To: Customs Authorities

To: Customs Authorities

IM-04

AFFIDAVIT

To: Customs Authorities

From: ______

Tel: ______

Reference: Invoice No. ______Date: ______

I hereby confirm that the importedCosmetic Goodslist in this invoice (attached) are requested for release as transit only to the area under the jurisdiction of the State of Palestine.

They will be marketed and used in this area only

  1. All fees, taxes and expenses will be paid by the importer.

Name: ______

Signature: ______Date: ______

***********************************************************************************

This is to certify that: ______Company

Is authorized to import the attached list/s of products to the area under the jurisdiction of the State of Palestine, which will not bear any financial responsibility what so ever.

Competent Authority Approval

Name: ______

Signature: ______Date: ______

OFFICIAL SEAL

Approval NO.

IM-04

AFFIDAVIT

To: Customs Authorities

From: ______

Tel: ______

Reference: Invoice No. ______Date: ______

I hereby confirm that the importedFood Supplement Goodslist in this invoice (attached) are requested for release as transit only to the area under the jurisdiction of the State of Palestine.

They will be marketed and used in this area only

  1. All fees, taxes and expenses will be paid by the importer.

Name: ______

Signature: ______Date: ______

***********************************************************************************

This is to certify that: ______Company

Is authorized to import the attached list/s of products to the area under the jurisdiction of the State of Palestine, which will not bear any financial responsibility what so ever.

Competent Authority Approval

Name: ______

Signature: ______Date: ______

OFFICIAL SEAL

Approval NO.

IM-04

AFFIDAVIT

To: Customs Authorities

From: ______

Tel: ______

Reference: Invoice No. ______Date: ______

I hereby confirm that the importedMedicinal Goodslist in this invoice (attached) are requested for release as transit only to the area under the jurisdiction of the State of Palestine.

They will be marketed and used in this area only

* All fees, taxes and expenses will be paid by the importer.

Name: ______

Signature: ______Date: ______

***********************************************************************************

This is to certify that: ______Company

Is authorized to import the attached list/s of products to the area under the jurisdiction of the State of Palestine, which will not bear any financial responsibility what so ever.

Competent Authority Approval

Name: ______

Signature: ______Date: ______

OFFICIAL SEAL

Approval NO.

IM-04

AFFIDAVIT

To: Customs Authorities

From: ______

Tel: ______

Reference: Invoice No. ______Date: ______

I hereby confirm that the importedMedical Deviceslist in this invoice (attached) are requested for release as transit only to the area under the jurisdiction of the State of Palestine..

They will be marketed and used in this area only

  1. All fees, taxes and expenses will be paid by the importer.

Name: ______

Signature: ______Date: ______

***********************************************************************************

This is to certify that: ______Company

Is authorized to import the attached list/s of products to the area under the jurisdiction of the State of Palestine, which will not bear any financial responsibility what so ever.

Competent Authority Approval

Name: ______

Signature: ______Date: ______

OFFICIAL SEAL

Approval NO.

IM-04

AFFIDAVIT

To: Customs Authorities

From: ______

Tel: ______

Reference: Invoice No. ______Date: ______

I hereby confirm that the importedVeterinary Goodslist in this invoice (attached) are requested for release as transit only to the area under the jurisdiction of the State of Palestine.

They will be marketed and used in this area only

  1. All fees, taxes and expenses will be paid by the importer.

Name: ______

Signature: ______Date: ______

***********************************************************************************

This is to certify that: ______Company

Is authorized to import the attached list/s of products to the area under the jurisdiction of the State of Palestine, which will not bear any financial responsibility what so ever.

Competent Authority Approval

Name: ______

Signature: ______Date: ______

OFFICIAL SEAL

Approval NO.

IM-04

AFFIDAVIT

To: Customs Authorities

From: ______

Tel: ______

Reference: Invoice No. ______Date: ______

I hereby confirm that the imported Homeopathic Productslist in this invoice (attached) are requested for release as transit only to the area under the jurisdiction of the State of Palestine.

They will be marketed and used in this area only

  1. All fees, taxes and expenses will be paid by the importer.

Name: ______

Signature: ______Date: ______

***********************************************************************************

This is to certify that: ______Company

Is authorized to import the attached list/s of products to the area under the jurisdiction of the State of Palestine, which will not bear any financial responsibility what so ever.

Competent Authority Approval

Name: ______

Signature: ______Date: ______

OFFICIAL SEAL

Approval NO.