Country of origin

REQUEST CN 17
India
Date

For with- drawal

Notes from For alteration For cancellation
or correction or alteration
to be sent by registered post the post X of address of the COD amount
Office of origin Office of destination

Superintendent (Foreign Mails), «destination»

APSO Foreign,
Mumbai-400099
Our telefax No. Telefax No.

Nature of item No. of item Date of dispatch

«Article_No» «date_of_despatch»
Office of origin
Facsimile attached
Description (form, colour of the item, etc.)

sender (name and full address)

«sender_address»
Description
of item

Addressee (name and full address)

«addressee_address»

Original COD amount in figures (where applicable)

Withdrawal Please return the item

from the priority/air S.A.L. non-priority/surface
post
Please redirect the item
X priority/air S.A.L. non-priority/surface
Alteration New address or requested alteration
or correction «new_address»
of address

Cancellation/ Please cancel the COD amount Please alter the COD amount
Alteration of the New COD amount (in words and figures)
COD amount
Signature

Particulars to be supplied by the office of exchange

X Priority/air S.A.L. Non-priority/surface
To be supplied for parcels and registered

No. Date
«DESP_NO» «DATE»
Dispatching office of exchange
«despatching_ooe»
Mail in Office of exchange of destination
which «ooe_of_destination»
and insured items only

the item
was No. of the bill/list
sent «no_of_list» Letter bill (CN 31 or CN 32) Special list (CN 38)
abroad
Serial No.
«sr_no1» Dispatch list (CN 16)
Date and signature
Bulk advice

Size 210 x 297 mm

reply of the office of destination CN 17 (Back)
The item in question has already been delivered The request was not explicit enough;
to the addressee please send additional details
The item in question has been seized under the country's
internal legislation The search was unsuccessful

Additional information

Place, date and signature

To be returned, duly completed, to the office of

origin