FORM - G - COURIER SHIPPING BILL - III (CSB - III) FOR DOCUMENTS - Courier Imports and Exports (Electronic Declaration and Processing) Regulations, 2010

FORM - G [See regulation 6(3)] COURIER SHIPPING BILL - III (CSB - III) FOR DOCUMENTS (Electronic Filing) S. No. Description Details 1. Courier Registration Number 2. Name and address of the Authorized Courier 3. Name of the airlines 4. Airport of departure 5. Flight No. 6. Date of departure 7. Time of departure 8. Airport of destination 9. Expected date of landing at destination 10. Airway Bill-wise information: (a) MAWB No. (b) No. of HAWBs included in this MAWB (c) Number of bags / packages / pieces / ULD 11. Shipment / consignment-wise information: HAWB No. Name and address of the consignor Name and address of the consignee (1) (2) (3) DECLARATION I/ we declare that the authorization from each of the consignors relating to the above mentioned consignments have been obtained by me / us to act as an agent for the clearance of the goods described above. I / We hereby declare that the goods exported as per this Shipping Bill include only document of no commercial value and do not include goods which are liable to duty or which are prohibited or restricted for export from India under any law for the time being in force. Date: Signature and name of the authorised courier Place: