Indemnity Form

EXPORT DECLARATION– DROPOFF

Assurance Cargo complies with all government regulations and does not tolerate the concealment for export of any illegal/prohibited items. Attempting to export unauthorized goods may constitute an offence under the criminal code, and any person committing such an offence is liable, and upon conviction may be fined or sentenced to prison. If you are unsure about any item, please ask our staff. Please read and answer all questions correctly.

Sender's Full Name *

First

Last

Declaration Receiver's Phone

Sender's Phone *

Sender's Email *

Sender's Home Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Receiver's Full Name *

First

Last

Receiver's Phone *

Receiver's Email *

Receiver's Home Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Declaration of Content & Actual Value *

List all items, quantity, and declared value for each item in your package. This is the amount refunded in case of loss or damage. Be accurate as we will not refund higher than what is listed.

Unit Number

Time Form Was Completed *

Date

Time

I confirm that I am the Shipper of the above listed items and I have not concealed or tried to conceal any other item in my shipment, and what is listed is an accurate list of all l am shipping.
I understand that where Assurance Cargo discoversthat I have provided false information by concealing any item not listed above, the items and the whole shipment will not be shipped. If they have already been shipped, l will be responsible for all chargesincurred by Assurance Cargo in retrieving, destroying, or reshipping the items as may be required by law.
I have fully read and accepted the terms and conditions of Assurance cargo Nig. Limited.

Declaration Confirmation *

I confirm that I am the Shipper of the above listed items and I have not concealed or tried to conceal any other item in my shipment and what is listed is an accurate list of all I am shipping. I understand and accept the terms and conditions of Assurance Cargo Nig. Limited. (Please type your name to confirm)

Date *

DISCLAIMER
Assurance Cargo handles all packages and documentation, transferring shipments to the airline daily. We are not liable for any damage to fish and seafood products during transport, which is expected given their nature. Clearance fees may be charged upon arrival, payable through Assurance Cargo. All shipping fees are non-refundable and non-creditable, even if goods are returned, seized, or destroyed due to regulatory breaches or authority discretion. Assurance Cargo will not refund shipping costs, the value of seized or damaged items, or any other amounts.

Assurance Cargo Nigeria Limited offers optional insurance coverage for consignments. Customers must request and pay for this insurance separately. If the customer opts out of the insurance, Assurance Cargo won’t be liable for the damage, loss or seizure of the items as stated in the terms and conditions. Retrieval of processed packages would attract a fine as seen fit by the admin department.

Indemnity form

EXPORT DECLARATION– DROPOFF

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