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Declaration Form

TO WHOMSOEVER IT MAY CONCERN,

I, Sai Charan hereby declare that:

This Package/consignment No. : Ticket ID Number-acrorma007645

Through: _____________________________________
Contains 1 Box(es) 1 piece(s) weighing 0.5 kgs
Electronic parts/ metal Sample: Computer Parts & Peripherals
Commercial Value of ?: 2000 Sample/ Replacement
NCV (No Commercial value)
_______
(Signature) Checked:
Date:
* No Commercial Value
* This is a faulty unit for replacement/repair.
***

To,
Khasra no. 522/1 , village: Jonapur,
Delhi - 110047
Landmark: Next to Atri complex
Phone: 09910038574

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