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Bill of Export For Duty Free Goods

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..... Custom House Agent LIC No. Deferred Credit [ ] Joint Ventures [ ] Rupee Credit [ ] Others [ ] RBI s Approval/Cir. No. Date Lorry No./goods Train Wagon No. Originating From Type of Shipment : Outright Sale [ ] Consignment Export [ ] Others (Specify) [ ] Land Cus. Station Nature of Contract : CIF [ ] / CFR [ ] / FOB [ ] Other (Specify) .....

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..... ........ Signature of Exporter/ CHA . Date Original DOCUMENTS SUBMITTED 1. Invoice [ ] 2. Packing List [ ] 3. GR Form [ ] 4. AR-4 / AR-4A Form [ ] 5. ETC Licence [ ] 6. Indent [ ] 7. Acceptance of Contract [ ] 8. Letter of Credit [ ] 9. QC Certificate .....

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..... [ ] Place of Delivery Country of Destination Exchange Rate U/S 14 of CA Currency of Invoice S. No. Marks Nos. No. Kind of Pkgs. Container Nos. 2 [Statistical Code, Description of Goods, and EXIM Scheme Code, where applicable] Quantity 2 [Value FOB PMV where applicable] Net Weight Gross Weight Total FOB Value in words Analysis of Export Value Currency Amount Full export value OR where not ascertainable, the value which exporter expects to receive on the .....

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..... [ ] 10. Any other (Specify) [ ] Duplicate 'LET EXPORT' Signature of Officer of Customs 'ALLOWED FOR DESPATCH' Signature of Officer of Customs Carrier's name Lorry No./Goods Train Wagon No. may be altered after check with original Fee Rs. Entry for Fresh one may be granted to .. for the portion shutout .....

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..... Approval/Cir. No. Date Lorry No./goods Train Wagon No. Originating From Type of Shipment : Outright Sale [ ] Consignment Export [ ] Others (Specify) [ ] Land Cus. Station Nature of Contract : CIF [ ] / CFR [ ] / FOB [ ] Other (Specify) [ ] Place of Delivery Country of Destination Exchange Rate U/S 14 of CA Currency of Invoice S. No. Marks Nos. No. Kind of Pkgs. Containe .....

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..... ............................................... of ....................................................................................................................................................................................... Issued by ........................................................................................................................................................................... For ....................................................................Cases/Bales/Packages/Containers......................................................... ........................................................................................................................... .....

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