FORM - HA - Courier Shipping Bill –V(CSB-V) - [See regulation 6(3)] - Courier Imports and Exports (Electronic Declaration and Processing) Regulations, 2010

FORM- HA Courier Shipping Bill V(CSB-V) [See regulation 6(3)] A (1) (2) (3) (4) (5) (6) Name and Address of the Authorised Courier Name of Customs Station Courier Registration No. Port of loading Airline Name and Flight Number Customs Shipping Bill Number and Date B (1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) S. No. Courier AWB No. No. of package Declared Weight Destin ation Consignor/ Exporter Name and Address IEC No. of the Exporter Terms of invoice Description of goods as per Exporter Invoice Invoice Value (FOB) Consignee s Name and Address Whether export using e-commerce Yes/No Whether under MEIS scheme Y/N S. No. Descr iption Qty HS Code Curr ency INR 4 [ B.1 If answer to column (12) in Table B is 'Yes' and the export consignment contains jewellery falling under CTH 7117 or 7113, then provide (i) Name of E-commerce Operator or Website (ii) Payment/ unique transaction ID (iii) Order No. (iv) Order No. ] C (1) (2) (3) (4) (5) (6) GSTIN Invoice no. and date Total taxable value If Supply for export is on payment of IGST. Pl indicate, total IGST paid, if any Whether against Bond or UT Total Cess paid, if any 3 [ D (A) (B) 5 [ If export consignment contains jewellery falling under CTH 7117 or CTH 7113, please state whether the facility of re-import will be availed for the said jewellery (Yes/No) ] If yes, Item-wise specification corresponding to Column (1): (1) (B.1) General Specifications (2) (i) Item S.No. (as per column (9) of the Table under heading B ) (ii) SKU No. (iii) Type of jewellery Gold Silver (c)Artificial jewellery (d) Any other precious metal If, (B.1)(iii)(a) (B.1)( iii)(a. 1) Purit y (Kara t) [(i)les s than 6 or (ii) 6- 24] (B.1)( iii)(a. 2) Hall mark certifi cate (Uplo ad if any) (B.1)( iii)(a. 3) Wt. of gold (in gm) (B.1)( iii)(a. 4) Whet her studde d or set with precio us/se mi- precio us stones (Yes/ No) (B.1)(i ii)(a.4. 1) If yes, (a) Diamo nd or (b) other precio us or semi- precio us stone (B.1)(iii)(a.4.1)(a) If diamond (B.1)(iii)(a.4.1)(b) If other precious or semiprecious stone (B.1)(iii)( a.4.1)(a)( a) Cut [marquis e, princess, pear, oval, heart, emerald or any other ] (B.1)(iii)( a.4.1)(a)( b) Color [D, E, F, G, H, I, J, K, L, M, N, O, P, Q, R, S, T, U, V, W, X, Y, Z or any other] (B.1)(iii)(a.4.1) (a) (c) Clarity [F,IF,VVS1, VVS2,VS1,VS 2,SI1,SI2,I1,I2, I3 or any other ] (B.1)(iii)( a.4.1)(a)( d) Carat (B.1)(iii)( a.4.1(a)( e) No. of Stones (B.1)(iii)( a.4.1)(b)( a) Name of the stone (B.1) (iii)(a 4.1)(b) (b) Wheth er Natura l or Synthe tic (B.1) (iii)(a .4.1)( b) (c) No. Of Stone s (B.1) (iii)(a .4.1)( b) (d) Coun try of origi n If, (B.1)(iii)(b) (B.1)(i ii)(b.1 ) Perce ntage of Silver content (B.1)(i ii)(b.2 ) Wt. of Silver (in gm) (B.1)(i ii)(b.3) Whether studded or set with precious/ semi- precious stones (Yes/N o) (B.1)(i ii)(b.3 ) If yes, (a) Diamond or (b) other precious or semi- precious stone (B.1)(iii)(b.3.1)(a) If diamond (B.1)(iii)(b.3.1)(b) If other precious or semiprecious stone (B.1)(iii)(b .3.1)(a)(a) Cut [marquise, princess, pear, oval, heart, emerald or any other ] (B.1)(iii) (b.3.1)(a ) (b) Color [D, E, F, G, H, I, J, K, L, M, N, O, P, Q, R, S, T, U, V, W, X, Y, Z or any other] (B.1)(iii)(b.3.1)( a) (c) Clarity [F,IF,VVS1, VVS2,VS1,VS2, SI1,SI2,I1,I2,I3 or any other ] (B.1)(iii) (b.3.1(d) Carat (B.1)(iii) (a.3.1)(a ) (e) No. of Stones (B.1)(iii)(b .3.1)(b)(a) Name of the stone (B.1) (iii)(b.3 .1)(b)(b ) Whether Natural or Synthetic (B.1) (iii)(b.3 .1)(b)(c ) No. of Stones (B.1) (iii)(b.3 .1)(b)(d ) Country of Origin If, (B.1)(iii)(d) (B.1)( iii)(d. 1) Purit y (B.1)( iii)(d. 2) Name of Certif icate (if any) (B.1)( iii)(d. 3) Wt. of the preci ous metal (in gm) (B.1)(i ii)(d.4 ) Whet her studde d or set with precio us/se mi- precio us stones (Yes/ No) (B.1)(i ii)(d.4. 1) If yes, (a) Diamo nd or (b) other precio us or semi- precio us stone (B.1)(iii)(d.4.1)(a) If diamond (B.1)(iii)(d.4.1)(b) If other precious or semiprecious stone (B.1)(iii )(d.4.1)( a) (a) Cut [marqui se, princess , pear, oval, heart, emerald or any other] (B.1)(iii )(d.4.1)( a) (b) Color [D, E, F, G, H, I, J, K, L, M, N, O, P, Q, R, S, T, U, V, W, X, Y, Z or any other ] (B.1)(iii)(d.4.1) (a) (c) Clarity [F,IF,VVS1, VVS2,VS1,VS 2,SI1,SI2,I1,I2, I3 or any other ] (B.1)(iii )(d.4.1)( a) (d) Carat (B.1)(iii )(d.4.1)( a) (e) No. of Stones (B.1)(iii) (d.4.1)(b )) (a) Name of the stone (B.1)(iii )(d.4.1)( b) (b) Whethe r Natural or Syntheti c (B.1)(iii )(d.4.1)( b) (c) No. of Stones (B.1)(iii )(d.4.1)( b) (d) Country of Origin . ] Declaration: (i) I/We hereby declare that the exporter mentioned above has authorised us for booking the shipment under the Courier Airway bill and act as an agent for clearance and export of the goods described above. (ii) I/We hereby declare that on the basis of declaration of the exporter, I/We shall abide by the declaration in CSB-V, above. Signature of the Authorised person of the Authorised Courier with stamp of Authorised Courier [F. No. 450/221/2016-Cus. -IV] (Zubair Riaz) Director (Customs) ******************** Notes:- 1. Inserted vide Notification No. 28/2018-Customs (N.T.) - Dated 28-03-2018 2. Inserted vide NOTIFICATION No. 57/2022-Customs (N.T.) dated 30-06-2022 3. Inserted vide NOTIFICATION No. 57/2022-Customs (N.T.) dated 30-06-2022 4. Substituted vide NOTIFICATION No. 81/2022-Customs (N.T.) dated 23-09-2022 before it was read as, 2 [ B.1 If answer to column 12 in the Table under heading B is yes (i) URL (Name of the Website) (ii) Name of E- commerce Operator (iii) Payment/ unique transaction ID (iv) Order No. (v) Order Date ] 5. Substituted vide NOTIFICATION NO. 43/2023-Customs (N.T.) dated 15-06-2023 before it was read as, Whether export consignment contains jewellery falling under CTH 7117 or CTH 7113 (Yes/ No)