To,

The
TransportationCompany,
_________,
__________ (Address)

Date: __/__/____ (Date)

Subject: Declaration

Dear Sir/Madam,

I Srinivasa Raju a resident of Palavancha Bhadradri District,Telegana-507115

having Aadhar bearing Identification Number __________ & Company
Identification Number____________ want to send the below mentioned goods to
__________ (Location).
The goods to be transported are:
Name of Goods Remarks

Cotton boxes -7
Refrigerator
-Washing machine
-Air conditioner
-Wooden cot 6x5
-Wooden cot 6*3
- -Wooden Teapoy
-Plastic bags with clothes -s-6bags
-Cycle 3 nos
-Folding cot
-Almarah
-Pvc dining table
-Dining table wooden chairs -4
-Pvc chair-9
-Misc -s (general itrems) bags5

I request you to kindly transport the above-mentioned goods to the address

details mentioned below.

__________________ (Address Details).

I hereby declare that the above-said information is true and complete to the
best of my knowledge. I also ensure in case of any information provided is false I
shall be held liable for any penalties incurred and legal actions to be taken
against me.

____________ (Signature),
____________ (Name)