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.... 9. Consignee Address: 10. Consignee Country: 11. Port of Destination: 12. Country of Final Destination: 13. State of Origin of Exported Goods: 14. SEZ/ICD Code: 15 Authorized Dealer (AD) Code: 16. RBI Waiver Number: 17. RBI Waiver Date: 18. Annexure C Parameter: Yes No 2 19. Annexure 'C' Particulars (Only to be filled for Customs Location) (a) Master Airway Bill of Number: (c) Total No. of Packets in MAWB: (b) Airline Name: (d) HAWB Number: (e) Factory Stuffed (Y/N): (g) Agency: (f) Seal No.: (h) Marks & Nos: (i) Sample Accompanied Y/N): (j) Total No. of Packages: (k) No. of Loose Packets: (1) Gross Weight: (m) Net Weight....

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.... CIF CF 30 Charges: Particulars Rate Currency Amount Commission 31. Discount on FOB Rate Packing & Misc. Charges Other Deductions Freight Insurance Whether the Unit Price includes Freight - [F] None - [N] Insurance - [I] Freight & Insurance - [B] Exchange Rate Details for Non-Standard Currency: Currency Code/Name Unit in Rupees Exchange Rate Bank Name Certificate Number Certificate Date 1 2 3 4 5 6 5 Code 32. Item Wise Details (To be provided for each invoice separately) Item RITC Sr. No. Description Accessories, Quantity Accounting | Item of Goods if any No. Accounting Present Scheme Category ....

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....l Number Item Serial Number Bill of Entry Particulars Notification Number B/E Number Date B/E Invoice Serial Number Actual Invoice Item Serial Port Quantity Code, Unit of Measurement Number Number in invoice where imported (1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) 7 37. Annexure C1 Particulars (Applicable to EOU/SEZ): Invoice Serial Number IEC Code Examination Division Commn. Date Range Annexure C1 Details Examination Examination Supervisor Officer Officer Officer Name Designation Name Supervisor Officer Designation Seal Numbers Affixed on Packages. (1) ....

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.... Address (5) (6) * 42. Only if the third party is also a regular exporter. ARE 1 Particulars: Invoice Serial Items Serial ARE-1 Particulars Number Number ARE-1 Number ARE-1 Date Commissionerate Division Range Remarks (1) (2) (3) (4) (5) (6) (7) (8) 10 10 43. Documents & Releasing Agencies Particulars: Document Docume Type nt Invoice Number Item Number Agency Code Agency Name Document Name Descript ion (1) (2) (3) (4) (5) (6) (7) 11 DECLARATION I/We declare that the particulars given herein above are true, correct and complete. I/We enclose herewith the copies of the following documents*. ....