DEPARTMENT OF FINANCE & PLANNING BUREAU OF CUSTOMS & EXCISE STATUTORY DECLARATION (PERSONAL EFFECTS) 2) Insert full name 1G)... b) Residential Adéress Dizeaeacetnmncen — ‘the Independent State of Papua New Guinea, ©) Occupation © - cece i od solemnly and sincerely declare that:- @) Number and Description Te =. mais Packages marked ‘own personal property in the form of - ©) Delete section not applicable () () Pevsnal Effects that are suitable and intended for my ‘own use and have been in my possession overseas valued at... in sa eteaney (i) Second hand household goods which are essentially used in a home and are valued at K, a ‘They are not imported as agi, for hire, sale or for exchange in Papus New Guinea and have been ‘owned! and used by me.on a cantinuous basis in my last country of residence fr a period of over ‘twelve (12) months: 4 State fll particulars of “NEW? (A) Contained in the above mentioned packages ere the ‘goods. State “NIL” ifno “NEW? following “NEW” goods, Goods 2 Land my wife and my. child/children who are under the age of 18 years end is/are dependent upon or ‘msintained by me or my spouse, arived in Papua New Guinea per the -(vesseVaireraft) on the day 7 i 3 1€id.not bring the said goods with me because. 4 1 further declare thet my answers to the following Questions are true in every particular.- ‘Stike out if not applicable ‘51 farther declare that Ihave previously landed in Papua ‘New Guinea personal effects and houschold goods to the Valu Of Keesssernenfl _ . (vesselaireraft) on the. sday OF awn 20 Restricted Imports Firearms andlor ammunition as follows isfare fa the Packages. pray ee Prohibited Imports ‘There are no prohibited goods in these packages. ‘And I make this solemn Declaration by Virtue ofthe Oaths, Affirmation and Declaration Act. Conseientiously believing ‘The Statements contained init to be true in every part Signature of Person. Declared at ...eecereev - Making Declaration ‘This se 200 Before me . (signature) Delete Titles that sre not applicable, () Magistrate or a Clerk ofthe Courts Gi) Commissioner for Oaths, ANY PERSON WHO WILFULLY MAKES A FALSE STATEMENT IN A STATUTORY _ DECLARATION IS GUILTY OF A MISDEMEANOUR AND IS LIABLE TO IMPRISONMENT FOR THREE ) YEARS WITH OR WITHOUT HARD LABOUR,