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1. Declaration Reference Number: Unique identifier for the declaration form
2. Declarant Details: Full name, date of birth, nationality, and contact details of the person making the declaration
3. Travel Information: Details of travel including arrival/departure date, flight/vessel number, port of entry/exit
4. Cash Details: Amount, currency, and form of cash (notes, coins, bearer negotiable instruments)
5. Source of Cash: Origin of the cash, including country and how it was obtained
6. Intended Use: Purpose and intended use of the cash being transported
7. Transport Method: How the cash is being transported (carried, shipped, mailed, etc.)
8. Declaration Statement: Legal statement confirming the truth of the information provided
9. Signature Section: Space for signature, date, and place of declaration
1. Owner Information: Details of the cash owner if different from the declarant
2. Business Details: Company information if the cash is for business purposes
3. Additional Parties: Information about other individuals involved in the cash transportation
4. Customs Agent Section: For completion by customs officials during physical verification
5. Currency Exchange Details: If the cash has been or will be converted from another currency
1. Appendix A - Detailed Cash Breakdown: Itemized list of cash denominations and currencies
2. Appendix B - Supporting Documents: Checklist and attachments of required supporting documentation
3. Appendix C - Additional Owners: Continuation sheet for multiple owners of the declared cash
4. Schedule 1 - Official Use: Section for customs officials to record verification details and decisions
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