Customs Forms 

FORM 107F

FORM COURIER BILL OF ENTRY-IX (CBE-IX)

(see regulation 5)

COURIER BILL OF ENTRY FOR SAMPLES AND FREE GIFTS

Name and Address of

the Authorised Courier
Name of land

custom station
Vehicle

Registration No.
Date of Arrival Place of
origin/place of
loading
Customs Serial

No./date

S.No. Invoice No.
and date
No. of
pack-
ages
Consignees Name
and Address
Description of
goods
Quantity Invoice Value Rate
of Exchange
Assessable Value (Section 14) CTH/
Notification No.
1.

2.


Declaration


i)
I/We hereby declare that I/We obtained the authorisation from each of the consignees mentioned above to act as an agent for the clearance of the goods described above.

ii)
I/We hereby declare that the goods imported as per this Bill of Entry include only bonafide commercial samples, prototypes of goods and bonafide gifts of articles for personal use of a value not exceeding Rs.5000/ and which are for the time being not subject to any prohibition or restriction on their import into India.

iii)
I/We enclose herewith _________ (number) of airway bills and __________ (number) of invoices for the aforesaid consignments with this Bill of Entry.

iv)
I/We hereby declare that the contents of this Bill of Entry are true and correct in every respect and are in accordance with the Airway Bills, the invoices and other documents attached herewith.


Signature and stamp of authorised courier

Signature of Audit Officer

Signature of Assessing Officer

(Passed out of Customs charge)

Signature of the proper officer