CUSTOMS AND EXCISE DIVISION
ARTICLES FOR EXPORT FORM

Date :  
Flight # :  VEC320
Name of Exporter :  
Air waybill # :  

Articles Exported for: ~

Attention    [ ] Processing   [ ]
Repairs    [ ]  
Used Abroad    [ ]  
Used Abroad    [ ]  

Note: The cost of value of alterations, repairs, exchange or processing abroad is subject to Customs Duty. Please provide documentary evidence of same.

ARTICLES TO BE EXPORTED
Description
Model/Serial #
   

Expected Date of Re-importation: Port: Piarco


___________________________ _______________________________
Signature of Exporter Signature of Customs Officer

To be completed in duplicate.