TaxTMI 
TaxTMI 
Declaration form for export of goods - Shipping Bill (Electronic Integration Declaration) Regulations, 2011 (Superseded)
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.... 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: (o) Packing Details: Sr.No. (1) Packet Numbers From (2) (n) Unit of Measurement: Type of packets Το (3) (4) 3 20. Annexure 'C' Particulars (Only to be filled for ICD/CFS & Sea Customs Location) (a) Factory Stuffed (Y/N): (c) Nature of Cargo: (b) Sample Accompanied (Y/N): (d) Marks & Number: (e) Total No. of Packages: (g) No. of Containers: (i) Net Weight: (f) No. of Loose Packets: (h) Gross Weight: (j) Unit of (k) Measurements: Container Details (only for Factory Stuffed containers) Container Size Number Excise Seal Number Seal Date (1) (2) (3) (4) (1) Packin....
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.... Serial Number in Part (E) Serial Number in part (C) Quantity (4) (5) (6) Accounting Unit (7) Whether Indigenous/Imported (8) 60 35. DFRC Licenses Particulars: Invoice Item Serial DEEC/EPCG Licenses Particulars Serial Number Number Registration Number Standard Input/ Standard Input Standard Quantity Input/ Accounting Unit Whether Indigenous/Imported Output Output Output Group Code Serial Number Norm Serial Number (1) (2) (3) (4) (5) (6) (7) 36. Job Work Particulars: Invoice Serial Item Serial Bill of Entry Particulars Number Number Notification Number B/E Number Date B/E Invoice Serial Actual Invoice Number Item Serial Port Code, Quantity Unit of Measurement Number where UDK Number in invoice imported (1) (2) (3) (4) (5) (6) (7) (8) (9) 7 (11) 37. Annexure C1 Particulars (Applicable to EOU/SEZ): Invoice Serial Number IEC Code Annexure C1 Details Examination Division Commn. Range Date Examinat....
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....omplete. I/We enclose herewith copies of the following documents*. 1. Duty Exemption Entitlement Certificate/Advance Authorisation/Duty Free Import Authorisation Declaration 2. Invoice/Invoice cum packing list 3. Quota/Inspection certificates 4. Other (Specify) Name of the Exporter : Designation Name of Customs Broker : Designation Identity Card Number I/We undertake to abide by the provisions of Foreign Exchange Management Act, 1999, as amended from time to time, including realisation or repatriation of foreign exchange to or from india. *To be submitted with the exports goods in the warehouse. Date....... Signature: Insturctions : 1. All entries should be made in CAPITAL letters. 2. Photocopies of the Invoices has to be attached separately with declaration form for data entry. 2[Appendix-1 XXXXX] Document 2 DECLARATION FORM FOR EXPORT OF GOODS ANNEXURE 1. Master Details CHA License Number: 3. IEC Code Number: 2. CHA Name: 4. Exporter's Name: 5. Exporter Address: 6. Exporter Type: [P] - Private - [G] Government 7. Merchant/Manufacturer: [R] - Merchant [F] Manufact....
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....te 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 Whether Unit Rate of Units Unit for Market Code Rate if NFEI Third Value Exports Party Export (Y/N) * (1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) * Only for Scheme Codes involving DBK and DEBP. For other Scheme Codes (DEEC, EPCG, Job Work, DFRC), the system would determine the third party export automatically. 33. Drawback Particulars: Invoice DBK Serial Number Sr. No. Duty Drawback Details DBK Serial Number Quantity (1) (2) 34. DEEC/E....
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.... Amount Claimed Whether Item Un-used (Y/N) 21 Commissioner Permission (Y/N) 22 Board Order Number 23 Board Order Date 24 Whether CENVAT Availed (Y/N) 25 25 Whether CENVAT Reversed (Y/N) 39. Cess Particulars (If applicable): Invoice Serial Number (1) Item Serial Number (2) Cess Serial Number (3) Cess Quantity (4) 9 40. CENVAT Particulars: Invoice Number Item Serial (1) Number (2) Certificate Number Certificate Date Central Excise Assessee Code Valid Upto (3) (4) Office Code (5) (6) (7) 41. Third Party Exports: Invoice Number Item Serial Number IE Code (1) (2) (3) Name of the Manufacturer (4) Bank Serial Number* 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 n....