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Negative Declaration

I, ________________________________ declare that the articles described below and covered by the invoice of entry to which this declaration relates are not subject to SECTION 204 Agricultural Act of 1956, as amended (7 USE 1854) and the information set forth in this declaration is correct and true to the best of my information, knowledge and belief.

Marks of identification Numbers

Description of Article & Quantity

Country of Origin

 

 

 

 

Made in India

 

 


Date :


__________________________________________

Name :

__________________________________________

Signature :

__________________________________________

Manager


Title :

__________________________________________

Company :

__________________________________________

Address :

__________________________________________

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