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Information Sheet – Bureau of Customs
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Information Sheet – Bureau of…
IMPORTANT!
PLEASE FILL IN 1 INFORMATION SHEET PER BOX!
For example: If you want to send 4 boxes, please fill in this information sheet 4 times.
INSTRUCTIONS:
You must check one type of availment only. You may only avail of the Balikbayan Box Privilege, if you are a Qualified Filipino While Abroad.
TYPE OF AVAILMENT
Balikbayan Box privilege
city
1st Time
2nd Time
3rd Time
De Minimis Value
None
TYPE OF SENDER
Qualified Filipinos While Abroad (QFWA)
OFW
Resident Filipino
Non-Resident Filipino
Non-Qualified Filipinos While Abroad (NQFWA)
Individual
Sole Prop. (DTI)
Partnership
Corporation
A. SENDER INFORMATION
B. PHILIPPINE-BASED RECIPIENT
C. ITEMIZED DESCRIPTION OF GOODS
Quantity
Unit of Measure
Goods Description
Please mark
Actual or Estimated Value (Philippine Peso)
New
Used
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Terms & Conditions Philippines bureau of customs
I declare, under the penalties of falsification, that this Information Sheet has been made in good faith and to the best of my knowledge and belief, is true and correct pursuant to the provisions of the Customs Modernization and Tariff Act of the Philippines and its
implementing rules and regulations.
Terms & Conditions Ribex INT'L
I also certify that I am aware of the rules stated by RIBEX Int'l. indicated in
terms and conditions.
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