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| Customs & Regulatory |
Customs | Regulatory | Banned Commodities | Dangerous Goods
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| Customs |
APPENDIX -C1 |
OFFICE OF THE SUPERINTENDENT OF CENTRAL EXCISE
Range __________________ Division ___________________
Commissionerate ____________________________________
C. No.
Date
Shipping Bill No.* Date
|
| 1.Name of EOU |
: |
| 2.IEC No. (of the EOU) |
: |
| 3.Factory address |
: |
| 4.Date of examination |
: |
5.Name and designation of the examining
Officer-Inspector/EO/PO |
: |
6.Name & designation of the supervision
Officer-Appraiser/Superintendent |
: |
7.(a)Name of Commissionerate/Division/
Range |
: |
| (b)Location Code** |
: |
| 8.Particulars of Export Invoice |
: |
| (a)Export Invoice No. |
: |
| (b)Total No. of packages |
: |
(c)Name and address of the
consignee abroad |
: |
9.(a)Is the description of the goods,
the Quantity and their value as per
particulars furnished in the export
invoice? |
:Yes/No |
(b)Whether sample is drawn for being
forwarded to port of export? |
:Yes/No |
| 10.(a)For Non-containerized cargo |
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| Nos. of packages |
:Seal Nos |
| (b)For Containerized cargo |
: |
| Container No. Size |
Seal No. |
Signature of
Exporter |
Signature of
Examiner/Inspector |
Signature of
Appraiser/Superintendent |
| Name : _____________ |
Name : _____________ |
Name : _____________ |
| Designation : _________ |
Designation : _________ |
Designation : _________ |
| Stamp: |
Stamp: |
Stamp: |
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Note:
- Invoice(s) and any other document accompanying this document should be attested by the office supervising the examination.
- * To be filled in by the exporter before filing of this document at the time goods registration in the export shed.
- * Revised 6 digit code as assigned by the Directorate of S & I, XXYYZZ
XX Commissionerate
YY Division
ZZ Range |
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