Shipping Bill and Bill of Export (Form) Regulations, 1991

Shipping Bill and Bill of Export (Form) Regulations, 1991

Published vide M.F. (D.R.) Notification No. 61/91 (N.T.)- Cus, dated 29th August, 1991

Act2186

M.F. (D.R.) Notification No. 61/91 (N.T.)- Cus, dated 29th August, 1991. - In exercise of the powers conferred by Section 157, read with Section 50 and 60, of the Customs Act, 1962 (52 of 1962), and in supersession of the Shipping Bill and Bill of Export (Form) Regulations, 1976, except as respect things done or omitted to be done before such supersession, the Central Board of Excise and Customs hereby makes the following regulations, namely :

  1. Short title and commencement.- (1) These regulations may be called the Shipping Bill and Bill of Export (Form) Regulations, 1991.

(2) They shall come into force on the 1st day of October, 1991.

  1. Shipping Bill.- A shipping bill to be presented by an exporter of goods shall be in form specified in Annexure I, Annexure II, Annexure III or Annexure IV as the case may be, appended to these regulations.
  2. Bill of Export.- A bill of export to be presented by an exporter of goods be in the form specified in Annexure V, Annexure VI, Annexure VIII or Annexure VIII as the case may be, appended to these regulations.
  3. Specifications of Shipping Bill and Bill of Export (Form).- The Shipping Bill and Bill of Export forms specified in Annexures I to VIII shall be in accordance with the following specifications, namely :-

(a) the forms shall be printed no foolscap size of paper measuring 34.5 cms by 21.5 cms and shall have the following margins namely;

(i) Top - 1.5 cms. (ii) bottom - 1.5 cms, (iii) left - 1.8 cms, (iv) right - 0.5 cms.

The layout of forms and the sizes of the boxes shall be as per the layout and boxes shown in the Annexures;

(b) the forms shall be printed on paper of grammage 70 to 85 grams per square metre; the paper should be stable in conditions of 50 to 60 per cent relative humidity;

(c) the captions inside the boxes of the forms should the printed in 6 pt. mono sans-serif and should be located as near as possible to the top left of the boxes;

(d) the forms shall be filled in by using a typewriter only.

Annexure I

Declaration to be filed in case of export of goods under claim for drawback

I/We....................................(name of the exporter) do hereby declare as follows :-

(a) that the quality and specifications of the goods as stated in this Shipping Bill are in accordance with the terms of the export contract entered into with the buyer/consignee in pursuance of which the goods are being exported;

(b) that the duties of Customs and Central Excise have been paid in respect of the containers, packing materials and other materials used in the manufacture of that, export goods on which drawback is being claimed and that in respect of such containers, packing materials or other materials, no separate claim for rebate of duty under Rule 12A or Rule 191A of the Central Excise Rules, 1944 has been made or will be made to the Central Excise authorities;

(c) that there is no change in the manufacturing formula and in the quantum per unit of the imported materials or components if any, utilised in the manufacture of export goods; and that the materials or components, which have been stated in the application under Rule 6 or Rule 7 to have been imported, continue to be so imported and are not being obtained from indigenous sources;

(d) that the present market value of the goods is as follows :

(e) that the goods are not manufactured and/or exported in discharge of export obligation against an advance licence issued under the Duty Exemption Scheme vide relevant import and export policy in force;

(f) that the goods are not manufactured and/or exported by a unit licenced as a 100% export oriented unit in terms of the import and export policy in force;

(g) that the goods are not manufactured and/or exported by a unit situated in any Free Trade Zone/Export Processing Zone or any such other Zone;

(h) that the goods are not manufactured partly or wholly in bonds under Section 65 of the Customs Act, 1962;

(i) that the goods are not manufactured partly or wholly in bond under Rule 191B of the Central Excise Rules, 1944;

(j) that the export value of each of the goods covered by this shipping bill is not less than the total value of all imported materials used in the manufacture of such goods.

[Note : Strike out the declaration whichever is not applicable]

Name and Signature of the exporter__________________

Annexure II

Declaration to be filed in the case of export of goods under the D.E.E.C. scheme

I/We........................(Name of the Exporter) do hereby declare as follows:-

(a) that the goods to be exported under this Shipping Bill corresponding to the export products specified against SL. No.............part (e) of the DEEC No....................dated................Joint/Deputy Chief Controller of Imports and Exports.............................(Name of the office).

(b) that the following raw materials/components/consumables have been used for the manufacture of goods covered under this shipment, namely : -

Sl. No. Description Quality Technical Characteristics Quantity Whether imported/indigenous

(c) That I/we are not availing the benefit of the provisions of Rule 191 A or Rule 191B of the Central Excise Rules, 1944.

OR

that I/We are availing the benefit of the provisions of Rule 191A or Rule 191B of the Central Excise Rules, 1944 in respect of___________________

(name of the item).

[Note: Strike out the declaration whichever is not applicable]

Name and Signature of the exporter________________

_________________________________________________________________________________

(for use by the Customs authorities)

Shipping Bill No. and Date________________________

Name and Signature of the Customs officer________________________

Annexure III

Declaration to be filed in the case of export of goods in anticipation of issue of an advance licence/DEEC

I/We..................................(name of the exporter) do hereby declare as follows :

(a) that the shipment is in pursuance of discharge of the export obligation against export order No...................dated.......................and

(b) I/We request for registration of the shipping bill in anticipation of the grant of an Advance Licence/DEEC for which we have already applied to the Licensing Authority, namely videour application No.........................dated and for which I/We have obtained that letter of permit/receipt No. dated........................ .........from the said Licensing Authority.

(c) that the following raw materials/components/consumable have been used for the manufacture of goods covered under this shipment, namely : -

Sl. No. Description Quality Technical Characteristics Quantity Whether imported/indigenous

(c) that I/We are not availing the benefit of the provisions of Rule 191A or Rule 191B of the Central Excise Rules, 1944

OR

that I/We are availing the benefit of the provisions of Rule 191A or Rule 191B of the Central Excise Rules, 1944 in respect of___________________

(name of the item).

[Note : Strike out the declaration whichever is not applicable]

Name and Signature of the Exporter________________

(For use by the Customs authorities)

Shipping Bill No. and Date________________________

Name and Signature of the Customs officer________________________

Annexure IV

Declaration to be made on shipping bills for consignments covered by AR-4A pending weighment at the docks

In consideration of the [Commissioner of Customs] agreeing to assess the goods on the declared weight pending verification by reference to AR-4A Forms, I/We________________(name of the exporter) do hereby agree : -

(a) to pay any extra duty/cess leviable on the goods covered by the Shipping Bill, and

(b) to produce the AR-4A Forms covering the shipment to the Customs House within 15 days of the shipment of the goods.

[Note : Strike out the declaration whichever is not applicable]

Name and Signature of the exporter________________

.....................................................................................................................................................

(For use by the Customs authorities)

Shipping Bill No. and Date________________________

Name and Signature of the Customs officer________________________

Annexure V

Declaration to be made by exporters who filed shipping bill without certificate from the export inspection agency etc.

(a) I/We______________(name of the Exporter) do hereby declare that the goods being dispatched are/shall be in accordance with the conditions prescribed in the Export (Quality Control and Inspection) Act, 1963. Application for necessary inspection/quality control has been made to______________(name of the export inspection agency) and the same in original will be produced along with the goods at the time of customs examination.

(b) I/We______________(name of the exporter) to hereby declare that the goods are as per the quality control requirements under the Export (Quality Control and Inspection) Act, 1963.

Application for the issue of the inspection/quality control certificate has been made to______________which is duly authorised agency to issue such a certificate. The said certificate will be produced to the Customs officer for checking at the time of shipment.

[Note : Strike out the declaration whichever is not applicable]

Name and Signature of the exporter________________

.....................................................................................................................................................

(For use by the Customs authorities)

Shipping Bill No. and Date________________________

Name and Signature of the Customs officer________________________

Abbreviations

SB No. —Shipping Bill No.
AR-4 —Application for removal 4.
QC Cert. No. —Quality Control Certificate Number
RBI Code No. —Reserve Bank of India Code Number
L/C No. —Letter of Credit Number
CIF —Cost Insurance Freight
[CFR] —Cost and Freight
FOB —Free on Board
CHA —Custom House Agent
GR Form —Guaranteed Receipt Form
ETC Licence —Export Trade Control Licence
QC Certificate —Quality Control Certificate
DBK —Drawback
AWB No. —Air Way Bill No.
EGM No. —Export General Manifesto No.
BE —Bill of Export

Shipping Bill And Bill Of Export Formats

Annexure I

(See regulation 2)

SHIPPING BILL FOR EXPORT OF GOODS UNDER CLAIM FOR DUTY DRAWBACK Original
[Exporter, whether Government or Private] Invoice No. and Date SB. No. and Date
Consignee AR 4/AR4A No. & Date
Q/Cert No. and Date [Import-Export Code No. and BIN]
[State of origin of goods]
Export Trade Control If Export under:................................ Deferred Credit[ ] Joint Ventures [ ] Rupee Credit......[ ] Others..................[ ] RBI's Approval/Cir. No. and Date
Customs House Agent LIC No.
Pre-Carriage by Place of Receipt by pre-carriage Type of shipment:.................................. Outright Sale [ ] consignment [ ] Export [ ] Others (Specify) [ ]
Vessel/Flight No. Rotation No.
Port of Loading Nature of Contract:CIG [ ] /CFR [ ]/FOB [ ] Others (Specify)
Port of Discharge Country of Destination Exchange Rate U/S 14 of CA Currency of Invoice..................................
S. No. Marks and Nos. No and Kind of pkgs Container Nos. [Statistical code, Description of Goods and EXIM Scheme Code, where applicable] Quantity [Value]
Net Weight [FOB] [PMV where applicable]
Gross Weight
Total FOB Value in Words
Analysis of Export Currency Amount Full Export Value or where not ascertainable, the value which exporter expects to receive on the sale of goods.

Currency..................................... Amount.........................................

FOB Value
Freight
Insurance Rate
Commission
Discount
Others
Deductions
Sl. No. Export Tariff No. Assessable Value under Section 14 Duty CESS Total Duty and Cess Duty Payment Particulars
Rate Amount Rate Amount
Collection Stamp
Total Duty/Cess Amount in words:Rupees
Declaration: I/We declare that all particulars given herein are true and correct. I/We also attach the declaration (s) under Clause No.(s)...................... Public Notice No..................................Dated................................... Signature and date

 

SHIPPING BILL FOR EXPORT OF GOODS UNDER CLAIM FOR DUTY DRAWBACK Original
Documents Submitted
1. Invoice [ ]
2. Packing List [ ]
3. GR Form [ ]
4. AR-4/AR-4A Form [ ]
5. ETC Licence [ ]
6. Indent [ ]
7. Acceptance of contract [ ]
8. Letter of Credit [ ]
9. QC Certificate [ ]
10. Port Trust Document [ ]
11. Any Other (Specify) [ ]

 

SHIPPING BILL FOR EXPORT OF GOODS UNDER CLAIM FOR DUTY DRAWBACK Duplicate
[Exporter, whether Government or Private] Invoice No. and Date SB. No. and Date
Consignee AR 4/AR4A No. & Date
Q/Cert No. and Date [Import-Export Code No. and BIN]
[State of origin of goods]
Export Trade Control If Export under:................................ Deferred Credit[ ] Joint Ventures [ ] Rupee Credit......[ ] Others..................[ ] RBI's Approval/Cir. No. and Date
Customs House Agent LIC No.
Pre-Carriage by Place of Receipt by pre-carriage Type of shipment:.................................. Outright Sale [ ] consignment [ ] Export [ ] Others (Specify) [ ]
Vessel/Flight No. Rotation No.
Port of Loading Nature of Contract:CIG [ ] /CFR [ ]/FOB [ ] Others (Specify)
Port of Discharge Country of Destination Exchange Rate U/S 14 of CA Currency of Invoice..................................
S. No. Marks and Nos. No and King of pkgs Container Nos. [Statistical code, Description of Goods and EXIM Scheme Code, where applicable] Quantity [Value]
Net Weight [FOB] [PMV where applicable]
Gross Weight
Total FOB Value in Words
Analysis of Export Currency Amount Full Export Value or where not ascertainable, the value which exporter expects to receive on the sale of goods.

Currency..................................... Amount.........................................

FOB Value
Freight
Insurance Rate
Commission
Discount
Others
Deductions
Sl. No. Export Tariff No. Assessable Value under Section 14 Duty CESS Total Duty and Cess Duty Payment Particulars
Rate Amount Rate Amount
Collection Stamp
Total Duty/Cess Amount in words:Rupees
Declaration: I/We declare that all particulars given herein are true and correct. I/We also attach the declaration (s) under Clause No.(s)...................... Public Notice No.................................. Dated................................... Signature and date

 

SHIPPING BILL FOR EXPORT OF GOODS UNDER CLAIM FRO DUTY DRAWBACK Duplicate
I/We Claim drawback of Rs.........................under Section 74/75 of Customs Act, 1962 and Customs and Central Excise Duty Drawback Rules, 1971. I/We certify that the export goods are new/used for …........................I/we certify that I/We have complied with the conditions laid down in the said Rules 1971 and the conditions subject to which Drawback Rates are applicable.

1. Name and Address of Band............................. 2. Account No.................................................. 3. DBK Ledger No............................................

DOCUMENT SUBMITTED
1. Invoice [ ]
2. Packing List [ ]
3. GR Form [ ]
4. AR-4/AR-4A Form [ ]
5. ETC Licence [ ]
6. Indent [ ]
7. Acceptance of contract [ ]
8. Letter of Credit [ ]
9. QC Certificate [ ]
10. Port Trust Document [ ]
11. Any Other (specify) [ ]
Item No. in S/B S. No. & Sub S. No. of DBK Schedule Qty/Wt. On which DBK Value on which DBK Rate of DBK Amount of DBK
Claimed Claimed Excise Custom Excise Custom Total
Total Amount in words Rupees...................................................... Signature of Exporter/CHA
'LET EXPORT

Signature of officer of customs

'ALLOWED FOR SHIPMENT'

Signature of officer of customs

Vessel/s name may be altered after check with original Entry for Fresh one may be granted to................................... for the portion shutout or not shipped For Rs.

Received

Handed over to C.H.A/Party Asstt. commissioner Cashier
Contents received on Board

Date

Signature of Master of Vessel

Date of shipment

Signature of officer of customs

Examination Order and Report

 

SHIPPING BILL FOR EXPORT OF GOODS UNDER CLAIM FOR DUTY DRAWBACK Triplicate
[Exporter, whether Government or Private] Invoice No. and Date SB. No. and Date
Consignee AR 4/AR4A No. & Date
Q/Cert No. and Date [Import-Export Code No. and BIN]
[State of origin of goods]
Export Trade Control If Export under:................................ Deferred Credit[ ] Joint Ventures [ ] Rupee Credit......[ ] Others..................[ ] RBI's Approval/Cir. No. and Date
Customs House Agent LIC No.
Pre-Carriage by Place of Receipt by pre-Carrier Type of shipment:.................................. Outright Sale [ ] consignment [ ] Export [ ] Others (Specify) [ ]
Vessel/Flight No. Rotation No.
Port of Loading Nature of Contract:CIG [ ] /CFR [ ]/FOB [ ] Others (Specify)
Port of Discharge Country of Destination Exchange Rate U/S 14 of CA Currency of Invoice
S. No. Marks and Nos. No and King of pkgs Container Nos. [Statistical code, Description of Goods and EXIM Scheme Code, where applicable] Quantity [Value]
Net Weight [FOB] [PMV where applicable]
Gross Weight
Total FOB Value in Words
Analysis of Export Currency Amount Full Export Value or where not ascertainable, the value which exporter expects to receive on the sale of goods.

Currency..................................... Amount.........................................

FOB Value
Freight
Insurance Rate
Commission
Discount
Others
Deductions
Sl. No. Export Tariff No. Assessable Value under Section 14 DUTY CESS Total Duty and Cess Duty Payment Particulars
Rate Amount Rate Amount
Collection Stamp
Total Duty/Cess Amount in words:Rupees
Declaration: I/We declare that all particulars given herein are true and correct. I/We also attach the declaration (s) under Clause No.(s)...................... Public Notice No. …................. Dated.............................. Signature and Date

 

SHIPPING BILL FOR EXPORT OF GOODS UNDER CLAIM FRO DUTY DRAWBACK Triplicate
I/We Claim drawback of Rs.........................under Section 74/75 of Customs Act, 1962 and Customs and Central Excise Duty Drawback Rules, 1971. I/We certify that the export goods are new/used for …........................I/we certify that I/We have complied with the conditions laid down in the said Rules 1971 and the conditions subject to which Drawback Rates are applicable.

1. Name and Address of Band............................. 2. Account No.................................................. 3. DBK Ledger No............................................

Item No. in S/B S. No. & Sub S. No. of DBK Schedule Qty/Wt. On which DBK Value on which DBK Rate of DBK Amount of DBK
Claimed Claimed Excise Custom Excise Custom Total
Total Amount in words Rupees................................................................................... …................................................................................................................................................................. Signature of Exporter/CHA
FOR DEPARTMENT OFFICER PRE-RECEIPT FORM
Verified that the amount of DBK as claimed above is admissible subject to description found correct on the basis of physical examination/test etc.

Signature of A.O. & Stamp

Calculation Checked.

Comptist

Received the sum of Rs..................................................................as drawback
REVENUE STAMP Signature of Export/CHA
'LET EXPORT'

Signature of officer of customs

'ALLOWED FOR SHIPMENT' Signature of officer of customsCustoms
Claim Pre-audited for Sanction Claim passed for Rs.................................
Inspector(Audit) Supdt./AC
claim Registration No............................................................. Issued Cheque No.................................................................................... Dated......................................... For Rs......................................................... (Rupees........................................................................................................)
Dealing Clerk officer
Examination Order and Report

 

SHIPPING BILL FOR EXPORT OF GOODS UNDER CLAIM FOR DUTY DRAWBACK EXPORT PROMOTION COPY Quadruplicate
[Exporter, whether Government or Private] Invoice No. and Date SB. No. and Date
Consignee AR 4/AR4A No. & Date
Q/Cert No. and Date [Import-Export Code No. and BIN]
[State of origin of goods]
Export Trade Control If Export under:................................ Deferred Credit[ ] Joint Ventures [ ] Rupee Credit......[ ] Others..................[ ] RBI's Approval/Cir. No. and Date
Customs House Agent LIC No.
Pre-Carriage by Place of Receipt by pre-carriage Type of shipment:.................................. Outright Sale [ ] consignment [ ] Export [ ] Others (Specify) [ ]
Vessel/Flight No. Rotation No.
Port of Loading Nature of Contract:CIG [ ] /CFR [ ]/FOB [ ] Others (Specify)
Port of Discharge Country of Destination Exchange Rate U/S 14 of CA Currency of Invoice..................................
S. No. Marks and Nos. No and King of pkgs Container Nos. [Statistical code, Description of Goods and EXIM Scheme Code, where applicable] Quantity [Value]
Net Weight [FOB] [PMV where applicable]
Gross Weight
Total FOB Value in Words
Analysis of Export Currency Amount Full Export Value or where not ascertainable, the value which exporter expects to receive on the sale of goods.

Currency..................................... Amount.........................................

FOB Value
Freight
Insurance Rate
Commission
Discount
Others
Deductions
Sl. No. Export Tariff No. Assessable Value under Section 14 DUTY CESS Total Duty and Cess Duty Payment Particulars
Rate Amount Rate Amount
Collection Stamp
Total Duty/Cess Amount in words:Rupees
Declaration: I/We declare that all particulars given herein are true and correct. I/We also attach the declaration (s) under Clause No.(s).................................. Public Notice No.................................. Dated............................................................. Signature and date

 

SHIPPING BILL FOR EXPORT OF GOODS UNDER CLAIM FOR DUTY DRAWBACK EXPORT PROMOTION COPY Quadruplicate
Verified Mate's Receipt No................................................................................................ of................................................................................................ issued by................................................................................................ for................................................Cases/Bales/Packages/containers................................................... Shipped per................................................................................................ which sailed on................................................................................................ from................................................................................................ Under Preventive SupervisionSignature of officer of Customs

OR

Shipment declared on this Shipping Bill has been air Freighted on Flight No..........................................................Dated..................................................... AWB No.................................................EGM No............................................................. Under preventive Supervision in full/part(Specify quantity air freighted.)

Signature of officer of Customs

Annexure II

(See Regulation 2)

SHIPPING BILL FOR EXPORT OF DUTIABLE GOODS Original
[Exporter, whether Government or Private] Invoice No. and Date SB. No. and Date
Consignee AR 4/AR4A No. & Date
Q/Cert No. and Date [Import-Export Code No. and BIN]
[State of origin of goods]
Export Trade Control If Export under:................................ Deferred Credit[ ] Joint Ventures [ ] Rupee Credit......[ ] Others..................[ ] RBI's Approval/Cir. No. and Date
Customs House Agent LIC No.
Pre-Carriage by Place of Receipt by pre-carriage Type of shipment:.................................. Outright Sale [ ] consignment [ ] Export [ ] Others (Specify) [ ]
Vessel/Flight No. Rotation No.
Port of Loading Nature of Contract:CIG [ ] /CFR [ ]/FOB [ ] Others (Specify)
Port of Discharge Country of Destination Exchange Rate U/S 14 of CA Currency of Invoice
S. No. Marks and Nos. No and King of pkgs Container Nos. [Statistical code, Description of Goods and EXIM Scheme Code, where applicable] Quantity [Value]
Net Weight [FOB] [PMV where applicable]
Gross Weight
Total FOB Value in Words
Analysis of Export Currency Amount Full Export Value or where not ascertainable, the value which exporter expects to receive on the sale of goods.

Currency..................................... Amount.........................................

FOB Value
Freight
Insurance Rate
Commission
Discount
Others
Deductions
Sl. No. Export Tariff No. Assessable Value under Section 14 DUTY CESS Total Duty and Cess Duty Payment Particulars
Rate Amount Rate Amount
Collection Stamp
Total Duty/Cess Amount in words:Rupees
Declaration: I/We declare that all particulars given herein are true and correct. I/We also attach the declaration (s) under Clause No.(s)...................... Public Notice No..................................Dated................................... Signature and date

 

SHIPPING BILL FOR EXPORT OF DUTIABLE GOODS Original
DOCUMENTS SUBMITTED
1. Invoice [ ]
2. Packing List [ ]
3. GR Form [ ]
4. AR-4/AR-4A Form [ ]
5. ETC Licence [ ]
6. Indent [ ]
7. Acceptance of contract [ ]
8. Letter of Credit [ ]
9. QC Certificate [ ]
10. Port Trust Document [ ]
11. Any Other (Specify) [ ]

Annexure II

(See Regulation 2)

SHIPPING BILL FOR EXPORT OF DUTIABLE GOODS Duplicate
[Exporter, whether Government or Private] Invoice No. and Date SB. No. and Date
Consignee AR 4/AR4A No. & Date
Q/Cert No. and Date [Import-Export Code No. and BIN]
[State of origin of goods]
Export Trade Control If Export under:................................ Deferred Credit[ ] Joint Ventures [ ] Rupee Credit......[ ] Others..................[ ] RBI's Approval/Cir. No. and Date
Customs House Agent LIC No.
Pre-Carriage by Place of Receipt by pre-carriage Type of shipment:.................................. Outright Sale [ ] consignment [ ] Export [ ] Others (Specify) [ ]
Vessel/Flight No. Rotation No.
Port of Loading Nature of Contract:CIG [ ] /CFR [ ]/FOB [ ] Others (Specify)
Port of Discharge Country of Destination Exchange Rate U/S 14 of CA Currency of Invoice..................................
S. No. Marks and Nos. No and King of pkgs Container Nos. [Statistical code, Description of Goods and EXIM Scheme Code, where applicable] Quantity [Value]
Net Weight [FOB] [PMV where applicable]
Gross Weight
Total FOB Value in Words
Analysis of Export Currency Amount Full Export Value or where not ascertainable, the value which exporter expects to receive on the sale of goods.

Currency..................................... Amount.........................................

FOB Value
Freight
Insurance Rate
Commission
Discount
Others
Deductions
Sl. No. Export Tariff No. Assessable Value under Section 14 DUTY CESS Total Duty and Cess Duty Payment Particulars
Rate Amount Rate Amount
Collection Stamp
Total Duty/Cess Amount in words:Rupees
Declaration: I/We declare that all particulars given herein are true and correct. I/We also attach the declaration (s) under Clause No.(s)...................... Public Notice No..................................Dated................................... Signature and date

 

SHIPPING BILL FOR EXPORT OF DUTIABLE GOODS Duplicate
Document Submitted
1. Invoice [ ]
2. Packing List [ ]
3. GR Form [ ]
4. AR-4/AR-4A Form [ ]
5. ETC Licence [ ]
6. Indent [ ]
7. Acceptance of contract [ ]
8. Letter of Credit [ ]
9. QC Certificate [ ]
10. Port Trust Document [ ]
11. Any Other (specify) [ ]
'LET EXPORT'

Signature

'ALLOWED FOR SHIPMENT'

Signature

Vessel/s name may be altered after check with original Entry for Fresh one may be granted to................................... for the portion shutout or not shipped For Rs.

Received

Handed over to C.W.A/Party Asstt. commissioner Cashier
Contents received on Board Date of shipment
Date Master of Vessel Customs officer
Examination Order and Report

Annexure II

(See Regulation 2)

SHIPPING BILL FOR EXPORT OF DUTIABLE GOODS EXPORT PROMOTION COPY Triplicate
[Exporter, whether Government or Private] Invoice No. and Date SB. No. and Date
Consignee AR 4/AR4A No. & Date
Q/Cert No. and Date [Import-Export Code No. and BIN]
[State of origin of goods]
Export Trade Control If Export under:................................ Deferred Credit[ ] Joint Ventures [ ] Rupee Credit......[ ] Others..................[ ] RBI's Approval/Cir. No. and Date
Customs House Agent LIC No.
Pre-Carriage by Place of Receipt by pre-carriage Type of shipment:.................................. Outright Sale [ ] consignment [ ] Export [ ] Others (Specify) [ ]
Vessel/Flight No. Rotation No.
Port of Loading Nature of Contract:CIG [ ] /CFR [ ]/FOB [ ] Others (Specify)
Port of Discharge Country of Destination Exchange Rate U/S 14 of CA Currency of Invoice..................................
S. No. Marks and Nos. No and King of pkgs Container Nos. [Statistical code, Description of Goods and EXIM Scheme Code, where applicable] Quantity [Value]
Net Weight [FOB] [PMV where applicable]
Gross Weight
Total FOB Value in Words
Analysis of Export Currency Amount Full Export Value or where not ascertainable, the value which exporter expects to receive on the sale of goods.

Currency..................................... Amount.........................................

FOB Value
Freight
Insurance Rate
Commission
Discount
Others
Deductions
Sl. No. Export Tariff No. Assessable Value under Section 14 DUTY CESS Total Duty and Cess Duty Payment Particulars
Rate Amount Rate Amount
Collection Stamp
Total Duty/Cess Amount in words:Rupees
Declaration: I/We declare that all particulars given herein are true and correct. I/We also attach the declaration (s) under Clause No.(s)...................... Public Notice No..................................Dated................................... Signature and date

 

SHIPPING BILL FOR EXPORT OR EXPORT OF DUTIABLE GOODS EXPORT PROMOTION COPY Triplicate
Verified Mate's Receipt No........................................................................................... of......................................................................................... issued by ......................................................................................... for........................................cases/Bales/Packages/Containers.............................................. Shipped per......................................................................................... Which Sailed on......................................................................................... From ......................................................................................... under Preventive SupervisionCustoms officer

OR

Shipment declared on this Shipping Bill has been air freighted on Flight No...........................................Dated.................................................................. AWP No..............................................EGM No......................................................... Under Preventive Supervision in full/part(Specify quantity air-freighted).

Customs officer

Annexure III

(See Regulation 2)

SHIPPING BILL FOR EXPORT OF DUTY GOODS UNDER CLAIM FOR DUTY DRAWBACK Original
[Exporter, whether Government or Private] Invoice No. and Date SB. No. and Date
Consignee AR 4/AR4A No. & Date
Q/Cert No. and Date [Import-Export Code No. and BIN]
[State of origin of goods]
Export Trade Control If Export under:................................ Deferred Credit[ ] Joint Ventures [ ] Rupee Credit......[ ] Others..................[ ] RBI's Approval/Cir. No. and Date
Customs House Agent LIC No.
Pre-Carriage by Place of Receipt by pre-carriage Type of shipment:.................................. Outright Sale [ ] consignment [ ] Export [ ] Others (Specify) [ ]
Vessel/Flight No. Rotation No.
Port of Loading Nature of Contract:CIG [ ] /CFR [ ]/FOB [ ] Others (Specify)
Port of Discharge Country of Destination Exchange Rate U/S 14 of CA Currency of Invoice..................................
S. No. Marks and Nos. No and King of pkgs Container Nos. [Statistical code, Description of Goods and EXIM Scheme Code, where applicable] Quantity [Value]
Net Weight [FOB] [PMV where applicable]
Gross Weight
Total FOB Value in Words
Analysis of Export Currency Amount Full Export Value or where not ascertainable, the value which exporter expects to receive on the sale of goods.

Currency..................................... Amount.........................................

FOB Value
Freight
Insurance Rate
Commission
Discount
Others
Deductions
Sl. No. Export Tariff No. Assessable Value under Section 14 DUTY CESS Total Duty and Cess Duty Payment Particulars
Rate Amount Rate Amount
Collection Stamp
Total Duty/Cess Amount in words:Rupees
Declaration: I/We declare that all particulars given herein are true and correct. I/We also attach the declaration (s) under Clause No.(s)...................... Public Notice No.................................. Dated................................... Signature and date

 

SHIPPING BILL FOR EXPORT OF FREE GOODS Original
DOCUMENTS SUBMITTED
1. Invoice [ ]
2. Packing List [ ]
3. GR Form [ ]
4. AR-4/AR-4A Form [ ]
5. ETC Licence [ ]
6. Indent [ ]
7. Acceptance of contract [ ]
8. Letter of Credit [ ]
9. QC Certificate [ ]
10. Port Trust Document [ ]
11. Any Other (Specify) [ ]

Annexure III

(See Regulation 2)

SHIPPING BILL FOR EXPORT OF DUTY FREE GOODS Duplicate
[Exporter, whether Government or Private] Invoice No. and Date SB. No. and Date
Consignee AR 4/AR4A No. & Date
Q/Cert No. and Date [Import-Export Code No. and BIN]
[State of origin of goods]
Export Trade Control If Export under:................................ Deferred Credit[ ] Joint Ventures [ ] Rupee Credit......[ ] Others..................[ ] RBI's Approval/Cir. No. and Date
Customs House Agent LIC No.
Pre-Carriage by Place of Receipt by pre-Carrier Type of shipment:.................................. Outright Sale [ ] consignment [ ] Export [ ] Others (Specify) [ ]
Vessel/Flight No. Rotation No.
Port of Loading Nature of Contract:CIG [ ] /CFR [ ]/FOB [ ] Others (Specify)
Port of Discharge Country of Destination Exchange Rate U/S 14 of CA Currency of Invoice..................................
S. No. Marks and Nos. No and King of pkgs Container Nos. [Statistical code, Description of Goods and EXIM Scheme Code, where applicable] Quantity [Value]
Net Weight [FOB] [PMV where applicable]
Gross Weight
Total FOB Value in Words
Analysis of Export Currency Amount Full Export Value or where not ascertainable, the value which exporter expects to receive on the sale of goods.

Currency..................................... Amount.........................................

FOB Value
Freight
Insurance Rate
Commission
Discount
Others
Deductions
Sl. No. Export Tariff No. Assessable Value under Section 14 DUTY CESS Total Duty and Cess Duty Payment Particulars
Rate Amount Rate Amount
Collection Stamp
Total Duty/Cess Amount in words:Rupees
Declaration: I/We declare that all particulars given herein are true and correct. I/We also attach the declaration (s) under Clause No.(s)...................... Public Notice No..................................Dated................................... Signature and Date

 

SHIPPING BILL FOR EXPORT OF DUTY FREE GOODS Duplicate
DOCUMENT SUBMITTED
1. Invoice [ ]
2. Packing List [ ]
3. GR Form [ ]
4. AR-4/AR-4A Form [ ]
5. ETC Licence [ ]
6. Indent [ ]
7. Acceptance of contract [ ]
8. Letter of Credit [ ]
9. QC Certificate [ ]
10. Port Trust Document [ ]
11. Any Other (specify) [ ]
'LET EXPORT' 'ALLOWED FOR SHIPMENT'
Signature Signature
Vessel's name may be altered after check with original Entry for Fresh one may be granted to................................... for the portion shutout or not shipped For Rs.

Received

Handed over to C.W.A/Party Asstt. commissioner Cashier
Contents received on Board Date of shipment
Date Master of Vessel Customs officer
Examination Order and Report

Annexure III

(See Regulation 2)

SHIPPING BILL FOR EXPORT OF DUTY FREE GOODS EXPORT PROMOTION COPY Triplicate
[Exporter, whether Government or Private] Invoice No. and Date SB. No. and Date
Consignee AR 4/AR4A No. & Date
Q/Cert No. and Date [Import-Export Code No. and BIN]
[State of origin of goods]
Export Trade Control If Export under:................................ Deferred Credit[ ] Joint Ventures [ ] Rupee Credit......[ ] Others..................[ ] RBI's Approval/Cir. No. and Date
Customs House Agent LIC No.
Pre-Carriage by Place of Receipt by pre-carriage Type of shipment:.................................. Outright Sale [ ] consignment [ ] Export [ ] Others (Specify) [ ]
Vessel/Flight No. Rotation No.
Port of Loading Nature of Contract:CIG [ ] /CFR [ ]/FOB [ ] Others (Specify)
Port of Discharge Country of Destination Exchange Rate U/S 14 of CA Currency of Invoice..................................
S. No. Marks and Nos. No and King of pkgs Container Nos. [Statistical code, Description of Goods and EXIM Scheme Code, where applicable] Quantity [Value]
Net Weight [FOB] [PMV where applicable]
Gross Weight
Total FOB Value in Words
Analysis of Export Currency Amount Full Export Value or where not ascertainable, the value which exporter expects to receive on the sale of goods.

Currency..................................... Amount.........................................

FOB Value
Freight
Insurance Rate
Commission
Discount
Others
Deductions
Sl. No. Export Tariff No. Assessable Value under Section 14 Duty CESS Total Duty and Cess Duty Payment Particulars
Rate Amount Rate Amount
Collection Stamp
Total Duty/Cess Amount in words:Rupees
Declaration: I/We declare that all particulars given herein are true and correct. I/We also attach the declaration (s) under Clause No.(s)...................... Public Notice No..................................Dated................................... Signature and date

 

SHIPPING BILL FOR EXPORT OR EXPORT OF DUTY FREE GOODS EXPORT PROMOTION COPY Triplicate
Verified Mate's Receipt No........................................................................................... of......................................................................................... issued by ......................................................................................... for........................................cases/Bales/Packages/Containers.............................................. Shipped per......................................................................................... Which Sailed on......................................................................................... From ......................................................................................... under Preventive SupervisionCustoms officer

OR

Shipment declared on this Shipping Bill has been air freighted on Flight No...........................................Dated.................................................................. AWP No..............................................EGM No......................................................... Under Preventive Supervision in full/part(Specify quantity air-freighted).

Customs officer

Annexure IV

(See Regulation 2)

SHIPPING BILL FOR EXPORT OF DUTY FREE GOODS EX-BOND Original
[Exporter, whether Government or Private] Invoice No. and Date SB. No. and Date
Consignee AR 4/AR4A No. & Date
Q/Cert No. and Date [Import-Export Code No. and BIN]
[State of origin of goods]
Export Trade Control If Export under:................................ Deferred Credit[ ] Joint Ventures [ ] Rupee Credit......[ ] Others..................[ ] RBI's Approval/Cir. No. and Date
Customs House Agent LIC No.
Pre-Carriage by Place of Receipt by pre-carrier Type of shipment:.................................. Outright Sale [ ] consignment [ ] Export [ ] Others (Specify) [ ]
Vessel/Flight No. Rotation No.
Port of Loading Nature of Contract:CIG [ ] /CFR [ ]/FOB [ ] Others (Specify)
Port of Discharge Country of Destination Exchange Rate U/S 14 of CA Currency of Invoice
S. No. Marks and Nos. No and King of pkgs Container Nos. [Statistical code, Description of Goods and EXIM Scheme Code, where applicable] Quantity [Value]
Net Weight [FOB] [PMV where applicable]
Gross Weight
Total FOB Value in Words
Analysis of Export Currency Amount Full Export Value or where not ascertainable, the value which exporter expects to receive on the sale of goods.

Currency..................................... Amount.........................................

FOB Value
Freight
Insurance Rate
Commission
Discount
Others
Deductions
Bill of Entry No. & Date Vessels Name and Rotation No. No. of Pkgs. Bond No. and Date Name of Bonded Warehouse
Declaration: I/We declare that all particulars given herein are true and correct. I/We also attach the declaration (s) under Clause No.(s)...................... Public Notice No..................................Dated................................... Signature and Date

 

SHIPPING BILL FOR EXPORT OF DUTY FREE GOODS EX-BOND Original
DOCUMENTS SUBMITTED
1. Invoice [ ]
2. Packing List [ ]
3. GR Form [ ]
4. AR-4/AR-4A Form [ ]
5. ETC Licence [ ]
6. Indent [ ]
7. Acceptance of contract [ ]
8. Letter of Credit [ ]
9. QC Certificate [ ]
10. Port Trust Document [ ]
11. Any Other (Specify) [ ]

Annexure IV

(See Regulation)

SHIPPING BILL FOR EXPORT OF DUTY FREE GOODS EX-BOND Duplicate
[Exporter, whether Government or Private] Invoice No. and Date SB. No. and Date
Consignee AR 4/AR4A No. & Date
Q/Cert No. and Date [Import-Export Code No. and BIN]
[State of origin of goods]
Export Trade Control If Export under: Deferred Credit[ ] Joint Ventures [ ] Rupee Credit......[ ] Others..................[ ] RBI's Approval/Cir. No. and Date
Customs House Agent LIC No.
Pre-Carriage by Place of Receipt by pre-carrier Type of shipment: Outright Sale [ ] Consignment [ ] Export [ ] Others (Specify) [ ]
Vessel/Flight No. Rotation No.
Port of Loading Nature of Contract:CIG [ ] /CFR [ ]/FOB [ ] Others (Specify)
Port of Discharge Country of Destination Exchange Rate U/S 14 of CA Currency of Invoice.
S. No. Marks and Nos. No and King of pkgs Container Nos. [Statistical code, Description of Goods and EXIM Scheme Code, where applicable] Quantity [Value]
Net Weight [FOB] [PMV where applicable]
Gross Weight
Total FOB Value in Words
Analysis of Export Currency Amount Full Export Value or where not ascertainable, the value which exporter expects to receive on the sale of goods.

Currency..................................... Amount.........................................

FOB Value
Freight
Insurance Rate
Commission
Discount
Others
Deductions
Import Particulars of Bonded Goods
Bill of Entry No. & Date Vessel Name and Rotation No. No. of Pkgs. Bond No. and Date Name of Bonded Warehouse
Declaration: I/We declare that all particulars given herein are true and correct. I/We also attach the declaration (s) under Clause No.(s)...................... Public Notice No..................................Dated................................... Signature and Date

 

SHIPPING BILL FOR EXPORT OF DUTY FREE GOODS EX-BOND Duplicate
DOCUMENT SUBMITTED
1. Invoice [ ]
2. Packing List [ ]
3. GR Form [ ]
4. AR-4/AR-4A Form [ ]
5. ETC Licence [ ]
6. Indent [ ]
7. Acceptance of contract [ ]
8. Letter of Credit [ ]
9. QC Certificate [ ]
10. Port Trust Document [ ]
11. Any Other (specify) [ ]
'LET EXPORT'

Signature

'ALLOWED FOR SHIPMENT'

Signature

Vessel/s name may be altered after check with original Entry for Fresh one may be granted to................................... for the portion shutout or not shipped For Rs.

Received

Handed over to C.W.A/Party Asstt. commissioner Cashier
Contents received on Board Date of shipment

Customs officer

Date Master of Vessel
Examination Order and Report

Annexure IV

(See Regulation 2)

SHIPPING BILL FOR EXPORT DUTY FREE GOODS EX-BOND EXPORT PROMOTION COPY Duplicate
[Exporter, whether Government or Private] Invoice No. and Date SB. No. and Date
Consignee AR 4/AR4A No. & Date
Q/Cert No. and Date [Import-Export Code No. and BIN]
[State of origin of goods]
Export Trade Control If Export under: Deferred Credit[ ] Joint Ventures [ ] Rupee Credit......[ ] Others..................[ ] RBI's Approval/Cir. No. and Date
Customs House Agent LIC No.
Pre-Carriage by Place of Receipt by pre-carrier Type of shipment: Outright Sale [ ] Consignment [ ] Export [ ] Others (Specify) [ ]
Vessel/Flight No. Rotation No.
Port of Loading Nature of Contract:CIG [ ] /CFR [ ]/FOB [ ] Others (Specify)
Port of Discharge Country of Destination Exchange Rate U/S 14 of CA Currency of Invoice.
S. No. Marks and Nos. No and King of pkgs Container Nos. [Statistical code, Description of Goods and EXIM Scheme Code, where applicable] Quantity [Value]
Net Weight [FOB] [PMV where applicable]
Gross Weight
Total FOB Value in Words
Analysis of Export Currency Amount Full Export Value or where not ascertainable, the value which exporter expects to receive on the sale of goods.

Currency..................................... Amount.........................................

FOB Value
Freight
Insurance Rate
Commission
Discount
Others
Deductions
Import Particulars of Bonded Goods
Bill of Entry No. & Date Vessel Name and Rotation No. No. of Pkgs. Bond No. and Date Name of Bonded Warehouse
Declaration: I/We declare that all particulars given herein are true and correct. I/We also attach the declaration (s) under Clause No.(s)...................... Public Notice No..................................Dated................................... Signature and Date

 

SHIPPING FOR EXPORT OF DUTY FREE GOODS EX-BOND EXPORT PROMOTION COPY Triplicate
Verified Mate's Receipt No........................................................................................... of......................................................................................... issued by ......................................................................................... for........................................cases/Bales/Packages/Containers.............................................. Shipped per......................................................................................... Which Sailed o9n......................................................................................... From ......................................................................................... under Preventive SupervisionCustoms officer

OR

Shipment declared on this Shipping Bill has been air freighted on Flight No...........................................Dated.................................................................. AWP No..............................................EGM No......................................................... Under Preventive Supervision in full/part(Specify quantity air-freighted).

Customs officer

Bill Of Export Forms

Annexure V

(See Regulation 3)

BILL OF EXPORT OF GOODS UNDER CLAIM FOR DUTY DRAWBACK Original
[Exporter, whether Government or Private] Invoice No. and Date SB. No. and Date
Consignee AR 4/AR4A No. & Date
Q/Cert No. and Date [Import-Export Code No. and BIN]
[State of origin of goods]
Export Trade Control If Export under:................................ Deferred Credit[ ] Joint Ventures [ ] Rupee Credit......[ ] Others..................[ ] RBI's Approval/Cir. No. and Date
Customs House Agent LIC No.
Lorry No./ Goods Train & Wagon No. Originating From Type of shipment:.................................. Outright Sale [ ] consignment [ ] Export [ ] Others (Specify) [ ]
Place of Delivery Land Custom Station
Nature of Contract:CIG [ ] /CFR [ ]/FOB [ ] Others (Specify)
Country of Destination Exchange Rate U/S 14 of CA Currency of Invoice
S. No. Marks and Nos. No and King of pkgs Container Nos. [Statistical code, Description of Goods and EXIM Scheme Code, where applicable] Quantity [Value]
Net Weight [FOB] [PMV where applicable]
Gross Weight
Total FOB Value in Words
Analysis of Export Currency Amount Full Export Value or where not ascertainable, the value which exporter expects to receive on the sale of goods.

Currency..................................... Amount.........................................

FOB Value
Freight
Insurance Rate
Commission
Discount
Others
Deductions
Sl. No. Export Tariff No. Assessable Value under Section 14 DUTY CESS Total Duty and Cess Duty Payment Particulars
Rate Amount Rate Amount
Collection Stamp
Total Duty/Cess Amount in words:Rupees
Declaration: I/We declare that all particulars given herein are true and correct. I/We also attach the declaration (s) under Clause No.(s)...................... Public Notice No..................................Dated................................... Signature and date

 

BILL OF EXPORT OF GOODS CLAIM FOR DUTY DRAWBACK Original
DOCUMENTS SUBMITTED
1. Invoice [ ]
2. Packing List [ ]
3. GR Form [ ]
4. AR-4/AR-4A Form [ ]
5. ETC Licence [ ]
6. Indent [ ]
7. Acceptance of contract [ ]
8. Letter of Credit [ ]
9. QC Certificate [ ]
10. Port Trust Document [ ]
11. Any Other (Specify) [ ]

Bill Of Export Forms

Annexure V

(See Regulation 3)

BILL OF EXPORT OF GOODS CLAIM FOR DUTY DRAWBACK Duplicate
[Exporter, whether Government or Private] Invoice No. and Date SB. No. and Date
Consignee AR 4/AR4A No. & Date
Q/Cert No. and Date [Import-Export Code No. and BIN]
[State of origin of goods]
Export Trade Control If Export under:................................ Deferred Credit[ ] Joint Ventures [ ] Rupee Credit......[ ] Others..................[ ] RBI's Approval/Cir. No. and Date
Customs House Agent LIC No.
Lorry No./ Goods Train & Wagon No. Originating From Type of shipment:.................................. Outright Sale [ ] consignment [ ] Export [ ] Others (Specify) [ ]
Place of Delivery Land Custom Station
Nature of Contract:CIG [ ] /CFR [ ]/FOB [ ] Others (Specify)
Country of Destination Exchange Rate U/S 14 of CA Currency of Invoice
S. No. Marks and Nos. No and King of pkgs Container Nos. [Statistical code, Description of Goods and EXIM Scheme Code, where applicable] Quantity [Value]
Net Weight [FOB] [PMV where applicable]
Gross Weight
Total FOB Value in Words
Analysis of Export Currency Amount Full Export Value or where not ascertainable, the value which exporter expects to receive on the sale of goods.

Currency..................................... Amount.........................................

FOB Value
Freight
Insurance Rate
Commission
Discount
Others
Deductions
Sl. No. Export Tariff No. Assessable Value under Section 14 DUTY CESS Total Duty and Cess Duty Payment Particulars
Rate Amount Rate Amount
Collection Stamp
Total Duty/Cess Amount in words:Rupees
Declaration: I/We declare that all particulars given herein are true and correct. I/We also attach the declaration (s) under Clause No.(s)...................... Public Notice No..................................Dated................................... Signature and Date

 

BILL OF EXPORT OF GOODS UNDER CLAIM FOR DUTY DRAWBACK Duplicate
I/We Claim drawback of Rs.........................under Section 74/75 of Customs Act, 1962 and Customs and Central Excise Duty Drawback Rules, 1971. I/We certify that the export goods are new/used for …........................I/we certify that I/We have complied with the conditions laid down in the said Rules 1971 and the conditions subject to which Drawback Rates are applicable.

1. Name and Address of Bank....................................................... …..............................................................................................

2. Account No..................................................

3. DBK Ledger No............................................

DOCUMENT SUBMITTED
1. Invoice [ ]
2. Packing List [ ]
3. GR Form [ ]
4. AR-4/AR-4A Form [ ]
5. ETC Licence [ ]
6. Indent [ ]
7. Acceptance of contract [ ]
8. Letter of Credit [ ]
9. QC Certificate [ ]
10. Port Trust Document [ ]
11. Any Other (specify) [ ]
Item No. in S/B S. No. & Sub S. No. of DBK Schedule Qty/Wt. On which DBK Value on which DBK Rate of DBK Amount of DBK
Claimed Claimed Excise Custom Excise Custom Total
Total Amount in words Rupees............................................................................ …........................................................................................................................................................... Signature of Exporter/CHA
'LET EXPORT'

Signature of officer of customs

'ALLOWED FOR SHIPMENT'

Signature of officer of customs

Vessel/s name may be altered after check with original Entry for Fresh one may be granted to................................... for the portion shutout or not shipped For Rs.

Received

Handed over to C.H.A/Party

Cashier

Signature of Asstt. commissioner
Contents Received on Board Date of shipment
Date For Carrier Signature of officer of customs
Examination Order and Report

Bill Of Export Forms

Annexure V

(See Regulation 3)

BILL OF EXPORT OF GOODS UNDER CLAIM FOR DUTY DRAWBACK Triplicate
[Exporter, whether Government or Private] Invoice No. and Date SB. No. and Date
Consignee AR 4/AR4A No. & Date
Q/Cert No. and Date [Import-Export Code No. and BIN]
[State of origin of goods]
Export Trade Control If Export under:................................ Deferred Credit[ ] Joint Ventures [ ] Rupee Credit......[ ] Others..................[ ] RBI's Approval/Cir. No. and Date
Customs House Agent LIC No.
Lorry No/ Goods Train & Wagon No. Originating From Type of shipment:.................................. Outright Sale [ ] consignment [ ] Export [ ] Others (Specify) [ ]
Place of Delivery Land Custom Station
Nature of Contract:CIG [ ] /CFR [ ]/FOB [ ] Others (Specify)
Country of Destination Exchange Rate U/S 14 of CA Currency of Invoice.
S. No. Marks and Nos. No and King of pkgs Container Nos. [Statistical code, Description of Goods and EXIM Scheme Code, where applicable] Quantity [Value]
Net Weight [FOB] [PMV where applicable]
Gross Weight
Total FOB Value in Words
Analysis of Export Currency Amount Full Export Value or where not ascertainable, the value which exporter expects to receive on the sale of goods.

Currency..................................... Amount.........................................

FOB Value
Freight
Insurance Rate
Commission
Discount
Others
Deductions
Sl. No. Export Tariff No. Assessable Value under Section 14 DUTY CESS Total Duty and Cess Duty Payment Particulars
Rate Amount Rate Amount
Collection Stamp
Total Duty/Cess Amount in words:Rupees
Declaration: I/We declare that all particulars given herein are true and correct. I/We also attach the declaration (s) under Clause No.(s)...................... Public Notice No..................................Dated................................... Signature and Date

 

BILL OF EXPORT OF GOODS UNDER CLAIM FOR DUTY DRAWBACK Triplicate
I/We Claim drawback of Rs.........................under Section 74/75 of Customs Act, 1962 and Customs and Central Excise Duty Drawback Rules, 1971. I/We certify that the export goods are new/used for …........................I/we certify that I/We have complied with the conditions laid down in the said Rules 1971 and the conditions subject to which Drawback Rates are applicable.

1. Name and Address of Bank.............................

2. Account No..................................................

3. DBK Ledger No............................................

Item No. in B/E S. No. & Sub S. No. of DBK Schedule Qty/Wt. On which DBK Value on which DBK Rate of DBK Amount of DBK
Claimed Claimed Excise Custom Excise Custom Total
Total Amount in words Rupees.................................................................................................... …................................................................................................................................................................................................ Signature of Exporter/CHA
FOR DEPARTMENT OFFICER PRE-RECEIPT FORM
Verified that the amount of DBK as claimed above is admissible subject to description found correct on the basis of physical examination/test etc.

Signature of A.O. & Stamp

Calculation Checked.

Comptied

Received the sum of Rs.................................................................. ….................................................................................................as drawback
Revenue Stamp

Signature of Export/CHA

'LET EXPORT'

Signature of officer of customs

'ALLOWED FOR SHIPMENT'

Signature of officer of customs

Customs

Claim Pre-audited for Sanction

Inspector(Audit)

Claim passed for Rs.................................

Supdt./AC

Claim Registration No...............................................Issued Cheque No........................................................................................Dated...................................................... For Rs.....................................................(Rupees.................................................................................)
Dealing Clerk officer
Examination Order and Report

Bill Of Export Forms

Annexure V

(See Regulations 3)

BILL OF EXPORT OF GOODS UNDER CLAIM FOR DUTY DRAWBACK EXPORT PROMOTION COPY Quadruplicate
[Exporter, whether Government or Private] Invoice No. and Date SB. No. and Date
Consignee AR 4/AR4A No. & Date
Q/Cert No. and Date [Import-Export Code No. and BIN]
[State of origin of goods]
Export Trade Control If Export under:................................ Deferred Credit[ ] Joint Ventures [ ] Rupee Credit......[ ] Others..................[ ] RBI's Approval/Cir. No. and Date
Customs House Agent LIC No.
Lorry Np./ Goods Train & Wagon No. Originating From Type of shipment:.................................. Outright Sale [ ] consignment [ ] Export [ ] Others (Specify) [ ]
Place of Delivery Land Custom Station
Nature of Contract:CIG [ ] /CFR [ ]/FOB [ ] Others (Specify)
Country of Destination Exchange Rate U/S 14 of CA Currency of Invoice..................................
S. No. Marks and Nos. No and King of pkgs Container Nos. [Statistical code, Description of Goods and EXIM Scheme Code, where applicable] Quantity [Value]
Net Weight [FOB] [PMV where applicable]
Gross Weight
Total FOB Value in Words
Analysis of Export Currency Amount Full Export Value or where not ascertainable, the value which exporter expects to receive on the sale of goods.

Currency..................................... Amount.........................................

FOB Value
Freight
Insurance Rate
Commission
Discount
Others
Deductions
Sl. No. Export Tariff No. Assessable Value under Section 14 DUTY CESS Total Duty and Cess Duty Payment Particulars
Rate Amount Rate Amount
Collection Stamp
Total Duty/Cess Amount in words:Rupees
Declaration: I/We declare that all particulars given herein are true and correct. I/We also attach the declaration (s) under Clause No.(s)................................................... Public Notice No..................................Dated................................................................ Signature of Exporter/ CHA and Date

 

BILL OF EXPORT OF GOODS UNDER CLAIM FOR DUTY DRAWBACK EXPORT PROMOTION COPY Quadruplicate
Verified Mate's Receipt No./Lorry Way Bill No..................................................................Dated............................................................. of............................................................................................................................. issued by f............................................................................................................................. For ..........................................Cases/Bales/Packages/containers........................................ Dispatched per...................................................................................................................... Which let on............................................................................................................... From............................................................................................................................. Under Preventive SupervisionSignature of officer of Customs

Bill Of Export Forms

Annexure VI

(See Regulation 3)

BILL OF EXPORT OF DUTIABLE GOODS Original
[Exporter, whether Government or Private] Invoice No. and Date SE. No. and Date
Consignee AR 4/AR4A No. & Date
Q/Cert No. and Date [Import-Export Code No. and BIN]
[State of origin of goods]
Export Trade Control If Export under:................................ Deferred Credit[ ] Joint Ventures [ ] Rupee Credit......[ ] Others..................[ ] RBI's Approval/Cir. No. and Date
Customs House Agent LIC No.
Lorry No./ Goods Train & Wagon No. Originating From Type of shipment:.................................. Outright Sale [ ] consignment [ ] Export [ ] Others (Specify) [ ]
Place of Delivery Land Custom Station
Nature of Contract:CIF [ ] /CFR [ ]/FOB [ ] Others (Specify)
Country of Destination Exchange Rate U/S 14 of CA Currency of Invoice.
S. No. Marks and Nos. No and King of Pkgs Container Nos. [Statistical code, Description of Goods and EXIM Scheme Code, where applicable] Quantity [Value]
Net Weight [FOB] [PMV where applicable]
Gross Weight
Total FOB Value in Words
Analysis of Export Currency Amount Full Export Value or where not ascertainable, the value which exporter expects to receive on the sale of goods.

Currency..................................... Amount.........................................

FOB Value
Freight
Insurance Rate
Commission
Discount
Others
Deductions
Sl. No. Export Tariff No. Assessable Value under Section 14 DUTY CESS Total Duty and Cess Duty Payment Particulars
Rate Amount Rate Amount
Collection Stamp
Total Duty/ Cess Amount in words:Rupees
Declaration: I/We declare that all particulars given herein are true and correct. I/We also attach the declaration (s) under Clause No.(s)...................... Public Notice No..................................Dated................................................... Signature of Exporter/CHA and Date

 

BILL OF EXPORT FOR DUTIABLE GOODS Original
DOCUMENTS SUBMITTED
1. Invoice [ ]
2. Packing List [ ]
3. GR Form [ ]
4. AR-4/AR-4A Form [ ]
5. ETC Licence [ ]
6. Indent [ ]
7. Acceptance of contract [ ]
8. Letter of Credit [ ]
9. QC Certificate [ ]
10. Any Other (Specify) [ ]

Bill Of Export Forms

Annexure VI

(See Regulation 3)

BILL OF EXPORT FOR DUTIABLE GOODS Dutiable
[Exporter, whether Government or Private] Invoice No. and Date SE. No. and Date
Consignee AR 4/AR4A No. & Date
Q/Cert No. and Date [Import-Export Code No. and BIN]
[State of origin of goods]
Export Trade Control If Export under:................................ Deferred Credit[ ] Joint Ventures [ ] Rupee Credit......[ ] Others..................[ ] RBI's Approval/Cir. No. and Date
Customs HouseAgent LIC No.
Lorry No./ Goods Train & Wagon No. Originating From Type of shipment:.................................. Outright Sale [ ] consignment [ ] Export [ ] Others (Specify) [ ]
Place of Delivery Land Cus Station
Nature of Contract:CIG [ ] /CFR [ ]/FOB [ ] Others (Specify) []
Country of Destination Exchange Rate U/S 14 of CA Currency of Invoice
S. No. Marks and Nos. No and Kind of pkgs Container Nos. [Statistical code, Description of Goods and EXIM Scheme Code, where applicable] Quantity [Value]
Net Weight [FOB] [PMV where applicable]
Gross Weight
Total FOB Value in Words
Analysis of Export Currency Amount Full Export Value or where not ascertainable, the value which exporter expects to receive on the sale of goods.

Currency..................................... Amount.........................................

FOB Value
Freight
Insurance Rate
Commission
Discount
Others
Deductions
Sl. No. Export Tariff No. Assessable Value under Section 14 DUTY CESS Total Duty and Cess Duty Payment Particulars
Rate Amount Rate Amount
Collection Stamp
Total Duty/Cess Amount in words:Rupees
Declaration: I/We declare that all particulars given herein are true and correct. I/We also attach the declaration (s) under Clause No.(s)...................... Public Notice No..................................Dated................................... Signature and Date

 

BILL OF EXPORT FOR DUTIABLE GOODS Duplicate
DOCUMENT SUBMITTED
1. Invoice [ ]
2. Packing List [ ]
3. GR Form [ ]
4. AR-4/AR-4A Form [ ]
5. ETC Licence [ ]
6. Indent [ ]
7. Acceptance of contract [ ]
8. Letter of Credit [ ]
9. QC Certificate [ ]
10. Port Trust Document [ ]
11. Any Other (specify) [ ]
'LET EXPORT'

Signature of officer of customs

'ALLOWED FOR SHIPMENT'

Signature of officer of Customs

Carrier's Name & Lorry No./Goods Train & Wagon No. may be altered after Check with Original Entry for Fresh one may be granted to................................... for the portion shutout or not shipped Fee Rs.

Received

Handed over to C.W.A/Party Asstt. commissioner Cashier
Contents received on Board Date of shipment

Signature of officer of customs

Date For Carrier
Examination Order and Report

Bill Of Export Forms

Annexure VI

(See Regulation 3)

BILL OF EXPORT FOR DUTIABLE GOODS EXPORT PROMOTION COPY Triplicate
[Exporter, whether Government or Private] Invoice No. and Date SE. No. and Date
Consignee AR 4/AR4A No. & Date
Q/Cert No. and Date [Import-Export Code No. and BIN]
[State of origin of goods]
Export Trade Control If Export under:................................ Deferred Credit[ ] Joint Ventures [ ] Rupee Credit......[ ] Others..................[ ] RBI's Approval/Cir. No. and Date
Customs House Agent LIC No.
Lorry No./ Goods Train & Wagon No. Originating Form Type of shipment:.................................. Outright Sale [ ] consignment [ ] Export [ ] Others (Specify) [ ]
Place of Delivery Land Custom Station
Nature of Contract:CIG [ ] /CFR [ ]/FOB [ ] Others (Specify)
Port of Discharge Country of Destination Exchange Rate U/S 14 of CA Currency of Invoice
S. No. Marks and Nos. No and King of pkgs Container Nos. [Statistical code, Description of Goods and EXIM Scheme Code, where applicable] Quantity [Value]
Net Weight [FOB] [PMV where applicable]
Gross Weight
Total FOB Value in Words
Analysis of Export Currency Amount Full Export Value or where not ascertainable, the value which exporter expects to receive on the sale of goods.

Currency..................................... Amount.........................................

FOB Value
Freight
Insurance Rate
Commission
Discount
Others
Deductions
Sl. No. Export Tariff No. Assessable Value under Section 14 DUTY CESS Total Duty and Cess Duty Payment Particulars
Rate Amount Rate Amount
Collection Stamp
Total Duty/ Cess Amount in words:Rupees
Declaration: I/We declare that all particulars given herein are true and correct. I/We also attach the declaration (s) under Clause No.(s)...................... Public Notice No..................................Dated................................... Signature and Date

 

BILL OF EXPORT FOR DUTIABLE GOODS EXPORT PROMOTION COPY Triplicate
Verified Railway Receipt No./ Lorry Way bill No .................................................................. of............................................................................................................. issued by................................................................................................... For..........................................Cases/Bales/Packages/containers ............................................................................................................... Dispatched per........................................................................................... Which left on............................................................................................ From...................................................................................... Under Preventive SupervisionSignature of officer of Customs

Bill Of Export Forms

Annexure VII

(See Regulation 3)

BILL OF EXPORT FOR DUTY FREE GOODS Original
[Exporter, whether Government or Private] Invoice No. and Date SE. No. and Date
Consignee AR 4/AR4A No. & Date
Q/Cert No. and Date [Import-Export Code No. and BIN]
[State of origin of goods]
Export Trade Control If Export under:................................ Deferred Credit[ ] Joint Ventures [ ] Rupee Credit......[ ] Others..................[ ] RBI's Approval/Cir. No. and Date
Customs House Agent LIC No.
Lorry No./ Goods Train & Wagon No. Originating Form Type of shipment:.................................. Outright Sale [ ] consignment [ ] Export [ ] Others (Specify) [ ]
Place of Delivery Land Custom Station
Nature of Contract:CIG [ ] /CFR [ ]/FOB [ ] Others (Specify) []
Country of Destination Exchange Rate U/S 14 of CA Currency of Invoice.
S. No. Marks and Nos. No and King of Pkgs Container Nos. [Statistical code, Description of Goods and EXIM Scheme Code, where applicable] Quantity [Value]
Net Weight [FOB] [PMV where applicable]
Gross Weight
Total FOB Value in Words
Analysis of Export Currency Amount Full Export Value or where not ascertainable, the value which exporter expects to receive on the sale of goods.

Currency..................................... Amount.........................................

FOB Value
Freight
Insurance Rate
Commission
Discount
Others
Deductions
Declaration: I/We declare that all particulars given herein are true and correct. I/We also attach the declaration (s) under Clause No.(s)...................... Public Notice No..................................Dated................................... Signature of Export/ CHA and Date

 

BILL OF EXPORT FOR DUTY FREE GOODS Original
DOCUMENTS SUBMITTED
1. Invoice [ ]
2. Packing List [ ]
3. GR Form [ ]
4. AR-4/AR-4A Form [ ]
5. ETC Licence [ ]
6. Indent [ ]
7. Acceptance of contract [ ]
8. Letter of Credit [ ]
9. QC Certificate [ ]
10. Any Other (Specify) [ ]

Bill Of Export Forms

Annexure VII

(See regulation 3)

Bill of Export For Duty Free Goods Original
[Exporter, whether Government or Private] Invoice No. and Date SE. No. and Date
Consignee AR 4/AR4A No. & Date
Q/Cert No. and Date [Import-Export Code No. and BIN]
[State of origin of goods]
Export Trade Control If Export under:................................ Deferred Credit[ ] Joint Ventures [ ] Rupee Credit......[ ] Others..................[ ] RBI's Approval/Cir. No. and Date
Customs House Agent LIC No.
Lorry No./ Goods Train & Wagon No. Originating Form Type of shipment:.................................. Outright Sale [ ] consignment [ ] Export [ ] Others (Specify) [ ]
Place of Delivery Land Custom Station
Nature of Contract:CIG [ ] /CFR [ ]/FOB [ ] Others (Specify) []
Country of Destination Exchange Rate U/S 14 of CA Currency of Invoice.
S. No. Marks and Nos. No and King of Pkgs Container Nos. [Statistical code, Description of Goods and EXIM Scheme Code, where applicable] Quantity [Value]
Net Weight [FOB] [PMV where applicable]
Gross Weight
Total FOB Value in Words
Analysis of Export Currency Amount Full Export Value or where not ascertainable, the value which exporter expects to receive on the sale of goods.

Currency..................................... Amount.........................................

FOB Value
Freight
Insurance Rate
Commission
Discount
Others
Deductions
Declaration: I/We declare that all particulars given herein are true and correct. I/We also attach the declaration (s) under Clause No.(s)...................... Public Notice No..................................Dated................................... Signature of Export/ CHA and Date

 

BILL OF EXPORT FOR DUTY FREE GOODS Duplicate
DOCUMENT SUBMITTED
1. Invoice [ ]
2. Packing List [ ]
3. GR Form [ ]
4. AR-4/AR-4A Form [ ]
5. ETC Licence [ ]
6. Indent [ ]
7. Acceptance of contract [ ]
8. Letter of Credit [ ]
9. QC Certificate [ ]
10. Any Other (specify) [ ]
'LET EXPORT'

Signature of officer of customs

'ALLOWED FOR SHIPMENT'

Signature of officer of customs

Carrier's Name & Lorry No./Goods Train & Wagon No. may be altered after Check with Original Entry for Fresh one may be granted to................................... for the portion shutout or not shipped Fee Rs.Received
Handed over to C.H.A/Party Signature of Asstt. Commissioner of Customs Cashier
Contents received on Board Date of shipment

Signature of officer of customs

Date For Carrier
Examination Order and Report

Bill Of Export Forms

Annexure VII

(See Regulation 3)

BILL OF EXPORT FOR DUTY FREE GOODS EXPORT PROMOTION COPY Original
[Exporter, whether Government or Private] Invoice No. and Date SE. No. and Date
Consignee AR 4/AR4A No. & Date
Q/Cert No. and Date [Import-Export Code No. and BIN]
[State of origin of goods]
Export Trade Control If Export under:................................ Deferred Credit[ ] Joint Ventures [ ] Rupee Credit......[ ] Others..................[ ] RBI's Approval/Cir. No. and Date
Customs House Agent LIC No.
Lorry No./ Goods Train & Wagon No. Originating Form Type of shipment:.................................. Outright Sale [ ] consignment [ ] Export [ ] Others (Specify) [ ]
Place of Delivery Land Custom Station
Nature of Contract:CIG [ ] /CFR [ ]/FOB [ ] Others (Specify) []
Country of Destination Exchange Rate U/S 14 of CA Currency of Invoice.
S. No. Marks and Nos. No and King of Pkgs Container Nos. [Statistical code, Description of Goods and EXIM Scheme Code, where applicable] Quantity [Value]
Net Weight [FOB] [PMV where applicable]
Gross Weight
Total FOB Value in Words
Analysis of Export Currency Amount Full Export Value or where not ascertainable, the value which exporter expects to receive on the sale of goods.

Currency..................................... Amount.........................................

FOB Value
Freight
Insurance Rate
Commission
Discount
Others
Deductions
Declaration: I/We declare that all particulars given herein are true and correct. I/We also attach the declaration (s) under Clause No.(s)...................... Public Notice No..................................Dated................................... Signature of Export/ CHA and Date

 

BILL OF EXPORT OF GOODS UNDER CLAIM FOR DUTY DRAWBACK EXPORT PROMOTION COPY Quadruplicate
Verified Mate's Receipt No./Lorry Way Bill No....................................Dated......................................................... of................................................................................................................................................................... issued by ....................................................................................................................................................... For ..........................................Cases/Bales/Packages/containers......................................................................... Dispatched per.................................................................................................................................................. Which let on..................................................................................................................................................... From........................................................................................................................ Under Preventive SupervisionSignature of officer of Customs

Bill Of Export Forms

Annexure VIII

(See Regulation 3)

BILL OF EXPORT FOR DUTY FREE GOODS EX-BOND Original
[Exporter, whether Government or Private] Invoice No. and Date SE. No. and Date
Consignee AR 4/AR4A No. & Date
Q/Cert No. and Date [Import-Export Code No. and BIN]
[State of origin of goods]
Export Trade Control If Export under:................................ Deferred Credit[ ] Joint Ventures [ ] Rupee Credit......[ ] Others..................[ ] RBI's Approval/Cir. No. and Date
Customs House Agent LIC No.
Lorry No./ Goods Train & Wagon No. Originating From Type of shipment:.................................. Outright Sale [ ] consignment [ ] Export [ ] Others (Specify) [ ]
Place of Delivery Land Custom Station
Nature of Contract:CIG [ ] /CFR [ ]/FOB [ ] Others (Specify) []
Country of Destination Exchange Rate U/S 14 of CA Currency of Invoice..................................
S. No. Marks and Nos. No and King of Pkgs. Container Nos. [Statistical code, Description of Goods and EXIM Scheme Code, where applicable] Quantity [Value]
Net Weight [FOB] [PMV where applicable]
Gross Weight
Total FOB Value in Words
Analysis of Export Currency Amount Full Export Value or where not ascertainable, the value which exporter expects to receive on the sale of goods.

Currency..................................... Amount.........................................

FOB Value
Freight
Insurance Rate
Commission
Discount
Others
Deductions
Import Particulars of Bonded Goods
Bill of Entry No & Date Vessels Name and Rotation No. No. of Pkgs. Bond No. & Date Name of Bonded Warehouse
Declaration: I/We declare that all particulars given herein are true and correct. I/We also attach the declaration (s) under Clause No.(s)...................... Public Notice No..................................Dated................................... Signature of Export/ CHA and Date

 

SHIPPING BILL FOR EXPORT OF GOODS UNDER CLAIM FOR DUTY DRAWBACK Original
DOCUMENTS SUBMITTED
1. Invoice [ ]
2. Packing List [ ]
3. GR Form [ ]
4. AR-4/AR-4A Form [ ]
5. ETC Licence [ ]
6. Indent [ ]
7. Acceptance of contract [ ]
8. Letter of Credit [ ]
9. QC Certificate [ ]
10. Any Other (Specify) [ ]

Bill Of Export Forms

Annexure VIII

(See Regulation 3)

BILL OF EXPORT FOR DUTY FREE GOODS EX-BOND Duplicate
[Exporter, whether Government or Private] Invoice No. and Date SE. No. and Date
Consignee AR 4/AR4A No. & Date
Q/Cert No. and Date [Import-Export Code No. and BIN]
[State of origin of goods]
Export Trade Control If Export under:................................ Deferred Credit[ ] Joint Ventures [ ] Rupee Credit......[ ] Others..................[ ] RBI's Approval/Cir. No. and Date
Customs House Agent LIC No.
Lorry No./ Goods Train & Wagon No. Originating From Type of shipment:.................................. Outright Sale [ ] consignment [ ] Export [ ] Others (Specify) [ ]
Place of Delivery Land Custom Station
Nature of Contract:CIG [ ] /CFR [ ]/FOB [ ] Others (Specify) []
Country of Destination Exchange Rate U/S 14 of CA Currency of Invoice..................................
S. No. Marks and Nos. No and King of Pkgs. Container Nos. [Statistical code, Description of Goods and EXIM Scheme Code, where applicable] Quantity [Value]
Net Weight [FOB] [PMV where applicable]
Gross Weight
Total FOB Value in Words
Analysis of Export Currency Amount Full Export Value or where not ascertainable, the value which exporter expects to receive on the sale of goods.

Currency..................................... Amount.........................................

FOB Value
Freight
Insurance Rate
Commission
Discount
Others
Deductions
Import Particulars of Bonded Goods
Bill of Entry No & Date Vessels Name and Rotation No. No. of Pkgs. Bond No. & Date Name of Bonded Warehouse
Declaration: I/We declare that all particulars given herein are true and correct. I/We also attach the declaration (s) under Clause No.(s)...................... Public Notice No..................................Dated................................... Signature of Export/ CHA and Date

 

BILL OF EXPORT DUTY FREE GOODS EX-BOND Duplicate
DOCUMENT SUBMITTED
1. Invoice [ ]
2. Packing List [ ]
3. GR Form [ ]
4. AR-4/AR-4A Form [ ]
5. ETC Licence [ ]
6. Indent [ ]
7. Acceptance of contract [ ]
8. Letter of Credit [ ]
9. QC Certificate [ ]
10. Any Other (specify) [ ]
'LET EXPORT'

Signature of officer of customs

'ALLOWED FOR SHIPMENT'

Signature of officer of customs

Carrier's Name & Lorry No./Goods Train & Wagon No. may be altered after Check with Original Entry for Fresh one may be granted to................................... for the portion shutout or not shippedHanded over to C.H.A/Party Fee Rs.

Received Signature of Asstt. Commissioner of Cashier

Contents Received on Board Date of Shipment
Date For Carrier Date of Shipment Signature of officer of Customs.
Examination Order and Report

Bill Of Export Forms

Annexure VIII

(See Regulation 3)

BILL OF EXPORT FOR DUTY FREE GOODS EX-BOND EXPORT PROMOTION COPY Triplicate
[Exporter, whether Government or Private] Invoice No. and Date SB. No. and Date
Consignee AR 4/AR4A No. & Date
Q/Cert No. and Date [Import-Export Code No. and BIN]
[State of origin of goods]
Export Trade Control If Export under:................................ Deferred Credit[ ] Joint Ventures [ ] Rupee Credit......[ ] Others..................[ ] RBI's Approval/Cir. No. and Date
Customs House Agent LIC No.
Lorry No./ Goods Train & Wagon No. Originating From Type of shipment:.................................. Outright Sale [ ] consignment [ ] Export [ ] Others (Specify) [ ]
Place of Delivery Land Custom Station
Port of Loading Nature of Contract:CIG [ ] /CFR [ ]/FOB [ ] Others (Specify)
Country of Destination Exchange Rate U/S 14 of CA Currency of Invoice..................................
S. No. Marks and Nos. No and King of Pkgs Container Nos. [Statistical code, Description of Goods and EXIM Scheme Code, where applicable] Quantity [Value]
Net Weight [FOB] [PMV where applicable]
Gross Weight
Total FOB Value in Words
Analysis of Export Value Currency Amount Full Export Value or where not ascertainable, the value which exporter expects to receive on the sale of goods.

Currency..................................... Amount.........................................

FOB Value
Freight
Insurance Rate
Commission
Discount
Others
Deductions
Bill of Entry No. & Date Vessels Name and Rotation No. No. of Pkgs. Bond No. & Date Name of Bonded Warehouse
Declaration: I/We declare that all particulars given herein are true and correct. I/We also attach the declaration (s) under Clause No.(s)...................... Public Notice No .................................. Dated ................................... Signature of Export/CHA and Date
Bill of Export for Duty Free Goods Ex-Bond