Household Declaration Form

I, (Sender Name), hereby declare that the items contained in this shipment are personal household goods.

Items are for personal use only.
Items are NOT FOR SALE.
No restricted, prohibited, hazardous, liquid, battery, or powder items are included.
The declared value of the household items is: ₹
I take full responsibility for the accuracy of the information provided in this declaration.

Receiver Name: Mobile:

Receiver Address:

City: State: PIN:

Sender Name: Mobile:

Sender Address:

City: State: PIN:

Date: ID proof No: Signature: ________________________