Customs Forms
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BILL OF EXPORT FOR DUTIABLE GOODS |
Original |
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Exporter |
Invoice No. & Date |
Bill No. & Date |
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AR4/ AR4A No. & Date |
Import-Export Code No. |
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Q/ Cert No. & Date |
RBI Code No. |
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Consignee |
Export Trade Control |
If export under Deferred Credit [ ] Joint Ventures [ ] Rupee Credit [ ] Others [ ] RBI's Approval/Cir. No. & Date |
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Custom House LIC No. Agent
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Pre-Carriage by |
Place of Receipt by Pre-carrier |
Type of Shipment Outright Sale [ ] Consignment Export [ ]
Others specify [ ] |
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Vessel/ Flight No. |
Rotation No. |
Originating From |
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Port of Loading |
Nature of Contracts: CIF [ ] / CFR [ ]/FOB Others (specify) [ ] |
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Port of Discharge |
Country of Destination |
Exchange Rate U / S 14 of CA |
Currency of Invoice |
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S. No. |
Marks & Nos. |
No. & Kind of Pkgs. Container Nos. |
Statistical code & Description of Goods
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Quantity |
Value FOB |
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Net Weight |
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Gross Weight |
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Total FOB Value in words |
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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.............. |
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FOB value |
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Freight |
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Insurance |
Rate |
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Commission |
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Discount |
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Other |
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Deductions |
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SL. No. |
Export Tariff No. |
Assessable Value under Sec-14 |
Duty |
Cess |
Total Duty & Cess |
Duty payment particulars |
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Rate |
Amount |
Rate |
Amount |
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Total Duty & Cess Amount in words: Rupees |
Collection Stamp |
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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 |
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BILL OF EXPORT OF DUTIABLE GOODS Export Promotion Copy |
Original |
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Document Submitted
1. Invoice [ ] 2. Packing List [ ] 3. G R 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) |
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BILL OF EXPORT FOR DUTIABLE GOODS |
Duplicate |
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Exporter |
Invoice No. & Date |
Bill No. & Date |
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AR4/ AR4A No. & Date |
Import-Export Code No. |
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Q/ Cert No. & Date |
RBI Code No. |
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Consignee |
Export Trade Control |
If export under Deferred Credit [ ] Joint Ventures [ ] Rupee Credit [ ] Others [ ] RBI's Approval/Cir. No. & Date |
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Custom House LIC No. Agent
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Pre-Carriage by |
Place of Receipt by Pre-carrier |
Type of Shipment Outright Sale [ ] Consignment Export [ ]
Others specify [ ] |
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Vessel/ Flight No. |
Rotation No. |
Originating From |
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Port of Loading |
Nature of Contracts: CIF [ ] / CFR [ ]/FOB Others (specify) [ ] |
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Port of Discharge |
Country of Destination |
Exchange Rate U / S 14 of CA |
Currency of Invoice |
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S. No. |
Marks & Nos. |
No. & Kind of Pkgs. Container Nos. |
Statistical code & Description of Goods
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Quantity |
Value FOB |
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Net Weight |
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Gross Weight |
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Total FOB Value in words |
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|
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.............. |
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FOB value |
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Freight |
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Insurance |
Rate |
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Commission |
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Discount |
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Other |
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Deductions |
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SL. No. |
Export Tariff No. |
Assessable Value under Sec-14 |
Duty |
Cess |
Total Duty & Cess |
Duty payment particulars |
|||||||||||||||||
|
Rate |
Amount |
Rate |
Amount |
||||||||||||||||||||
|
Total Duty & Cess Amount in words: Rupees |
Collection Stamp |
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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 |
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BILL OF EXPORT OF DUTIABLE GOODS Export Promotion Copy |
Duplicate |
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Let export
Signature |
Allowed for shipment
Signature |
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Vessels name may be altered after check with original entry for Fresh one may be granted to . For the portion or not shipped Received Handed over to C. W. A. / Party Asst. Commissioner Cashier |
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Contents received on Board |
Date of shipment |
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Date Mater of Vessel |
Customs officer |
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Examination order and report |
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BILL OF EXPORT FOR DUTIABLE GOODS |
Duplicate |
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Exporter |
Invoice No. & Date |
Bill No. & Date |
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AR4/ AR4A No. & Date |
Import-Export Code No. |
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Q/ Cert No. & Date |
RBI Code No. |
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Consignee |
Export Trade Control |
If export under Deferred Credit [ ] Joint Ventures [ ] Rupee Credit [ ] Others [ ] RBI's Approval/Cir. No. & Date |
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Custom House LIC No. Agent
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Pre-Carriage by |
Place of Receipt by Pre-carrier |
Type of Shipment Outright Sale [ ] Consignment Export [ ]
Others specify [ ] |
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Vessel/ Flight No. |
Rotation No. |
Originating From |
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Port of Loading |
Nature of Contracts: CIF [ ] / CFR [ ]/FOB Others (specify) [ ] |
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Port of Discharge |
Country of Destination |
Exchange Rate U / S 14 of CA |
Currency of Invoice |
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S. No. |
Marks & Nos. |
No. & Kind of Pkgs. Container Nos. |
Statistical code & Description of Goods
|
Quantity |
Value FOB |
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|
Net Weight |
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|
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 |
|
|
|||||||||||||||||||||
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Insurance |
Rate |
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Commission |
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Discount |
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Other |
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Deductions |
|
|
|||||||||||||||||||||
|
SL. No. |
Export Tariff No. |
Assessable Value under Sec-14 |
Duty |
Cess |
Total Duty & Cess |
Duty payment particulars |
|||||||||||||||||
|
Rate |
Amount |
Rate |
Amount |
||||||||||||||||||||
|
Total Duty & Cess Amount in words: Rupees |
Collection Stamp |
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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 |
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BILL OF EXPORT OF DUTIABLE GOODS Export Promotion Copy |
Duplicate |
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Let export
Signature |
Allowed for shipment
Signature |
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Vessels name may be altered after check with original entry for Fresh one may be granted to . For the portion or not shipped Received Handed over to C. W. A. / Party Asst. Commissioner Cashier |
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Contents received on Board |
Date of shipment |
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Date Mater of Vessel |
Customs officer |
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Examination order and report |
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BILL OF EXPORT FOR DUTIABLE GOODS Export Promotion Copy |
Triplicate |
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Exporter |
Invoice No. & Date |
Bill No. & Date |
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AR4/ AR4A No. & Date |
Import-Export Code No. |
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|
Q/ Cert No. & Date |
RBI Code No. |
|||||||||||||||||||||
|
Consignee |
Export Trade Control |
If export under Deferred Credit [ ] Joint Ventures [ ] Rupee Credit [ ] Others [ ] RBI's Approval/Cir. No. & Date |
||||||||||||||||||||
|
Custom House LIC No. Agent
|
||||||||||||||||||||||
|
Pre-Carriage by |
Place of Receipt by Pre-carrier |
Type of Shipment Outright Sale [ ] Consignment Export [ ]
Others specify [ ] |
||||||||||||||||||||
|
Vessel/ Flight No. |
Rotation No. |
Originating From |
|
|||||||||||||||||||
|
|
Port of Loading |
Nature of Contracts: CIF [ ] / CFR [ ]/FOB Others (specify) [ ] |
||||||||||||||||||||
|
Port of Discharge |
Country of Destination |
Exchange Rate U / S 14 of CA |
Currency of Invoice |
|||||||||||||||||||
|
S. No. |
Marks & Nos. |
No. & Kind of Pkgs. Container Nos. |
Statistical code & Description of Goods
|
Quantity |
Value FOB |
|||||||||||||||||
|
Net Weight |
||||||||||||||||||||||
|
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 |
|
|
||||||||||||||||||||
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Other |
|
|
||||||||||||||||||||
|
Deductions |
|
|
||||||||||||||||||||
|
SL. No. |
Export Tariff No. |
Assessable Value under Sec-14 |
Duty |
Cess |
Total Duty & Cess |
Duty payment particulars |
||||||||||||||||
|
Rate |
Amount |
Rate |
Amount |
|||||||||||||||||||
|
Total Duty & Cess Amount in words: Rupees |
Collection Stamp |
|||||||||||||||||||||
|
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 |
||||||||||||||||||||||
|
BILL OF EXPORT OF DUTIABLE GOODS Export Promotion Copy |
Triplicate |
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Let export
Signature |
Allowed for shipment
Signature |
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Verified railway receipt no / lorry waybill no. of . issued by .................................................. For Cases / Bales / Packages/Containers ..................... ................................. despatched per ............................. which left on ............................. From ........................................ Under Preventive Supervision
Signature of Customs Officer |
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