ANNEXURE – 1


FORMAT OF CARGO AND DECLARATION FORM:
FOR DATA ENTRY ONLY.  

S. NO.


HEADINGS

DATA

1. IEC CODE  
2. CHA CODE  
3. PORT OF SHIPMENT  
4. COUNTRY OF ORIGIN  
5. COUNTRY OF CONSIGNMENT  
6. LOCAL IGM NO. & DATE  
7. GATEWAY PORT IGM NO.

ENTRY INWARD DATE

 
8. GATEWAY PORT  
9. BILL OF LADING NO. & DATE  
10. SMPT NO. & DATE  
11. CONTAINER DETAILS

(A) SIZE (20',40')

(B) NUMBER

(C) STATUS (LCL/FCL)

 
12. MARKS & NOS.  
13. NO.OF PACKAGES  
14. GROSS WEIGHT  
15.. TYPES OF BILL OF ENTRY

(A) HOME CONSUMPTION

WARE HOUSING EX-BOND

(B) ADVANCE POST ARRIVAL

(A)

 

(B)


(Applicable only for M.R.P)

15 (a)  Whether any of the items is leviable-to additional duty under section 3 of  CTA, 1975 with reference to the retail sale price declared on the articles  :

             --------- (Y / N)

(b)     I / Yes furnish the following particulars: -

INVOICE NO

ITEM’S NO

DESCRIPTION

(WITH SPECIFICATIONS)

NO OF

UNITS

RETAIL SALE PRICE,

Rs. PER UNIT
 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

   

S.NO. HEADINGS DATA

16.

CATEGORY OF IMPORTER

GOVERNMENT/PUBLIC SECTOR/PRIVATE

 

17

(A)  WHETHER FIRST CHECK IS REQURED?

 IF YES, REASONS ON THEREOF

(B) WHETHER GREEN CHANNEL CLEARANCE REQUIRED?

Y/N

 

 

 

Y/N

18.

INVOICE DETAILS

 

 

(A) NUMBER

 

 

(B) DATE

 

 

(C) VALUE

 

 

 

(D) CURRENCY

 

 

(D)  TERMS OF INVOICE

(FOB/CIF/CICE)

 

 

(F) FREIGHT CHARGES

 

 

(G) INSURANCE

 

 

(H)  OTHER CHARGES

 

19

SVB LOADING                           Y/N

IF YES

           REF. NO. :

           DATE       :

           CUSTOM HOUSE :

           LOADING ON ASSESSABLE VALUE(A)

                                                      DUTY         (D)

                                                      BOTH         (B)

           PERCENT OF LOADING

           PROVISIONAL OR FINAL(P F)


CLAIM OF ASSESMENT

S.No of items

In

Invoice

General

Description of Item

RITC Code

CTH

Notfn/Yr

S. No.

CETH

Notfn/Yr

S. No.

Cess

ITCHS Code/Policy Para/ License Details

Loading

Qty/Wt.

Unit Price

                       
                       
                       
                       
                       
                       
                       
                       
                       

 

21                UNDER SECTION 48                             :  (Y/N)

IF YES, REASONS FOR DELAY

22        NATURE OF TRANSACTION                       :  (SALE/CONSIGNMENT /HIRE/GIFT/OTHERS)

23        TERMS OF PAYMENT                                     :   (LC/FOC/DP/SD/OTHERS)

24                 CONDITIONS ATTACHED WITH SALES (IF ANY)

25        ARE BUYER AND SELLER RELATED Y/N     ------------------------------

            IF YES     (I) RELATIONSHIP  ----------------------------------------------------

                              (II) BASIS OF DECLARED VALUE   -------------------------------

                              (III) VALUATION METHOD APPLICABLE ----------------------

26        TO INDICATE PACKING LIST INFORMATION ON THE INVOICE
 I.E BOX NUMBER AGAINST EACH LINE ITEM

            I enclose herewith the copies of following Import documents

           (1) INVOICE     (2)  PACKING LIST   (3) OTHER (SPECIEY)  

NOTE:   Where the invoice contains more than one unit of item and more than one description of items UNIT      PRICE of each item shall be mandatory.

DECLARATIONS :

I certify that aforesaid declaration, the documents and the information contained there in true and correct.

Date:                                                                                                  

                                                                                       Signature

                                                                                       Name


                                                                                       CHA/ IMPORTER /AUTHORITY
                                                                                       IC CARD NO. ISSUED BY PALICY SECTION
                                                                                       NEW CUSTOM HOUSE