Date
Invoice No.
Consignment No.
Exporter of Record Address
Exporter Company Name
Sender/ Exporter Address
Contact Name
Contact Phone Number
Conact Email
Importer of Record Address
Importer Company Name
Receiver/ Importer Address
Contact Email
Collection Address
Collection Company Name
Exporter’s EORI
Exporter’s VAT
Currency
Delivery Address
Delivery Company Name
PO Number
Importer’s EORI
Importer’s VAT
Item No.
Commodity Code
Description of goods
No. of Items
Unit Value EUR
Total Value EUR
Unit Weight (kg)
Country of Origin
Total Value
Total Quantity
Total Weight (kg)
Total Number of Pallets
Quantity
Length (cm)
Width (cm)
Height (cm)
Weight (kg)
Incoterms
CPC code
I declare that: