CARGO / VALUABLES TRANSPORT

Declaration, KYC & Insurance Agreement

Full Name Date of Birth Address Government ID Upload

Receiver Name Address Tracking Number Declared Value ($)

I agree to activate insurance I understand failure may delay delivery

Courier / Logistics Provider Client / Sender Receiver Phone Email

Description of Contents Declared Value Currency Shipment Reference Number

Courier Delivery Hand Delivery Secure Transfer

Company Policy Third-party Insurance

Insurance Provider Policy Number

Receiver Signature Courier Signature