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.