Port Code BE No BE Date BE Type

INMUN1 7544024 31/12/2024 H

IEC/Br 0808019252/0 FIRST COPY
GSTIN/TYPE 24AACCH1405K1ZZ/G
CB CODE AALCS4908DCH014
INDIAN CUSTOMS TYPE INV ITEM CONT
PORT : MUNDRA SEZ PORT, MUNDRA, GUJARAT Nos 1 4 4
BILL OF ENTRY FOR HOME CONSUMPTION PKG 4420 G.WT (KGS) 110942 BE0311220241742

PART - I - BILL OF ENTRY SUMMARY

7.ADV BE 11.FIRST 12. PROV/

1.BE STATUS 2.MODE 3.DEF BE 4.KACHA 5.SEC 48 6.REIMP 8.ASSESS 9.EXAM 10.HSS
STATUS

(Y/N/P) CHECK FINAL

A.

FIRST COPY Sea T N N N N Y N N N F

13.COUNTRY OF ORIGIN VIETNAM, DEMOCRATIC REP. OF 14.COUNTRY OF CONSIGNMENT VIETNAM, DEMOCRATIC REP
15.PORT OF LOADING Haiphong 16.PORT OF SHIPMENT Haiphong
1.IMPORTER NAME & ADDRESS
DECLARANT

HINDPRAKASH INDUSTRIES LIMITED

301, HINDPRAKASH HOUSE,
B.

PLOT NO. 10/6, PHASE-I GIDC, VATVA 2.CB NAME SSS SAI SHIPPING SERVICES PVT. LTD.

PY
AHMEDABAD 3.AEO
382445 4.UCR
AD CODE 6910451
1.BCD 2.ACD 3.SWS 4.NCCD 5.ADD 6.CVD 7.IGST 8.G.CESS 18.TOT.ASS VAL
SUMMARY
C. DUTY

0 0 0 0 0 164604 0 914465.03
9.SG 10.SAED 11.GSIA 12.TTA 13.HEALTH 14.TOTAL DUTY 15.INT 16.PNLTY 17.FINE 19.TOT. AMOUNT

CO
164604 0 0 25000 189604

1.IGM NO 2.IGM DATE 3.INW DATE 4.GIGMNO 5.GIGMDT 6.MAWB NO 7.DATE 8.HAWB NO 9.DATE 10.PKG 11.GW
2395743 27/12/2024 28/12/2024 0 VCLHPHMUN 03/12/2024 4420 110942
D.MANIFEST
DETAILS

3963124
D
E. BOND DETAILS

1.BOND NO. 2.PORT 3.BOND CD 4.DEBT AMT 5.BG AMT 1.SR NO 2.CHALLAN NO 3.PAID ON 4.AMOUNT(Rs.)
F. PAYMENT

1 2052701562 164604
DETAILS
SE

1.WBE NO. 2.DATE 3.WBE SITE 4.WH CODE 1.S.NO 2.INVOICE NO 3.INV. AMT 4.CUR
INVOICE DETAILS - SUMMARY#
WH
G.

ES

1 18/19/20-2024/TL 10639.5 USD

1.EVENT 2.DATE 3.TIME EXCHANGE RATE
H. PROCESSING

Submission 31-DEC-24 14:02 1 USD=85.95INR

DETAILS

Assessment 31-DEC-24 17:42

Examination
S

OOC
I.
AS

1.SNO 2.LCL/ 3.TRUCK 4.SEAL 5.CONTAINER NUMBER

CONTAINER DETAILS *

FCL
1 F HWLU06277 FCIU3868455
OOC NO.
2 F HWLU06273 OOLU3738700
OOC DATE
3 F HWL06274 TRHU1680745
J.

4 F WLU06275 TTNU1433512

Signature Not Verified

Digitally signed by DS CENTRAL BOARD
OF INDIRECT TAXES AND CUSTOMS 08
Date: 2024.12.31 17:48:22 IST
Reason: CUSTOMS
Location: INDIA
GLOSSARY
A : DEF - Deferred Payment, REIMP - Reimport, ADV - Advance, P - Prior, HSS - HighSeaSale; B : CB - Customs Broker, AEO - Authorized
Economic Operator, UCR - Unique Customs Reference; D : GIGM - Gateway IGM; G : WBE - WareHouse BE; I : OOC - Out of Charge, # Refer Par
IV for full list of Invoices J : * Refer Part IV for full list of Containers, AP - Authorised Person

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 Port Code BE No BE Date BE Type
INMUN1 7544024 31/12/2024 H
IEC/Br 0808019252/0 FIRST COPY
GSTIN/TYPE 24AACCH1405K1ZZ/G
CB CODE AALCS4908DCH014
INDIAN CUSTOMS TYPE INV ITEM CONT
PORT : MUNDRA SEZ PORT, MUNDRA, GUJARAT Nos 1 4 4
BILL OF ENTRY FOR HOME CONSUMPTION PKG 4420 G.WT (KGS) 110942 BE0311220241742

PART - II - INVOICE & VALUATION DETAILS (Invoice 1 1 )

INVOICE

1.S.NO 2.INVOICE NO. & DT. 3.PURCHASE ORDER NO & DT 4.LC NO & DATE 5.CONTRACT NO & DATE
A.

1 18/19/20-2024/TL
22-NOV-24
1.BUYER'S NAME & ADDRESS 2.SELLER'S NAME & ADDRESS
HINDPRAKASH INDUSTRIES LIMITED
TRANSACTING PARTIES

301, HINDPRAKASH HOUSE,

PY
PLOT NO. 10/6, PHASE-I GIDC, VATVA
AHMEDABAD
382445
B.

3.SUPPLIER NAME & ADDRESS 4.THIRD PARTY NAME & ADDRESS

TLD VIETNAM JOINT STOCK COMPANY
NO. 834, TRUONG DINH, GIAP BAT,
HOANG MAI,

CO
HANOI,
VIETNAM
5.AEO 6. AD CODE 6910451
SERVICES VALUATION

1.INV VALUE 2.FREIGHT 3.INSURANCE 4.HSS. 5.LOADING 6.COMMN 7.PAY TERMS 8.VALUATION METHOD
C.

10639.5 OTH RULE4 TRANSACTION VALUE

14.Cur USD 9.RELTD 10.SVB CH 11.SVB NO 12.DATE 13LOA
15.Term CIF No
D. COST &

1.C&B 2.CoC 3.CoP 4.HND CHG 5.G&S 6.DOC. CH

ED

7.COO 8.R & LF 9.OTH COST 10.LD / ULD 11.WS 12.OTC 13.MISC CHARGE 14.ASS. VALUE
914465.03
1.S NO. 2.CTH 3.DESCRIPTION 4.UNIT PRICE 5.QUANTITY 6.UQC 7.AMOUNT
1 28365000 UNCOATED CALCIUM CARBONATE .103000 26500.000000 KGS 2729.50
CRECARB 1
SS

2 28365000 UNCOATED CALCIUM CARBONATE .078000 28000.000000 KGS 2184.00

CRECARB 3
3 28365000 UNCOATED CALCIUM CARBONATE .081500 28000.000000 KGS 2282.00
CRECARB 2FL
4 38249900 COATED CALCIUM CARBONATE .123000 28000.000000 KGS 3444.00
CRECARB 1T
SE
ITEM DETAILS

AS
E.

GLOSSARY
A : LC - Letter of Credit; B : AD - Authorized Dealer; C : HSS - High Sea Sale; D : C&B Commission & Brokerage, CoC - Cost of Container,CoP - Co
of Packing, HND CHG - Handling Charges, G&S - Goods and Service input cost, DOC CH - Document Charges, CoO - Country of Origin Certificate,
R&LF - Royalty and Licence Fees, LD/ULD - Loading Unloading Charges, WS - Warranty Services, OTC - Other Costs, CTH - Customs Tariff Head,
UQC - Unit Quantity Code

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 Port Code BE No BE Date BE Type
INMUN1 7544024 31/12/2024 H
IEC/Br 0808019252/0 FIRST COPY
GSTIN/TYPE 24AACCH1405K1ZZ/G
CB CODE AALCS4908DCH014
INDIAN CUSTOMS TYPE INV ITEM CONT
PORT : MUNDRA SEZ PORT, MUNDRA, GUJARAT Nos 1 4 4
BILL OF ENTRY FOR HOME CONSUMPTION PKG 4420 G.WT (KGS) 110942 BE0311220241742
PART - III - DUTIES
1.INVSNO 2.ITEMSN 3.CTH 4.CETH 5.ITEM DESCRIPTION 6.FS 7.PQ 8.DC 9.WC 10.AQ
DETAILS

1 1 28365000 NOEXCISE UNCOATED CALCIUM CARBONATE CRECARB 1 N N N N N

A. ITEM

11.UPI 12.COO 13.C.QTY 14.C.UQC 15.S.QTY 16.S.UQC 17.SCH 18.STND/PR 19.RSP 20.REIMP 21.PROV 22.END USE
.103 VN 26500 KGS 26500 KGS S N N GNX100
23.PRODN 24.CNTRL 25.QUALFR 26.CONTNT 27.STMNT 28.SUP DOCS 29.ASSESS VALUE 30. TOTAL DUTY
N N Y N Y Y 234600.53 42228.1
DUTY 1. BCD 2.ACD 3.SWS 4.SAD 5.IGST 6.G. CESS 7.ADD 8.CVD 9.SG 10.T. VALUE

PY
Notn No. 046/2011 001/2017 001/2017
B. ITEM
DUTY

Notn SNo. 230(I) III39 56

Rate 0 10 18 0 0
Amount 0 0 42228.1 0 0 0
Duty Fg 22838.3 0 0
DUTY 1.SP EXD 2.CHCESS 3.TTA 4.CESS 5.CAIDC 6.EAIDC 7.CUS EDC 8.CUS HEC 9.NCD 10.AGGR

CO
C. OTHER

Notn No. 011/2021

DUTIES

Notn SNo. 17
Rate 0 0 0
Amount 0 0 0
Duty Fg 17595.04 0

1.INVSNO 2.ITEMSN 3.CTH 4.CETH 5.ITEM DESCRIPTION 6.FS 7.PQ 8.DC 9.WC 10.AQ
DETAILS

1 2 28365000 NOEXCISE UNCOATED CALCIUM CARBONATE CRECARB 3 N N N N N

A. ITEM

11.UPI 12.COO 13.C.QTY 14.C.UQC 15.S.QTY 16.S.UQC 17.SCH 18.STND/PR 19.RSP 20.REIMP 21.PROV 22.END USE
.078 VN 28000 KGS 28000 KGS S N N GNX100
23.PRODN 24.CNTRL 25.QUALFR 26.CONTNT 27.STMNT 28.SUP DOCS 29.ASSESS VALUE 30. TOTAL DUTY
N N Y N Y Y 187714.8 33788.7
ED

DUTY 1. BCD 2.ACD 3.SWS 4.SAD 5.IGST 6.G. CESS 7.ADD 8.CVD 9.SG 10.T. VALUE
Notn No. 046/2011 001/2017 001/2017
B. ITEM
DUTY

Notn SNo. 230(I) III39 56

Rate 0 10 18 0 0
Amount 0 0 33788.7 0 0 0
Duty Fg 18274 0 0
SS

DUTY 1.SP EXD 2.CHCESS 3.TTA 4.CESS 5.CAIDC 6.EAIDC 7.CUS EDC 8.CUS HEC 9.NCD 10.AGGR
C. OTHER

Notn No. 011/2021

DUTIES

Notn SNo. 17
Rate 0 0 0
Amount 0 0 0
Duty Fg 14078.61 0
SE

1.INVSNO 2.ITEMSN 3.CTH 4.CETH 5.ITEM DESCRIPTION 6.FS 7.PQ 8.DC 9.WC 10.AQ
DETAILS

1 3 28365000 NOEXCISE UNCOATED CALCIUM CARBONATE CRECARB 2FL N N N N N

A. ITEM

11.UPI 12.COO 13.C.QTY 14.C.UQC 15.S.QTY 16.S.UQC 17.SCH 18.STND/PR 19.RSP 20.REIMP 21.PROV 22.END USE
.0815 VN 28000 KGS 28000 KGS S N N GNX100
23.PRODN 24.CNTRL 25.QUALFR 26.CONTNT 27.STMNT 28.SUP DOCS 29.ASSESS VALUE 30. TOTAL DUTY
AS

N N Y N Y Y 196137.9 35304.8
DUTY 1. BCD 2.ACD 3.SWS 4.SAD 5.IGST 6.G. CESS 7.ADD 8.CVD 9.SG 10.T. VALUE
Notn No. 046/2011 001/2017 001/2017
B. ITEM
DUTY

Notn SNo. 230(I) III39 56

Rate 0 10 18 0 0
Amount 0 0 35304.8 0 0 0
Duty Fg 19094 0 0
DUTY 1.SP EXD 2.CHCESS 3.TTA 4.CESS 5.CAIDC 6.EAIDC 7.CUS EDC 8.CUS HEC 9.NCD 10.AGGR
C. OTHER

Notn No. 011/2021

DUTIES

Notn SNo. 17
Rate 0 0 0
Amount 0 0 0
Duty Fg 14710.34 0

GLOSSARY
A : INVSNO - Invoice Sr. No., UPI - Unit Price Invoiced, C.Qty - Commercial Quantity, S.Qty - Standard Quantity, FS - Food Safety and Standards
Authority of India, PQ - Plant Quarantine, DC - Central Drugs Standard Control Organisation, WC - WildLife Crime Control Bureau , AQ - Animal
Quarantine and Certification Services, SCH - Scheme Code

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 Port Code BE No BE Date BE Type
INMUN1 7544024 31/12/2024 H
IEC/Br 0808019252/0 FIRST COPY
GSTIN/TYPE 24AACCH1405K1ZZ/G
CB CODE AALCS4908DCH014
INDIAN CUSTOMS TYPE INV ITEM CONT
PORT : MUNDRA SEZ PORT, MUNDRA, GUJARAT Nos 1 4 4
BILL OF ENTRY FOR HOME CONSUMPTION PKG 4420 G.WT (KGS) 110942 BE0311220241742
PART - III - DUTIES
1.INVSNO 2.ITEMSN 3.CTH 4.CETH 5.ITEM DESCRIPTION 6.FS 7.PQ 8.DC 9.WC 10.AQ
DETAILS

1 4 38249900 NOEXCISE COATED CALCIUM CARBONATE CRECARB 1T N N N N N

A. ITEM

11.UPI 12.COO 13.C.QTY 14.C.UQC 15.S.QTY 16.S.UQC 17.SCH 18.STND/PR 19.RSP 20.REIMP 21.PROV 22.END USE
.123 VN 28000 KGS 28000 KGS S N N GNX100
23.PRODN24.CNTRL 25.QUALFR 26.CONTNT 27.STMNT 28.SUP DOCS 29.ASSESS VALUE 30. TOTAL DUTY
N N Y N Y Y 296011.8 53282.1
DUTY 1. BCD 2.ACD 3.SWS 4.SAD 5.IGST 6.G. CESS 7.ADD 8.CVD 9.SG 10.T. VALUE

PY
Notn No. 046/2011 001/2017 001/2017
B. ITEM
DUTY

Notn SNo. 449(I) III97 56

Rate 0 10 18 0 0
Amount 0 0 53282.1 0 0 0
Duty Fg 67239.1 0 0
DUTY 1.SP EXD 2.CHCESS 3.TTA 4.CESS 5.CAIDC 6.EAIDC 7.CUS EDC 8.CUS HEC 9.NCD 10.AGGR

CO
C. OTHER

Notn No. 011/2021

DUTIES

Notn SNo. 17
Rate 0 0 0
Amount 0 0 0
Duty Fg 51802.07 0
ED
SS
SE
AS

GLOSSARY
A : INVSNO - Invoice Sr. No., UPI - Unit Price Invoiced, C.Qty - Commercial Quantity, S.Qty - Standard Quantity, FS - Food Safety and Standards
Authority of India, PQ - Plant Quarantine, DC - Central Drugs Standard Control Organisation, WC - WildLife Crime Control Bureau , AQ - Animal
Quarantine and Certification Services, SCH - Scheme Code

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 Port Code BE No BE Date BE Type
INMUN1 7544024 31/12/2024 H
IEC/Br 0808019252/0 FIRST COPY
GSTIN/TYPE 24AACCH1405K1ZZ/G
CB CODE AALCS4908DCH014
INDIAN CUSTOMS TYPE INV ITEM CONT
PORT : MUNDRA SEZ PORT, MUNDRA, GUJARAT Nos 1 4 4
BILL OF ENTRY FOR HOME CONSUMPTION PKG 4420 G.WT (KGS) 110942 BE0311220241742

PART - IV - ADDITIONAL DETAILS

A. SVB DETAILS
1.INVSNO 2.ITMSNO 3.REF NO 4. REF DT 5. PRT CD 6.LAB 7.P/F 8.LOAD DATE 9.P/F

B. PREVIOUS BEs
1.INVSNO 2.ITMSNO 3. BE NO 4. BE DATE 5. PRT CD 6.UNITPRICE 7.CURRENCY CODE

C. RE-IMPORT AFTER EXPORT

1.INVSNO 2.ITMSNO 3.NOTN NO 4.SLNO 5.FRT 6.INS 7.DUTY 8.SB NO 9.SB DT 10.PORTCD 11.SINV 12.SITEMN

PY
D. ITEM MANUFACTURER/PRODUCER/GROWER DETAILS
1.INVSNO 2.ITMSNO 3.TYPE 4.MANUFACT CD 5.SOURCE CY 6.TRANS CY 7.ADDRESS

E. ACCESSORY STATUS
1.INVSNO 2.ITMSNO 3.ACESSORY ITEM DETAILS

CO
F. LICENCE DETAILS
1.INVSNO 2.ITMSNO 3.LIC SLNO 4.LIC NO 5.LIC DATE 6.CODE 7.PORT 8.DEBIT VALUE 9.QTY 10.UQC 11.DEBIT DUTY

G. CERTIFICATE DETAILS H.HSS DETAILS

1.CERTIFICATE NUMBER 2.DATE 3.TYPE 1.PRC LEVEL 2.IEC 3.BRANCH SLNO

I. SINGLE WINDOW DECLARATION

1.INVSN 2.ITMSNO3.INFO TYP 4.QUALIFIER 5.INFO CD 6.INFO TEXT 7.INFO MSR 8.UQC
1 1 PEC DC0012016 1337
1 1 CTG DRC MSC
OTHER ADDITIONAL INFORMATION

1 1 ORC RIS N
ED

1 1 ORC DC Y
1 1 ORC COWO
1 1 CTG FSP NPF
1 1 ORC ACM N
1 1 CHR SQC 26500 KGS
1 1 CTG CPC CPCPR ADDQFR
SS

1 1 CHR STC STCNR

1 1 ORC COO VN VN-IN 24/01/037816|09122
1 2 PEC DC0012016 1337
1 2 CTG DRC MSC
1 2 ORC RIS N
1 2 ORC DC Y
SE

1 2 ORC COWO
1 2 ORC COO VN VN-IN 24/01/037816|09122
1 2 ORC ACM N
1 2 CHR SQC 28000 KGS
1 2 CTG CPC CPCPR ADDQFR
AS

1 2 CTG FSP NPF

1 2 CHR STC STCNR
1 3 CHR SQC 28000 KGS
1 3 ORC ACM N
1 3 CTG FSP NPF
1 3 CHR STC STCNR
1 3 CTG CPC CPCPR ADDQFR
1 3 PEC DC0012016 1337
1 3 CTG DRC MSC
1 3 ORC COO VN VN-IN 24/01/037816|09122
1 3 ORC COWO
1 3 ORC DC Y
1 3 ORC RIS N
1 4 CHR SQC 28000 KGS
1 4 ORC COO VN VN-IN 24/01/037816|09122
1 4 ORC DC Y
1 4 ORC CONWO COOP 86.72 CTH
1 4 ORC ACM N
1 4 ORC RIS N

GLOSSARY
A : Ref No - SVB Reference Number, Ref Dt - SVB Reference Date; F : Code - Licence Scheme Code; G : PRC - Preceding; J : ING - Ingredient
K : RES CD - Control Result Code, RES TXT - Control Result Text

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 Port Code BE No BE Date BE Type
INMUN1 7544024 31/12/2024 H
IEC/Br 0808019252/0 FIRST COPY
GSTIN/TYPE 24AACCH1405K1ZZ/G
CB CODE AALCS4908DCH014
INDIAN CUSTOMS TYPE INV ITEM CONT
PORT : MUNDRA SEZ PORT, MUNDRA, GUJARAT Nos 1 4 4
BILL OF ENTRY FOR HOME CONSUMPTION PKG 4420 G.WT (KGS) 110942 BE0311220241742

PART - IV - ADDITIONAL DETAILS

J. SINGLE WINDOW DECLARATION - CONSTITUENTS
1.INVSN 2.ITMSNO 3.C SNO 4.NAME 5.CODE 6.PERCENTAGE 7.YIELD PCT 8.ING

K. SINGLE WINDOW DECLARATION - CONTROL

1.INVSN 2.ITMSNO 3.CONTROL TYPE 4.LOCATION 5.SRT DT 6.END DT 7.RES CD 8.RES TEXT

L. SUPPORTING DOCUMENTS
1.INVSN 2.ITMSNO 3.TYP 4.ICEGATE ID 5.IRN 6.DOC CODE7.ISSUE PLACE8.ISSUE DT 9.EXP DT

PY
0 0 70500 SSSMUNDRAM 2024123100054737 VIETNAM 03-DEC-24
0 0 86400 SSSMUNDRAM 2024123100054738 VIETNAM 04-DEC-24
0 0 00100 SSSMUNDRAM 2024123100054739 VIETNAM 04-DEC-24
0 0 929OC SSSMUNDRAM 2024123100055765 INIDA 28-DEC-24
0 0 929OC SSSMUNDRAM 2024123100055766 INIDA 07-DEC-24
1 0 33100 SSSMUNDRAM 2024123100054741 VIETNAM 22-NOV-24

CO
1 1 86100 SSSMUNDRAM 2024123100054740 VIETNAM 09-DEC-24
1 2 86100 SSSMUNDRAM 2024123100054740 VIETNAM 09-DEC-24
1 3 86100 SSSMUNDRAM 2024123100054740 VIETNAM 09-DEC-24
1 4 86100 SSSMUNDRAM 2024123100054740 VIETNAM 09-DEC-24
M. CONTAINER DETAILS
1.CONTAINER NUMBER 2.TRUCK NUMBER 3.SEAL NUMBER 4.FCL/LCL
FCIU3868455 HWLU06277 F
OOLU3738700 HWLU06273 F
TRHU1680745 HWL06274 F
TTNU1433512 WLU06275 F
N. INVOICE DETAILS
OTHER ADDITIONAL INFORMATION

1. S NO 2. INVOICE NO 3. INVOICE AMOUNT 4. CUR

ED

1 18/19/20-2024/TL 10639.5 USD

SS
SE
AS

GLOSSARY
A : Ref No - SVB Reference Number, Ref Dt - SVB Reference Date; F : Code - Licence Scheme Code; G : PRC - Preceding; J : ING - Ingredient
K : RES CD - Control Result Code, RES TXT - Control Result Text

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 Port Code BE No BE Date BE Type
INMUN1 7544024 31/12/2024 H
IEC/Br 0808019252/0 FIRST COPY
GSTIN/TYPE 24AACCH1405K1ZZ/G
CB CODE AALCS4908DCH014
INDIAN CUSTOMS TYPE INV ITEM CONT
PORT : MUNDRA SEZ PORT, MUNDRA, GUJARAT Nos 1 4 4
BILL OF ENTRY FOR HOME CONSUMPTION PKG 4420 G.WT (KGS) 110942 BE0311220241742
PART - V - OTHER COMPLIANCES
A. EXAMINATION ORDER RMS

A1.EXAMINATION ORDER
B.EXAMINATION INSTRUCTIONS

B1. PGA EXAMINATION INSTRUCTIONS

Inv No Item No Agency Status
1 1 FS Waived
1 2 FS Waived
1 3 FS Waived

PY
C.COMPULSORY COMPLIANCE
D. AC REMARKS
E. EXAMINATION REPORT
F.SUPERINTENDENT COMMENTS
OOC No
CO OOC Date
D
SE
COMPLIANCES

S ES
AS

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 Port Code BE No BE Date BE Type
INMUN1 7544024 31/12/2024 H
IEC/Br 0808019252/0 FIRST COPY
GSTIN/TYPE 24AACCH1405K1ZZ/G
CB CODE AALCS4908DCH014
INDIAN CUSTOMS TYPE INV ITEM CONT
PORT : MUNDRA SEZ PORT, MUNDRA, GUJARAT Nos 1 4 4
BILL OF ENTRY FOR HOME CONSUMPTION PKG 4420 G.WT (KGS) 110942 BE0311220241742
PART - VI - DECLARATION
Declaration for 0/0: I/We declare that the contents of this Bill of Entry for goods imported against above mentioned Bill of Lading/ Airway Bill
/Lorry Receipt/Railway Receipt numbers are in accordance with the above mentioned invoice(s) No(s)and other documents presented herewith.
Declaration for 0/0: I/We declare that the contents of the above mentioned invoice(s) and documents are true and correct in every respect.I/We
have not received and do not know of any other documents or information showing a different description, quantity, price, value, of the said
goods and that if at any time hereafter I/We discover any document / information showing different facts, I/We will immediately make the same
known to the Commissioner of Customs.
Declaration for 1/0: I/We declare that all conditions or restrictions, if any, imposed by the seller of any third party on the disposition or use of the
imported goods [as per proviso to Rule 3(2)) of the Customs Valuation Rules, 2007] are specified above.
Declaration for 1/0: I/We declare that there are no payments actually paid or payable for the imported goods by way of cost and services [in
terms of Rules 10(1)(a)(i), Rule 10(1)(a)(ii), Rule 10 (1) (a) (iii) and Rule 10 (1) (b) of Customs Valuation Rules, 2007], Royalty / Licence Fee /
subsequent resale or use of goods /other payment as a condition of sale [(Please see Rule 10 (1) (c), (d) & (e) of Customs Valuation Rules,

PY
2007] other than those declared in the invoice which are mentioned as miscellaneous charges in this Bill of Entry.

Declaration for 1/0: I/We declare that the price paid or payable by the importer is as per the details provided above, and any price paid or
payable in addition to the above will be settled with the seller at the end of a defined period by means of debit note / credit note (post ¿ import
price adjustment), which are as per the contract attached as a supporting document.
Declaration for :

CO
Declaration for :
Declaration for 1/1: I declare that these goods qualify as originating goods for preferential rate of duty under the Customs (Administration of
Rules of Origin under Trade Agreements) Rules, 2020 notified vide Customs Notification No. 81/2020 - Customs (N.T.) dated 21.08.2020
Declaration for :
Declaration for :
Declaration for :
Declaration for 1/1: I/We the importer of this consignment undertake that the drug/cosmetic packages seal for this item is intact, the packaging is
not damaged/broken/destroyed and the content of drug/cosmetic has not deteriorated.
Declaration for 1/1: I certify that the information related to IUPAC & CAS number is not in my possession as the same is not provided by my
supplier due to confidentiality.
Declaration for :
ED

Declaration for :
A.DECLARATION STATEMENT

Declaration for :
Declaration for :
Declaration for 1/2: I/We the importer of this consignment undertake that the drug/cosmetic packages seal for this item is intact, the packaging is
not damaged/broken/destroyed and the content of drug/cosmetic has not deteriorated.
Declaration for 1/2: I declare that these goods qualify as originating goods for preferential rate of duty under the Customs (Administration of
SS

Rules of Origin under Trade Agreements) Rules, 2020 notified vide Customs Notification No. 81/2020 - Customs (N.T.) dated 21.08.2020
Declaration for :
Declaration for :
Declaration for 1/2: I certify that the information related to IUPAC & CAS number is not in my possession as the same is not provided by my
supplier due to confidentiality.
Declaration for :
SE

Declaration for :
Declaration for :
Declaration for :
Declaration for 1/3: I/We the importer of this consignment undertake that the drug/cosmetic packages seal for this item is intact, the packaging is
not damaged/broken/destroyed and the content of drug/cosmetic has not deteriorated.
Declaration for 1/3: I declare that these goods qualify as originating goods for preferential rate of duty under the Customs (Administration of
AS

Rules of Origin under Trade Agreements) Rules, 2020 notified vide Customs Notification No. 81/2020 - Customs (N.T.) dated 21.08.2020
Declaration for :
Declaration for 1/3: I certify that the information related to IUPAC & CAS number is not in my possession as the same is not provided by my
supplier due to confidentiality.
Declaration for :
Declaration for :
Declaration for 1/4: I declare that these goods qualify as originating goods for preferential rate of duty under the Customs (Administration of
Rules of Origin under Trade Agreements) Rules, 2020 notified vide Customs Notification No. 81/2020 - Customs (N.T.) dated 21.08.2020
B. AUTHORIZED
SIGNATORY

DATE

PLACE AUTHORISED SIGNATORY CHA NAME :SSS SAI SHIPPING SERVICES PVT. LTD.

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