Export Declaration Format Samples for Customs Clearance

Basic Export Declaration Format (General Use)

EXPORT DECLARATION FORM

Exporter Name: ___________________________  

Exporter Address: _________________________  

Exporter EIN / Tax ID: _____________________  

Consignee Name: __________________________  

Consignee Country: ________________________  

Port of Exit: _______________________________  

Description of Goods: ______________________  

HS Code: _________________________________  

Country of Origin: _________________________  

Quantity: __________  |  Unit: ___________  

Value (USD): _____________________________  

Mode of Transport: [Air/Sea/Land]  

Invoice Number: __________________________  

Export Date: ______________________________  

Declaration Number: _______________________

I declare the above information is accurate and complete.

Authorized Signatory: _____________________  

Date: _______________  

Use case: For general export shipments; required at customs.

Commercial Export Declaration Format

COMMERCIAL EXPORT DECLARATION

Exporter Details  

Name: __________________________  

Company: _______________________  

Address: _______________________  

Phone: _________________________  

Email: _________________________  

Consignee Details  

Name: __________________________  

Company: _______________________  

Destination Country: ______________  

Shipment Information  

Invoice No.: ____________________  

Date of Export: _________________  

Port of Loading: ________________  

Port of Discharge: ______________  

Shipping Line/Airline: ___________  

Container No. (if any): ___________  

Product Description  

Item | HS Code | Qty | Unit | Unit Price | Total  

——————————————————  

1. [Item] | [Code] | [Qty] | [Unit] | [Price] | [Total]  

…  

Total Invoice Value (USD): ___________  

Currency: ______________________  

Declaration  

I hereby certify the accuracy of the details provided above.

Exporter Signature: _____________  

Place: ____________  

Date: _____________

Use case: Used by exporters, freight forwarders, and commercial shippers.

Export Declaration for Customs (U.S. CBP AES Format)

U.S. EXPORT DECLARATION (AES FILING)

AES ITN (Internal Transaction Number): ___________  

Exporter Name & Address: ________________________  

EIN: _______________________  

Ultimate Consignee: _____________________________  

Destination Country: _____________________________  

Carrier Name: _________________________________  

Port of Export: _________________________________  

Schedule B No. | Description | Qty | Value | License No.  

———————————————————-  

[xxxx.xxxx] | [Item] | [Qty] | [Value] | [If Applicable]  

Export Control Classification Number (ECCN): ________  

License Type: ___________________________  

Signature: ____________________________  

Title: ________________________________  

Date: ________________

Use case: Required for exports from the U.S. over $2,500 or controlled goods.

Export Declaration for Courier or Sample Shipments

EXPORT DECLARATION FOR NON-COMMERCIAL SHIPMENT

Exporter Name: _________________________  

Exporter Address: _______________________  

Consignee Name: ________________________  

Country of Import: _______________________  

Shipment Type: [Gift / Sample / Personal Items]  

Goods Description: _______________________  

Declared Value (USD): ____________________  

HS Code (if known): ______________________  

I declare that the shipment is of non-commercial nature and contains no restricted items.  

The total value does not exceed de minimis thresholds of the destination country.

Signature: ___________________________  

Date: _______________ 

Use case: For FedEx, DHL, UPS, or USPS non-commercial international parcels.

Export Declaration Format for Hazardous Goods

EXPORT DECLARATION FOR DANGEROUS GOODS

Exporter Company Name: _______________________  

Exporter Address: _____________________________  

Consignee Name: _____________________________  

Destination Country: ___________________________  

Shipment Details:  

Description of Goods: __________________________  

UN Number: ______________  

Packing Group: ____________  

Hazard Class: _____________  

Qty: _____________  

Mode of Transport: [Air/Sea/Road]  

Packaging Type: _____________________________  

Emergency Contact (24/7): _____________________  

Declaration:  

I certify the shipment complies with the applicable IATA/IMO/DOT regulations.

Authorized Signature: _________________________  

Date: __________ 

Use case: For hazardous material exports; needed for compliance with IATA, IMO.

Export Declaration Format (India Example for Reference)

SELF EXPORT DECLARATION – NON-EGM CARGO

To,  

The Deputy Commissioner of Customs  

[Airport/Port Name]  

City: __________  

Subject: Export Declaration under Self-Sealing Norms

Details:  

Exporter Name: __________________  

IEC No.: _______________________  

Shipping Bill No.: ______________  

Port of Loading: ________________  

Invoice No.: ____________________  

Date: ___________________________  

Declaration:  

I hereby declare that the consignment shipped under the above details has been packed, sealed, and exported as per DGFT/CBIC guidelines.

Signature: _____________  

Company Stamp: __________  

Date: _______________

Use case: For Indian exporters following self-certification or factory-sealing processes.