Declaration Form

TO WHOMSOEVER IT MAY CONCERN,

I, Sai Charan hereby declare that:

This Package/consignment No. :

_____________________________________

_____________________________________

_____________________________________

_____________________________________

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.

***