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.