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Shipping Bill For Export Of Dutiable Goods

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..... er : Custom House Agent LIC No. Deferred Credit [ ] Joint Ventures [ ] Rupee Credit [ ] Others [ ] RBI s Approval/Cir. No. Date Pre-Carriage by Place of Receipt by Pre-Carrier Type of Shipment : Vessel/Flight No. Rotation No. Outright Sale [ ] Consignment Export [ ] Others (Specify) [ ] Port of Loading Nature of Contract : CIF [ ] / CFR [ ] / FOB [ ] Ot .....

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..... 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................Dated................. Signature of Exporter/ CHA . Date Original Documents Submitted 1. Invoice [ ] 2. Packing List .....

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..... RBI s Approval/Cir. No. Date Pre-Carriage by Place of Receipt by Pre-Carrier Type of Shipment : Vessel/Flight No. Rotation No. Outright Sale [ ] Consignment Export [ ] Others (Specify) [ ] Port of Loading Nature of Contract : CIF [ ] / CFR [ ] / FOB [ ] Other (Specify) [ ] Port of Discharge Country of Destination Exchange Rate U/S 14 of CA Currency of Invoice S. No. .....

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..... ue and correct. I/We also attach the declaration(s) under clause No.(s) .. Public Notice No................Dated................. Signature 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 [ ] .....

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..... Triplicate 2 [Exporter, whether Government or Private] Invoice No. Date SB 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 Pre-Ca .....

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..... Currency Discount 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 declar .....

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