Customs Forms

FORM - 107G

FORM COURIER BILL OF ENTRY-X (CBE-X)
(see regulation 5)

COURIER BILL OF ENTRY FOR DUTIABLE GOODS

Name and address of
the Authorised Courier
Name of land
Customs station
Vehicle
Registration No.
Date of Arrival Place of Origin/
Place of loading
Customs Serial No.
and date


S.No Invoice
number
and date
No.
of Packages
Consignee Name
and Address
Description of goods Quantity number/ weight Invoice Value Rate of Exchange Freight Ins
1.
2.
3.


Other Landing Charges Assessable Value (Rs.)
(Section 14)
CTH
Notfn
No.
Duty
Rate
Amount
ETH
Notfn
No.
Value for Additional duty Additional duty Rate/ Amount Total
duty
1.
2.
3.


Please indicate all other charges such as commissions, includible in the assessable value as per section 14 of the Customs Act. 1962

    (i) I/We hereby declare that I/We have 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 I/We have not received any other documents or information showing a different price, value, quantity or description of the said goods and that if any time hereafter. I/We receive any documents from the importer showing a different state of facts I/We will immediately make the same known to the Commissioner of Customs.

    (iii) 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 and the invoices and other documents attached herewith.

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

Signature of Audit Officer


(Passed out of Customs charge)

Signature of the proper officer

Signature of Assessing Officer