Notification No. 65 /2017-Customs (N.T.)

Transcription

1 [To be published in the Gazette of India, Extradinary, Part II, Secti 3, Sub-secti (i)] Government of India Ministry of Finance Department of Revenue (Central Board of Excise and Customs) Notificati No. 65 /2017-Customs (N.T.) New Delhi, the 30 th June, 2017 G.S.R (E). --In exercise of the powers cferred by secti 157 read with secti 46 of the Customs Act, 1962(52 of 1962), the Board hereby makes the following regulatis further to amend the Bill of Entry(Fms) Regulatis, 1976, namely:- 1. (1) These regulatis may be called the Bill of Entry (Fms) (Amendment) Regulatis, (2)They shall come into fce the date of their publicati in the Official Gazette. 2. In the Bill of Entry (Fms) Regulatis,1976, f Fm I, Fm II and Fm III, the following Fms shall be substituted, namely:- FM-I (See regulati 3) Bill of Entry F Home Csumpti Licence No. Pt Code S = Sea Pri Entry Stamp Impt Dept. S. No. and Date Customs House Impter Impter s Name A= Air Agent Code Code(IEC/ and Address L = Land IN/PAN etc as applicable) Vessel s Name Rotati No. Date Line Pt of Country of Origin Country of Csignment Bill of Lading Number Shipment and Code (if different) and Code Date PACKAGES QUANTITY CUSTOMS ADDITIONAL I

2 GOODS DUTY DUTY No. an d De scr ipti Mark s and Num bers Seria l No. Unit Cod e Weight /Volum e/num ber etc. Descripti R.I.T.C. No (Give details of each class separate ly) Customs Tariff heading Exempti Notificat i No. and year Natur e of duty code Assessable under Secti 14 Customs Act, 1962 (Rs.) RATE Basic Auxili ary (Rs.) AMO UNT Basic ---- Auxili ary (Rs.) C.E.T. Headi ng ---- Exem pti Notifi cati No. and year under Secti 3 Custom s Tariff Act, 1975 (Rs.) Rate SA D Total Additio nal Duty Code I Rate Exempt i Notific ati f claimin g exempt i from I I amoun t (Rs.) Comp ensati Cess Rate Exem pti Notifi cati f claimi ng exemp ti from Com pensa ti Cess Compe nsati Cess Amoun t TOTAL UTY (1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15) (16) (17) (18) (19) (20) (21) (22) (23) (24) S. No. 1 Invoice (Feign Currency) (FOB/C& F/C&I/CIF Freight Insurance Currency Code Exchange Rage Gross Weight TOTAL NUMER OF PACKAGES (IN WDS) TOTAL AMOUNT OF DUTY (IN WDS) Impt Clerk RUPEES. TOTAL. (By pin-point typewriter) Loading/Local Miscellaneous Landing Assessable Agency Charges Charges (in Commissi Rupees) Total (In Rupees) (Declarati to be signed by the Custom House Agent) 1. I/We declare that the ctents of this Bill of Entry f goods impted against Bill of Lading No.. dated. Are in accdance with the Invoice No.. dated.. and other documents presented herewith. 2. I/We declare that I/We have not received any other document infmati showing a different price, value, quantity descripti of the said goods and that if at any time hereafter I/we receive

3 2 3 any documents from the impter showing a different state of facts, I/we will immediately 4 make the same known to the Principal 5 Commissier of Customs Commissier of Customs, as the case may be. Total I.T. C Licence C.C.P. No. and date/part and S. No./O.G.L. No. Exempti No. and value debited to Licence/C.C.P. (In case of Letter of Authity, Name of Pers to whom issued,, No. and Date) Debit P. D. A/c. No. Stamp of collecti Free No. and Date N. B.-Where a declarati in this fm is made by the Custom House Agent a declarati in the prescribed fm shall be furnished by the impters of the goods covered by this Bill of Entry. Licence(s) Registered Licence(s) Audited.20. Signature of the Custom House Agent With Custom* House Agent Without Custom* House Agent DECLARATION (To be signed by an impter) 1. I/We declare that the ctents of invoice(s) No.(s). Dated.. of M/s. And of other documents relating to the goods covered by the said invoice(s) and presented herewith are true and crect in every aspect. I/We declare that the ctents of this Bill of Entry f goods impted against Bill of Lading No dated. Are in accdance with the invoice No... dated and other documents presented herewith. i/we also declare that the ctents of the above mentied invoice(s) and documents are true and crect in every respect. 2. I/We declare that I/we have not received and do not know of any other documents infmati showing a different price, value (including local payments, whether as commissi otherwise), quantity descripti of the said goods and that if at any time hereafter I/we discover any infmati showing a different state of facts, I/we will immediately make the same known to the Principal Commissier of Customs

4 Commissier of Customs as the case may be. 3. I/We declare that goods covered by the bill of entry have been impted outright purchase/csignment account. 4(a)*. I/We declare that there are no cditis restrictis imposed by the seller of any third party the dispositi use of the impted goods [Please see proviso to Rule 3(2)) of the Customs Valuati Rules, 2007] 4(b)* I/We declare that there are cditis restrictis imposed by the seller of any third party the dispositi use of the impted goods as per details below [Please see proviso to Rule 3(2)) of the Customs Valuati Rules, 2007]: 5(a)* I/We declare that the price paid payable by us is NOT subject to settlement with the seller at the end of a defined period by means of debit note / credit note (post impt price adjustment) 5(b) * I/We declare the that price paid payable by the impter will be settled with the seller at the end of a defined period by means of debit note / credit note (post impt price adjustment). [The declarati at serial no. 4a and 4b shall not be required in cases where duty is levied at specific rates Tariff ] 6(a)*. 6(b)* 7(a)* I/We declare that there are no other payments actually paid payable f the impted goods by way of cost and services other than those declared in the invoice^ I/We declare that there are the following payments actually paid payable f the impted goods by way of cost and services other than those declared in the invoice^ [^ please refer to Rule 10 (1) (a) & (b) of the Customs Valuati Rules, 2007] Sl. Particulars Amount expressed as % of the unit price i Brokerage and Commissis, except buying commissi [Rule 10 (1) (a) (i) of Customs Valuati Rules, 2007]: ii Cost of ctainers. [Rule 10 (1) (a) (ii)]: iii Packing cost: [Rule 10 (1) (a) (iii)]: iv Cost of goods and services supplied by the buyer [Rule 10 (1) (b)]: I/We declare that there are NO payments actually paid payable f the impted goods by way of Royalty / Licence Fee / subsequent resale use of goods /other payment as a cditi of sale [(Please see Rule 10 (1) (c), (d) & (e) of Customs Valuati Rules, 2007]

5 7(b)* I/We declare that there are payments actually paid payable f the impted goods by way of Royalty / Licence Fee / subsequent resale use of goods /other payment as a cditi of sale [(Please see Rule 10 (1) (c), (d) & (e) of Customs Valuati Rules, 2007]. We further declare: (i) that our impts have NOT been examined by any Special Valuati Branch so far (ii) that our impts are under examinati by the SVB at Customs House (iii) that our impts have been examined by Special Valuati Branch of Customs House. (Our SVB File No. refers). We further declare that the terms & cditis of the agreement pattern of invoicing has NOT CHANGED since previously examined by the Special Valuati Branch of the Customs House at. (iv) that our impts have been examined by Special Valuati Branch of Customs House. (Our SVB File No. refers). We further declare that the terms & cditis of the agreement with the seller / pattern of invoicing has changed with effect from 8(a)* 8(b)* I/We am/are NOT related to the seller of the goods covered under invoice no. dated, in terms of Rule 2(2) of the Customs Valuati Rules, 2007 I/We am/are related to the seller of the goods covered under invoice no. dated, and our nature of relatiship is in terms of Rule 2(2) of the Customs Valuati Rules, We further declare as follows: (i) that our impts have not been examined by any Special Valuati Branch so far (ii) that our impts are under examinati by the SVB at Customs House (iii) that our impts have been examined by Special Valuati Branch of Customs House. (Our SVB File No. refers). We further declare that the terms & cditis of the agreement pattern of invoicing has not changed since previously examined by the Special Valuati Branch of the Customs House at. (iv) that our impts have been examined by Special Valuati Branch of Customs House. (Our SVB File No. refers). We further declare that the terms & cditis of the agreement with the seller / pattern of invoicing has changed with effect from 9(a)* 9(b)* Is preferential duty, based igin of goods being availed? (Please answer with a YES NO) If yes, please provide the following details:

6 i. Treaty / Free Trade Agreement ii. The Origin Criteria claimed is as per N-Tariff Notificati No. / (Cus) NT dated iii. We are claiming Rule of Origin no. [as per Customs Tariff Determinati of Origin of Goods Rules under respective FTA] iv. Serial no. of cditi (eg. Notificati 104/2010 dated ) v. Pl state Products Specific Rule (PSR) (if applicable) vi. Certificate of Origin No. dated in respect of Invoice No. dated issued by ( (name of the Issuing Authity) is surrendered herewith. Signature of Impter. Name of the Impter. Designati. Stamp.. *Strike out whichever is inapplicable (F CUSTOM HOUSE USE) Documents presented with bill of entry Date of receipt in: Check here additial documents required 1. Invoice.. Appraising group Central Exchange Unit 2. Packing List.. Trade return I.A.D. 3. Bank Draft C.R.A.D M.C.D. Key Register 4. Insurance Memo/Policy M.C.D Manifest Posting 5. Bill of Lading... (On duplicate Copy ly) 6. Impt Licence/Custom Clearance Permit.. Passed out of Customs Charge 7. Certificate of Origin 8.. Proper Officer (Actual designati to be indicated) Bill of Entry F Ex-Bd Clearance FM-III (See regulati 3) Licence No.

7 Pt Code S = Sea Bd S. No. & Date Impt Dept. S. No. and Date Customs House Impter Impter s Name A= Air Agent Code Code(IEC/ and Address L = Land IN/PAN etc as applicable) Vessel s Name Rotati No. Date Line Pt of Country of Origin Country of Csignment Bill of Lading Number Shipment and Code (if different) and Code Date PACKAGES QUANTITY GOODS CUSTOMS DUTY ADDITIONAL DUTY I No. and Descr ipti Mar ks and Num bers Seria l No. Unit Cod e Weight /Volu me/nu mber etc. Descripti R.I.T.C. No (Give details of each class separately) Custom s Tariff heading Exempti Notifica ti No. and year Nature of duty code Assessable under Secti 14 Customs Act, 1962 Rs. RAT E Basic Auxil iary Rs. AMO UNT Basic ---- Auxil iary Rs. C.E.T.Head ing ---- Exem pti Notifi cati No. and year under Secti 3 Custom s Tariff Act, 1975 Rs. Rate SAD Total Addit ial Duty Cod e IGS T Rate Exe mpti Noti ficati f clai ming Exe mpti from IGS T I Amo unt Com pens ati Cess Rate Exempt i Notific ati f claimin g Exempt i from Compe nsati Cess Comp ensati Cess Amo unt TO TA L DU TY Rs. (1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15) (16) (17) (18) (19) (20) (21) (22) (23) (24) Gross Weight TOTAL NUMER OF PACKAGES (IN WDS) TOTAL AMOUNT OF DUTY (IN WDS) Impt Clerk RUPEES. TOTAL. (By pin-point typewriter)

8 S. No. Invoice (Feign Currency) (FOB/C& F/C&I/CIF Freight Insurance Currency Code Exchange Rage Loading/Local Agency Commissi Miscellaneous Charges Total (In Rupees) Landing Charges Assessable (in Rupees) Name and address of the warehouse including warehouse code where the goods are kept in deposit Total Date of deposit in warehouse Entered in Warehouse registere. Vide Page No. Item No Warehouse Officer Debit P. D. A/c. No. Stamp of collecti Declarati to be signed by the impter/custom House Agent 1. I/We declare that the particulars given in this Bill of Entry are true. Date of Presentati to Warehouse Officer Date of Removal of goods from the Warehouse. 2. I/We apply f permissi to clear the goods from the Customs Bded Warehouse subject t the provisis of the Customs Act, 1962.

9 With Custom* House Agent Without Custom* House Agent DECLARATION (To be signed by an impter) 1. I/We declare that the ctents of invoice(s) No.(s). Dated.. of M/s. And of other documents relating to the goods covered by the said invoice(s) and presented herewith are true and crect in every aspect. I/We declare that the ctents of this Bill of Entry f goods impted against Bill of Lading No dated. Are in accdance with the invoice No... dated and other documents presented herewith. i/we also declare that the ctents of the above mentied invoice(s) and documents are true and crect in every respect. 2. I/We declare that I/we have not received and do not know of any other documents infmati showing a different price, value (including local payments, whether as commissi otherwise), quantity descripti of the said goods and that if at any time hereafter I/we discover any infmati showing a different state of facts, I/we will immediately make the same known to the Principal Commissier of Customs Commissier of Customs as the case may be. 3. I/We declare that goods covered by the bill of entry have been impted outright purchase/csignment account. 4(a)*. I/We declare that there are no cditis restrictis imposed by the seller of any third party the dispositi use of the impted goods [Please see proviso to Rule 3(2)) of the Customs Valuati Rules, 2007] 4(b)* I/We declare that there are cditis restrictis imposed by the seller of any third party the dispositi use of the impted goods as per details below [Please see proviso to Rule 3(2)) of the Customs Valuati Rules, 2007]: 5(a)* 5(b) * I/We declare that the price paid payable by us is NOT subject to settlement with the seller at the end of a defined period by means of debit note / credit note (post impt price adjustment) I/We declare the that price paid payable by the impter will be settled with the seller at the end of a defined period by means of debit note / credit note (post impt price adjustment). [The declarati at serial no. 4a and 4b shall not be required in cases where duty is levied at specific rates Tariff ]

10 6(a)*. 6(b)* 7(a)* 7(b)* I/We declare that there are no other payments actually paid payable f the impted goods by way of cost and services other than those declared in the invoice^ I/We declare that there are the following payments actually paid payable f the impted goods by way of cost and services other than those declared in the invoice^ [^ please refer to Rule 10 (1) (a) & (b) of the Customs Valuati Rules, 2007] Sl. Particulars Amount expressed as % of the unit price i Brokerage and Commissis, except buying commissi [Rule 10 (1) (a) (i) of Customs Valuati Rules, 2007]: ii Cost of ctainers. [Rule 10 (1) (a) (ii)]: iii Packing cost: [Rule 10 (1) (a) (iii)]: iv Cost of goods and services supplied by the buyer [Rule 10 (1) (b)]: I/We declare that there are NO payments actually paid payable f the impted goods by way of Royalty / Licence Fee / subsequent resale use of goods /other payment as a cditi of sale [(Please see Rule 10 (1) (c), (d) & (e) of Customs Valuati Rules, 2007] I/We declare that there are payments actually paid payable f the impted goods by way of Royalty / Licence Fee / subsequent resale use of goods /other payment as a cditi of sale [(Please see Rule 10 (1) (c), (d) & (e) of Customs Valuati Rules, 2007]. We further declare: (i) that our impts have NOT been examined by any Special Valuati Branch so far (ii) that our impts are under examinati by the SVB at Customs House (iii) that our impts have been examined by Special Valuati Branch of Customs House. (Our SVB File No. refers). We further declare that the terms & cditis of the agreement pattern of invoicing has NOT CHANGED since previously examined by the Special Valuati Branch of the Customs House at. (iv) that our impts have been examined by Special Valuati Branch of Customs House. (Our SVB File No. refers). We further declare that the terms & cditis of the agreement with the seller / pattern of invoicing has changed with effect from

11 8(a)* I/We am/are NOT related to the seller of the goods covered under invoice no. dated, in terms of Rule 2(2) of the Customs Valuati Rules, (b)* I/We am/are related to the seller of the goods covered under invoice no. dated, and our nature of relatiship is in terms of Rule 2(2) of the Customs Valuati Rules, We further declare as follows: (i) that our impts have not been examined by any Special Valuati Branch so far (ii) that our impts are under examinati by the SVB at Customs House (iii) that our impts have been examined by Special Valuati Branch of Customs House. (Our SVB File No. refers). We further declare that the terms & cditis of the agreement pattern of invoicing has not changed since previously examined by the Special Valuati Branch of the Customs House at. (iv) that our impts have been examined by Special Valuati Branch of Customs House. (Our SVB File No. refers). We further declare that the terms & cditis of the agreement with the seller / pattern of invoicing has changed with effect from 9(a)* 9(b)* Is preferential duty, based igin of goods being availed? (Please answer with a YES NO) If yes, please provide the following details: vii. Treaty / Free Trade Agreement viii. The Origin Criteria claimed is as per N-Tariff Notificati No. / (Cus) NT dated ix. We are claiming Rule of Origin no. [as per Customs Tariff Determinati of Origin of Goods Rules under respective FTA] x. Serial no. of cditi (eg. Notificati 104/2010 dated ) xi. Pl state Products Specific Rule (PSR) (if applicable) xii. Certificate of Origin No. dated in respect of Invoice No. dated issued by ( (name of the Issuing Authity) is surrendered herewith.

12 Signature of Impter. Name of the Impter. Designati. Stamp.. *Strike out whichever is inapplicable (F CUSTOM HOUSE USE) Documents presented with bill of entry Date of receipt in: Check here additial documents required 1. Invoice.. Bd Department 2. Packing List.. Appraising group 3. Insurance Memo/Policy Warehouse Officer Central Exchange Unit 4. Certificate of Origin Revenue Posting Stati Date Signature of Impter Custom House Agent 6... C.R.A.D (On duplicate Copy ly) M.C.D. Key Register Passed out of Customs Charge. M.C.D. Manifest Posting. Proper Officer. (Actual designati to be indicated) Bill of Entry F Warehousing Licence No. FM-II (See regulati 3)

13 Pt Code S = Sea Bd S. No. & Date Impt Dept. S. No. and Date Customs House Impter [Impter s Name A= Air Agent Code Code(IEC/ and Address L = Land IN/PAN etc whether Govt. as applicable ) Private] Vessel s Name Rotati No. Date Line Pt of Country of Origin Country of Csignment Bill of Lading Number Shipment and Code (if different) and Code and Date PACKAGES QUANTITY GOODS CUSTOMS DUTY ADDITIONAL DUTY I No. and Descr ipti Marks and Numbe rs Serial No. Unit Code Weight /Volum e/num ber etc. Goods Descript i R.I.T.C. No (Give details of each class separatel y) Customs Tariff heading Exempti Notifica ti No. and year Nature of duty code Assessabl e under Secti 14 Customs Act, 1962 (Rs.) RATE Basic Auxilia ry (Rs.) AMO UNT Basic Auxili ary (Rs.) C.E.T. Headin g Exemp ti Notific ati No. and year MRP per unit, if any (1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (12 A) Amount of abateme nt, if any f the purpose of Secti 3 Customs Tariff Act, 1975 Col. 9 + Col. 11 Where the provisi s of subsecti 4A of Central Excise Act, 1944, does not apply Where the provisi s of subsecti (2) of Sectio n 4A of the Central Excise Act, 1944 apply Rat e (12B) (13) (13A) (14 ) SAD Total Addit ial Duty Code I Rate Exem pti Notifi cati f claimi ng exem pti from I I amou nt Comp ensati Cess Exem pti Notifi cati f claimi ng exem pti from Comp ensati Cess Com pens ati Cess amo unt (15) (16) (17) (18) (19) (20) (21) (22) (23) (2 4) To tal Du ty

14 Gross Weight TOTAL NUMER OF PACKAGES (IN WDS) TOTAL AMOUNT OF DUTY (IN WDS) Impt Clerk RUPEES. TOTAL. (By pin-point typewriter) S. No. Invoice (Feign Currency) (FOB/C& F/C&I/CIF Freight Insurance Currency Code Exchange Rage Loading/Local Agency Commissi Miscellaneous Charges Total (In Rupees) Landing Charges Assessable (in Rupees) (Declarati to be signed by the Custom House Agent) 1. I/We apply f leave to deposit the goods covered by this Bill of Entry in the.. warehouse being public/private warehouse appointed/licensed under the Customs Act, I/We declare that the ctents of this Bill of Entry f goods impted against Bill of Lading No.. Dated are in accdance with the Invoice No.. dated. and other documents presented herewith. Total 3. I/We have not received any other document infmati showing a different price, value, quantity descripti of the said goods and that if at any time hereafter I/we receive any documents from the impter showing a different state of facts, I/we will immediately

15 T. C Licence C.C.P. No. and date/part and S. No./O.G.L. No. Exempti No. and value debited to Licence/C.C.P. (In case of Letter of Authity, Name of Pers to whom issued,, No. and Date To be warehoused within.. days from the beginning of the operati of actual removal fm docks Bd registered under No... of (Date) Supdt. Bd Bd Clerk make the same known to the Principal Commissier of Customs Commissier of Customs, as the case may be. N. B.-Where a declarati in this fm is made by the Custom House Agent a declarati in the prescribed fm shall be furnished by the impters of the goods covered by this Bill of Entry. Licence(s) Registered Licence(s) Audited Date of Deposit of Goods in the warehouse Assistant Commissier of Customs, Bd Department Preventive Officer 20.. Signature of the Custom House Agent With Custom* House Agent Without Custom* House Agent DECLARATION (To be signed by an Impter) 1. I/We declare that the ctents of invoice(s) No.(s). Dated.. of M/s. And of other documents relating to the goods covered by the said invoice(s) and presented herewith are true and crect in every aspect. I/We declare that the ctents of this Bill of Entry f goods impted against Bill of Lading No dated. Are in accdance with the invoice No... dated and other documents presented herewith. i/we also declare that the ctents of the above mentied invoice(s) and documents are true and crect in every respect. 2. I/We declare that I/we have not received and do not know of any other documents infmati showing a different price, value (including local payments, whether as commissi otherwise), quantity descripti of the said goods and that if at any time hereafter I/we discover any infmati showing a different state of facts, I/we will immediately make the same known to the Principal Commissier of Customs Commissier of Customs as the case may be. 3. I/We declare that goods covered by the bill of entry have been impted outright purchase/csignment account. 4(a)*. I/We declare that there are no cditis restrictis imposed by the seller of any third party the dispositi use of the impted goods [Please see proviso to Rule 3(2)) of the Customs Valuati Rules, 2007] 4(b)* I/We declare that there are cditis restrictis imposed by the seller of any third party the dispositi use of the impted goods as per

16 details below [Please see proviso to Rule 3(2)) of the Customs Valuati Rules, 2007]: 5(a)* I/We declare that the price paid payable by us is NOT subject to settlement with the seller at the end of a defined period by means of debit note / credit note (post impt price adjustment) 5(b) * I/We declare the that price paid payable by the impter will be settled with the seller at the end of a defined period by means of debit note / credit note (post impt price adjustment). [The declarati at serial no. 4a and 4b shall not be required in cases where duty is levied at specific rates Tariff ] 6(a)*. 6(b)* 7(a)* 7(b)* I/We declare that there are no other payments actually paid payable f the impted goods by way of cost and services other than those declared in the invoice^ I/We declare that there are the following payments actually paid payable f the impted goods by way of cost and services other than those declared in the invoice^ [^ please refer to Rule 10 (1) (a) & (b) of the Customs Valuati Rules, 2007] Sl. Particulars Amount expressed as % of the unit price i Brokerage and Commissis, except buying commissi [Rule 10 (1) (a) (i) of Customs Valuati Rules, 2007]: ii Cost of ctainers. [Rule 10 (1) (a) (ii)]: iii Packing cost: [Rule 10 (1) (a) (iii)]: iv Cost of goods and services supplied by the buyer [Rule 10 (1) (b)]: I/We declare that there are NO payments actually paid payable f the impted goods by way of Royalty / Licence Fee / subsequent resale use of goods /other payment as a cditi of sale [(Please see Rule 10 (1) (c), (d) & (e) of Customs Valuati Rules, 2007] I/We declare that there are payments actually paid payable f the impted goods by way of Royalty / Licence Fee / subsequent resale use of goods /other payment as a cditi of sale [(Please see Rule 10 (1) (c), (d) & (e) of Customs Valuati Rules, 2007]. We further declare:

17 (i) that our impts have NOT been examined by any Special Valuati Branch so far (ii) that our impts are under examinati by the SVB at Customs House (iii) that our impts have been examined by Special Valuati Branch of Customs House. (Our SVB File No. refers). We further declare that the terms & cditis of the agreement pattern of invoicing has NOT CHANGED since previously examined by the Special Valuati Branch of the Customs House at. (iv) that our impts have been examined by Special Valuati Branch of Customs House. (Our SVB File No. refers). We further declare that the terms & cditis of the agreement with the seller / pattern of invoicing has changed with effect from 8(a)* 8(b)* I/We am/are NOT related to the seller of the goods covered under invoice no. dated, in terms of Rule 2(2) of the Customs Valuati Rules, 2007 I/We am/are related to the seller of the goods covered under invoice no. dated, and our nature of relatiship is in terms of Rule 2(2) of the Customs Valuati Rules, We further declare as follows: (i) that our impts have not been examined by any Special Valuati Branch so far (ii) that our impts are under examinati by the SVB at Customs House (iii) that our impts have been examined by Special Valuati Branch of Customs House. (Our SVB File No. refers). We further declare that the terms & cditis of the agreement pattern of invoicing has not changed since previously examined by the Special Valuati Branch of the Customs House at. (iv) that our impts have been examined by Special Valuati Branch of Customs House. (Our SVB File No. refers). We further declare that the terms & cditis of the agreement with the seller / pattern of invoicing has changed with effect from 9(a)* Is preferential duty, based igin of goods being availed? (Please answer with a YES NO)

18 9(b)* If yes, please provide the following details: xiii. Treaty / Free Trade Agreement xiv. The Origin Criteria claimed is as per N-Tariff Notificati No. / (Cus) NT dated xv. We are claiming Rule of Origin no. [as per Customs Tariff Determinati of Origin of Goods Rules under respective FTA] xvi. Serial no. of cditi (eg. Notificati 104/2010 dated ) xvii. Pl state Products Specific Rule (PSR) (if applicable) xviii. Certificate of Origin No. dated in respect of Invoice No. dated issued by ( (name of the Issuing Authity) is surrendered herewith. *Strike out whichever is inapplicable Documents presented with bill of entry Check here additial documents required 1. Invoice.. 2. Packing List.. 3. Bank Draft 4. Insurance Memo/Policy 5. Bill of Lading Impt Licence/Custom Clearance Permit (F CUSTOM HOUSE USE) Appraising group Central Exchange Unit Trade return I.A.D. C.R.A.D M.C.D. Key Register M.C.D Manifest Posting (On duplicate Copy ly) Signature of Impter. Name of the Impter. Designati. Stamp.. Date of receipt in: Permitted removal to Bded Warehouse

19 .. under Customs ctrol Seal Details (OTL Details) 7. Certificate of Origin 8. Proper Officer (Actual designati to be indicated). [F.No.450/108/2017-Cus IV] (Zubair Riaz) Direct(Customs) Note.- The principal regulatis were published vide notificati number 396-Customs (N.T.) dated 1 st August, 1976, superseded by notificati number 03/88-Customs (N.T.) dated published in the Gazette of India vide G.S.R. 30 (E) dated 14 th January,1988 and then rested by notificati number 77/89 dated published in the Gazette of India vide number G.S.R. 1067(E) dated 27 th December, 1989 and were last amended vide notificati number 27/2017 Customs(N.T.) published in the Gazette of India vide number G.S.R. 324(E) dated 31 st March,2017.