TaxTMI 
TaxTMI 
Application for Export Original/Duplicate/Triplicate/Quadruplicate/Quintuplicate
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..................................(Place)....................................................(Foreign territory).............................. Columns to be filled in by the Columns to be filled in by the Exporter Land Customs Officer No. and Description of packages Identifying Marks and Nos. Description of the goods. Govt. Stores/Private Merchandise Item No. and trade description of goods according to the Indian Trade Classification issued by the Department of Commercial Intelligence and Statistics, Calcutta Weight, quantity or unit. Quantity of goods in the unit or units according to the Indian Trade Classification issued by the Department of Commercial Intelligence and Statistics, Calcutta. Real value of goods Real ....
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....orter or his agent) (Signature of Land Customs Officer at Land Customs Station)…………………. Date……………. STATEMENT OF DUTY CESS PAID (To be filled in by Exporter or his Agent) PERMIT PAYMENT IN CASH Payment through Account-current Payment by Money Order Treasury/Sub-Treasury/ Reserve Bank of India/State Bank of India....... Title of Account or Ledger No............... No. and date of Money Order........... EXPORT PERMITTED Name of person tendering payment………….........…… Amount paid Rs…………………. (in words)………………&....
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....llip;….. 2. Check weighment No. of packages examined………………………. 3. Gross weight……………………………………………………….. 4. Tare……………………………………………………………….. No. and Description of packages Identifying Marks and Nos. Description of the goods. Govt. Stores/Private Merchandise Item No. and trade description of goods according to the Indian Trade Classification issued by ....
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....rs to be true……………………………. An amount of Rs…………… as Customs Duty and Rs……………………. As cess assessed. (in words)………… (Signature with full name and address of Exporter or his agent) (Signature of Land Customs Officer at Land Customs Station)…………………. Date……………. STATEMENT OF DUTY CESS PAID (To be filled in by Exporter or his Agent) PERMIT PAYMENT IN CASH Payment through Account-current Payment by Money Order Treasury/Sub-Treasury/ Reserve Bank of India/S....