SHIPPING BILL FOR EXPORT OF DUTY FREE GOODS Original

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1 SHIPPING BILL FOR EXPORT OF DUTY FREE GOODS Original Exporter Invoice No. & Date SB No. & Date AR4/AR4A No. & Date Import - Export Code No. Consignee Q/Cert. No. & Date RBI Code No. Customs House Agent LIC No. Export Trade Control IF export under: Deferred Credit: Joint Ventures Rupee Credit Others RBI's Approval/Cir. No. & Date Pre Carriage By Vessel/Flight No. Place of Receipt by the Pre-Carrier Rotation No. Type of Shipment Outright Sale Consignment Export Others (Specify) Port of Loading Nature of Contract CIF / CFR /FOB Port of Discharge Country of Destination Others (Specify 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 Insurance Rate Currency Commission Amount Discount Other Deductions 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 DUTY FREE GOODS Duplicate Exporter Invoice No. & Date SB No. & Date AR4/AR4A No. & Date Import - Export Code No. Consignee Q/Cert. No. & Date RBI Code No. Customs House Agent LIC No. Export Trade Control IF export under: Deferred Credit: Joint Ventures Rupee Credit Others RBI's Approval/Cir. No. & Date Pre Carriage By Vessel/Flight No. Place of Receipt by the Pre-Carrier Rotation No. Type of Shipment Outright Sale Consignment Export Others (Specify) Port of Loading Nature of Contract CIF / CFR /FOB Port of Discharge Country of Destination Others (Specify 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 Insurance Rate Currency Commission Amount Discount Other Deductions 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 DUTY FREE 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 RBI Code No. Customs House Agent LIC No. Export Trade Control IF export under: Deferred Credit: Joint Ventures Rupee Credit Others RBI's Approval/Cir. No. & Date Pre Carriage By Vessel/Flight No. Place of Receipt by the Pre-Carrier Rotation No. Type of Shipment Outright Sale Consignment Export Others (Specify) Port of Loading Nature of Contract CIF / CFR /FOB Port of Discharge Country of Destination Others (Specify 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 Insurance Rate Currency Commission Amount Discount Other Deductions 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

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