Form Courier Shipping Bill –V
(See regulation 6)
A
|
(1) |
(2) |
(3) |
(4) |
(5) |
(6) |
|
Name and Address of the Authorized Courier |
Name of Custom station |
Courier Registration No. |
Port of loading |
Airline Name & Flight Number |
Customs shipping Bill Number and Date |
B
|
(1) |
(2) |
(3) |
(4) |
(5) |
(6) |
(7) |
(8) |
(9) |
(10) |
(11) |
(12) |
(13) |
||||
|
S. No. |
Courier AWB No. |
No. of package |
Declared Weight |
Destination |
Consigner/ Exporter Name and Address |
IEC No. of the Exporter |
Terms of invoice |
Description of goods as per Exporter Invoice |
Invoice Value (FOB) |
Consignee’s Name and Address |
Whether export using e-commerce Yes/No |
Whether under MEIS scheme Y/N |
||||
| S. No. | Description | Qty |
HS Code
|
Currency | INR | |||||||||||
C
|
(1) |
(2) |
(3) |
(4) |
(5) |
(6) |
|
GSTIN |
GST Invoice no. and date (GSTIN) |
Invoice no. and date (other than GST Invoice) |
Whether Supply for export is on payment of IGST or not. Pl indicate |
Whether against Bond or UT |
Total IGST paid, if any |
Declaration:
(i) I/We hereby declare that the Exporter mentioned above has authorized us for booking the shipment under the Courier Airway bill and act as an agent for clearance and export of the goods described above.
(ii) I/We hereby declare that on the basis of declaration of the exporter, I/We abide by the declaration in CSB-V, above.
Signature of the Authorized person of the
Authorized Courier
with stamp of Authorized Courier
Let Export Officer of Customs
(Stamp with Name and designation)