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Bill of Export For Duty Free Goods Ex-Bond

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..... nder : 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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..... 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 [ ] 3. GR Form [ ] .....

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..... 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. Container Nos. 2 [Statistical Code, Description of Goods, and EXIM Scheme Code, where applicable] Quantity 2 [Va .....

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..... Date Duplicate 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 [ ] 10. Any other (Specify) [ .....

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..... [Exporter, whether Government or Private] Invoice No. Date BE 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 Lorry No./goods Train Wagon No. Originating From .....

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..... mount . Other Deductions Import Particular of Bonded Goods Bill of Entry No. Date Vessels Name and Rotation No. No. of Pkgs. Bond No. Date Name of Bonded Ware House 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................. .....

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