CUSTOMS ROAD TRANSPORTER: PAGE NO : 1OF1

FREIGHT MANIFEST MANIFEST NO. NO. OF PAGES

REGISTRATION NO: TRAILER (1) TRAILER (2) 1 1

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CONTAIINER CONTAINER NO.: CE
SEAL NO. SEAL NO.: SEAL NO.: *WHERE APPLICABLE
LINE WAYBILL PACKAGES NO. DESCRIPTION OF MASS/ CONSIGNOR CONSIGNEE CLEARING AGENT BILL OF ENTRY
NO. NUMBER AND TYPE GOODS WEIGHT EXIT ENTRY EXIT ENTRY

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I hereby certify that the particulars shown on this manifest are a true reflection of all
goods carried on the above mentioned vehicles

TRANSPORTER PLACE

DATE
Instructions : 1. To be complited at least in triplicate