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

State of Consumption of imported goods /GSTIN

Description of goods

Quantity number/ weight

Invoice Value

Rate of Exchange

Freight

Ins

(1)

(2)

(3)

(4)

(5)

(6)

(7)

(8)

(9)

(10)

(11)

1.

2.

Other

Landing Charges

Assessable Value (Rs.) (Section 14)

CTH Notfn. No.

Duty Rate Amount

Value under section 3 of Customs tariff Act, 1975

ETH Notfn. No.

Addi

tional duty

rate

Addi

tional duty

amount

GST Code

IGST

Rate

IGST

Exemption

Notifi

cation

IGST Amount

(12) (13) (14) (15) (16) (17) (18) (19) (20) (21) (22) (23)

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.

GST Compensation Cess rate

GST Compensation Cess Exemption Notification

GST Compensation Cess amount

Total duty

Declaration

(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.

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

 

Signature of Assessing Officer                                                                                                                                     Signature of Audit Officer

                                                                    (Passed out of customs charge)
                                                                    Signature of the Proper Officer.