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TMI BlogBill of Export For Dutiable GoodsX X X X Extracts X X X X X X X X Extracts X X X X ..... Custom House Agent LIC No. Deferred Credit [ ] Joint Ventures [ ] Rupee Credit [ ] Others [ ] RBI s Approval/Cir. No. Date Lorry No./goods Train Wagon No. Originating From Type of Shipment : Outright Sale [ ] Consignment Export [ ] Others (Specify) [ ] Land Cus. Station Nature of Contract : CIF [ ] / CFR [ ] / FOB [ ] Other (Specify) ..... X X X X Extracts X X X X X X X X Extracts X X X X ..... 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 Original DOCUMENTS SUBMITTED 1. Invoice [ ] 2. Packing List [ ] 3. GR Form [ ] ..... X X X X Extracts X X X X X X X X Extracts X X X X ..... Outright Sale [ ] Consignment Export [ ] Others (Specify) [ ] Land Cus. Station Nature of Contract : CIF [ ] / CFR [ ] / FOB [ ] Other (Specify) [ ] Place of Delivery Country of Destination Exchange Rate U/S 14 of CA Currency of Invoice S. No. Marks Nos. No. Kind of Pkgs. Container Nos. 2 [Statistical Code, Description of Goods, and EXIM Scheme Code, where applicable] Quantity 2 [Value ..... X X X X Extracts X X X X X X X X Extracts X X X X ..... gnature of Exporter/ CHA . Date Duplicate DOCUMENTS SUBMITTED 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. Any ..... X X X X Extracts X X X X X X X X Extracts X X X X ..... 2 [Exporter, whether Government or Private] Invoice No. Date BE No. Date AR4 /AR4A No. Date Consignee Q/Cert. No. Date 2 [Import-Export Code No. and BIN] 2 [State of Origin of goods] Export Trade Control If export under : Custom House Agent LIC No. Deferred Credit [ ] Joint Ventures [ ] Rupee Credit [ ] Others [ ] RBI s Approval/Cir. No. Date Lorry No./goods Train Wagon No. ..... X X X X Extracts X X X X X X X X Extracts X X X X ..... Amount . Other Deductions S. No. Export Tariff No. Assessable Value under Sec. 14 of CA Duty Cess Total Duty Cess Duty payment particulars 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................Dat ..... X X X X Extracts X X X X X X X X Extracts X X X X
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