快件内件总价值/Total Value of the Goods in the Shipment(美元/USD)
制造商或出口商名称及地址/ Name and Address of Manufacture/Importer
出口原因/Reason for Export
寄件人情况 / SHIPPING DETAILS
我证明并保证本文件中所填写的各项内容与向海关部门申报的情况及快件内装物品的实际情况符合/I certify and pledge that all information filled in this document is conformed to the details declared to the Customs and conformed to the actual conditions of the goods in the shipment.