Exporter Details		Consignee Details
XYZ Exporters Ltd. 123 Export St, City, Country		ABC Importers Ltd. 456 Import Rd, City, Country
Origin Country	Country A	Notify Party	DEF Logistics Ltd. 789 Logistics Ln, City, Country
Vessel Name	MV Sea Carrier	Port of Loading	Port A
Port of Discharge	Port B	Final Destination	City, Country

Description of Goods	Quantity	Unit Price	Total
Product 1	100	$10.00	$1,000.00
Product 2	50	$20.00	$1,000.00
Product 3	150	$15.00	$2,250.00
Subtotal			$4,250.00
Shipping			$250.00
Total			$4,500.00

Supplier

Company Name:

Address:

City, State, ZIP:

Country:

Phone:

Email:

Consignee

Company Name:

Address:

City, State, ZIP:

Country:

Phone:

Email:

Invoice Details

Date:

Terms:

Due Date:

PO Number:

Shipping Details

Ship Date:

Ship Via:

Tracking Number:

Quantity	Country of Origin	Description	HS Code	Unit Weight	Unit Value	Subtotal

Total Net Weight		Total Declared Value (AUD)
Total Gross Weight		Freight & Insurance Charges (AUD)
Total Shipment Pieces		Total PALLETS (AUD)
Currency Code		Total Invoice Amount (AUD)

Customs Declaration

I declare that the information contained in this invoice is true and correct.

Place for Stamp or Signature

Packing Declaration Per Shipment

Packing Declaration

Vessel name:

Voyage number:

Consignment identifier or numerical link:

UNACCEPTABLE PACKING MATERIAL STATEMENT

(Packaging material such as straw peat hay chaff used fruit & vegetable cartons are not permitted)

Q1 Have unacceptable packaging materials been used as packaging or dunnage in the consignments covered by this document?

YES NO

TIMBER/BAMBOO PACKAGING/DUNNAGE STATEMENT

(Timber/bamboo packaging/dunnage includes: crates cases pallets skids and any other timber or bamboo used as a shipping aid)

Q2 Has timber/bamboo packaging/dunnage been used in consignments covered by this document?

YES Timber YES Bamboo NO (nil timber/bamboo)

TREATMENT CERTIFICATION (ONLY IF TIMBER/BAMBOO PACKAGING/DUNNAGE IS DECLARED IN QUESTION 2)

Q3 All timber/bamboo packaging/dunnage used in the consignment has been:

Treated and marked in compliance with ISPM 15 Treated in compliance with Department of Agriculture Fisheries and Forestry treatment requirements (with accompanying treatment certificate) Not treated

CONTAINER CLEANLINESS STATEMENT (for FCL/X consignments only - statement to be removed from document when not relevant).

The container(s) covered by this document has/have been cleaned and is/are free from material of animal and/or plant origin and soil.

Signed:

Printed name:

Date of issue:

Edit Header to add Company letterhead
(MUST be issued by the packer or supplier of the goods and MUST include the company’s name AND address)

January 2024 Version