The Concerned Authority,
_______________ (Name of courier company),
_______________ (Address of courier company)

Date: __/__/____ (Date),

Subject: Declaration for ___________ (declaration details)

This is to inform you that I live at ____________ (Address) and my name is ____________ (Name).

I would state that I am sending a courier having tracking ID __________ (tracking number/document number) to ___________ (Receiver’s Name) with delivery address ___________ (Delivery Address). I ensure that the items in this package is _____________ (Gift/ Documents – Mention) and has _________ (no commercial value /value details – if applicable). The complete value of this parcel is ____________ (Amount).

I ensure that the above-said details are correct and are written by me.

_____________ (Signature)
_____________ (Name),
_____________ (Contact Number)

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