] [QTY] ₱[VALUE]
[1] [ITEM] [DESCRIPTION] [QTY] ₱[VALUE]
[1] [ITEM] [DESCRIPTION] [QTY] ₱[VALUE]
[1] [ITEM] [DESCRIPTION] [QTY] ₱[VALUE]
Number of boxes: [NUMBER]
Total value of contents: ₱[TOTAL]
Availment in this calendar year: [1, 2 OR 3] of 3
I declare that the boxes contain personal and household effects only, not in commercial quantities and not for sale, barter or hire.
______________________________
[FULL NAME OF SENDER] · [DATE]
Attached: copy of the passport page with personal information, picture and signature (or another document listed in CAO 01-2018, sec. 5.1.3).
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