SHIPPING BILL FOR EXPORT OF GOODS OF DUTIABLE GOODS Original

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1 SHIPPING BILL FOR EXPORT OF GOODS OF DUTIABLE GOODS Original Exporter Invoice No. & Date SB No. & Date AR4/AR4A No. & Date Import - Export Code No. Consignee Q/Cert. No. & Date P.B. Sec. Regn. No. Customs House Agent LIC No. Export Trade Control IF export under: Deferred Credit: Joint Ventures Rupee Credit Others RBI's Approval/ Clr. No. & Date Pre Carriage By Vessel/ Flight No. Port of Discharge Place of Receipt by Pre-Carrier Rotation No. Port of Loading Country of Destination Type of Shipment Outright Sale Consignment Export Nature of Contract CIF / CFR /FOB Exchange Rate U/S 14 of CA Currency of Invoice Sno Marks & Nos. No. & Kind of Pkgs. Statistical Code & Description of Goods Quantity Value FOB Container Nos. 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 FOB Value on the sale of goods Freight Currency Insurance Rate Amount Commission DEPB Rate Rate List.Sr.No. Discount Sion Sno. Product Group Other Deductions DEPB No. Dated Sl. Export Tariff No. Assessable Value under DUTY CESS Total Duty & Duty payment particulars No. Sec.14 of CA Cess 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/CHA & Date

2 Documents Submitted Original 1.Invoice 2.Packing List 3.GR 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 others (Specify)

3 SHIPPING BILL FOR EXPORT OF GOODS OF DUTIABLE GOODS Duplicate Exporter Invoice No. & Date SB No. & Date AR4/AR4A No. & Date Import - Export Code No. Consignee Q/Cert. No. & Date P.B. Sec. Regn. No. Customs House Agent LIC No. Export Trade Control IF export under: Deferred Credit: Joint Ventures Rupee Credit Others RBI's Approval/ Clr. No. & Date Pre Carriage By Vessel/ Flight No. Port of Discharge Place of Receipt by Pre-Carrier Rotation No. Port of Loading Country of Destination Type of Shipment Outright Sale Consignment Export Nature of Contract CIF / CFR /FOB Exchange Rate U/S 14 of CA Currency of Invoice Sno Marks & Nos. No. & Kind of Pkgs. Statistical Code & Description of Goods Quantity Value FOB Container Nos. 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 FOB Value on the sale of goods Freight Currency Insurance Rate Amount Commission DEPB Rate Rate List.Sr.No. Discount Sion Sno. Product Group Other Deductions DEPB No. Dated Sl. Export Tariff No. Assessable Value under DUTY CESS Total Duty & Duty payment particulars No. Sec.14 of CA Cess 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/CHA & Date

4 Documents Submitted Duplicate 1.Invoice 2.Packing List 3.GR 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 others(specify) 'LET EXPORT' 'ALLOWED FOR SHIPMENT' Signature of Officer of Customs Signature of Officer of Customs Vessel's name may be altered after check with original Fee Rs. Entry for Fresh on may be granted to for the portion shutout or not shipped Received Handed over to C.H.A /Party Signature of Asstt. Commissioner of Customs Cashier Contents Received on Board Date of Shipment Date Signature of Master of Vessel Signature of Officer of Customs Examination Order and Report

5 SHIPPING BILL FOR EXPORT OF GOODS OF DUTIABLE GOODS Triplicate(Export Promotion Copy) Exporter Invoice No. & Date SB No. & Date AR4/AR4A No. & Date Import - Export Code No. Consignee Q/Cert. No. & Date P.B. Sec. Regn. No. Customs House Agent LIC No. Export Trade Control IF export under: Deferred Credit: Joint Ventures Rupee Credit Others RBI's Approval/ Clr. No. & Date Pre Carriage By Vessel/ Flight No. Port of Discharge Place of Receipt by Pre-Carrier Rotation No. Port of Loading Country of Destination Type of Shipment Outright Sale Consignment Export Nature of Contract CIF / CFR /FOB Exchange Rate U/S 14 of CA Currency of Invoice Sno Marks & Nos. No. & Kind of Pkgs. Statistical Code & Description of Goods Quantity Value FOB Container Nos. 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 FOB Value on the sale of goods Freight Currency Insurance Rate Amount Commission DEPB Rate Rate List.Sr.No. Discount Sion Sno. Product Group Other Deductions DEPB No. Dated Sl. Export Tariff No. Assessable Value under DUTY CESS Total Duty & Duty payment particulars No. Sec.14 of CA Cess 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/CHA & Date

6 Export Promotion Copy Triplicate Verified Mate's Receipt No. of Issued by For Cases/Bales/Packages/Containers Shipped per Which sailed on From Under Preventive Supervision. Signature of Officer of Customs OR Shipment declared on this Shipping Bill has been air freighted on Flight No. AWB No. Dated EGM No. Under Preventive Supervision in full/part(specify quantity air freighted) Signature of Officer of Customs

SHIPPING BILL FOR EXPORT OF DUTY FREE GOODS Original

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