INDIAPOST From To Name Office of the Registrar Business Street S.V.P.U.

.V.P.U.A&T PostCode City Meerut 250110 Country India Name Street SendersCustoms reference(ifany)

CUSTOMSDECLARATIONCN23
No.ofitemsMaybeopenedImportant (barcodeifany)officiallyseeinstructions ontheback

Graduate Studies

Business

UTA BOX 19167 701 S Nedderman Dr, Davis Hall, Room 333 PostCode City Arlington, TX 76019
Quantity(2) Netweight(in kg)(3) 0.1 Value(5) Totalvalue(6)

Importersreference(ifany)(faxcode/VATNo./Importercode)(Optional) Importerstelephone/fax/email(ifknown) Forcommunityitemsonly HStariffnumber(7) Postalcharges/Fee(9) OfficeofOrigin/DateofPosting

Country USA Detaileddescriptionofcontents(1) College transcripts

817-272-2688

12

Countryoforiginofgoods(8)

India

Totalgross weight(4) Categoryofitem(10)CommercialsampleExplanation GiftReturnedgoods DocumentsOther

July 18, 2013

Icertifythattheparticularsgiveninthiscustomsdeclarationarecorrectand thattheitemdoesnotcontainanydangerousarticleorarticlesprohibitedby legislationorbypostalorcustomsregulations Dateandsenderssignature(15)

Comments(11):eggoodssubjecttoquarantine,sanitary/phytosanitaryinspectionorotherrestrictions)

Licence(12) No(s).OfLicence(s)

Certificate(13) No(s).Ofcertificate(s)

Invoice(14) No.ofinvoice

ForallarticlesvalueexceedingRs.23000/

Instructions You should attach this Customs declaration and accompanying documents securely to the outside of the item, preferably in an adhesive transparent envelope. If the declaration is not clearlyvisibleontheoutside,orifyouprefertoencloseitinsidetheitem,youmustfixalabelto theoutsideindicatingthepresenceofacustomsdeclaration. Toacceleratecustomsclearance,completethisdeclarationinEnglish,Frenchorinalanguage acceptedinthedestinationcountry To clear your item, the Customs in the country of destination need to know exactly what the contents are. You must therefore complete your declaration fully and legibly; otherwise delay andinconveniencemayresultfortheaddressee.Afalseormisleadingdeclarationmayleadtoa fineortoseizureoftheitem. Your goods maybesubjecttorestrictions.Itisyourresponsibilityto enquireintoimportand export regulations (prohibitions, restrictions such as quarantine, pharmaceutical restrictions etc) and to find out what documents if any (commercial invoice, certificate of origin, health certificate,licence,authorisationforgoodssubjecttoquarantine(plant,animal,foodproducts etc)arerequiredinthedestinationcountry. Commercialitemmeansanygoodsexported/importedinthecourseofabusinesstransaction, whetherornottheyaresoldformoneyorexchanged. (1) Give a detailed description of each article in the item eg mens cotton shirts, General descriptions eg spare parts, samples or food products are not permitted (2) Givethequantityofeacharticleandtheunitofmeasurementused (3)and(4) Givethe netweightofeacharticle(inkg).Givethetotalweightoftheitem(in kg) including packaging which corresponds to the weight used to calculate the postage (5)and(6) Givethevalueofeacharticleandthetotalindicatingthecurrencyused(egCHF forSwissFrancs) (7)and(8) The HS tariff number (6 digit) must be based on the Harmonized Commodity Description and Coding System developed by the World Customs Organisation. Country of Origin means the country where the goods originated eg were produced/manufactured or assembled. Senders of the commercial items are advised to supply this information as it will assist Customs in processing the items (9) GivetheamountofpostagepaidtothePostfortheitem.Specifyseparatelyany otherchargeseginsurance (10) Ticktheboxorboxesspecifyingthecategoryofitem (11) Provide details if the contents are subject to quarantine (plant, animal, food productsetc)orotherrestrictions (12)and(14) Ifyouritemisaccompaniedbyalicenceoracertificate,ticktheappropriatebox andstatethenumber.Youshouldattachaninvoiceforallcommercialitems (15) Yoursignatureandthedateconfirmyourliabilityfortheitem