See also <GENERAL_REQUIREMENTS>

ORIGINAL

DUPLICATE

(See Rule 10 of Customs Valuation Rules, 1988)

Note: This declaration shall not be required for
goods imported as passengers Baggage,
goods imported for Personal use upto value of Rs 1000/,
Samples of no commercial value, or
where the goods are subject to specific rate of duty.

1.

Importers Name and address:

2.

Suppliers' Name and Address:

3.

Name and address of the agent, if any

4. 

Description of goods:

5. 

Country of Origin:

6. 

Port of shipment:

7. 

AWB/ Number and date:

8. 

IGM Number and date:

9. 

Contract Number and date:

10. 

Nature of Transaction (Sale, Consignment, Hire, Gift etc.)

11. 

Invoice Number and date:

12. 

Invoice value:

13. 

Terms of payment:

14. 

Currency of payment:

15.

Exchange rate:

16. 

Terms of delivery:

17. 

Relationship between buyer and seller [Rule 2(2)]:

18. 

If related, what is the basis of declared value:

19. 

Conditions or Restrictions attached with the sale [Rule 4 (2)]:

20. 

Valuation Method Applicable; (See Rule 4 to 8):

21. 

Cost and services not included in the invoice value (Rule 9):

:

(a). Brokerage and commission

 

(b). Cost of containers:

:

(c). Packing cost

:

(d). Cost of goods and services supplied by the buyer

 

(e). Royalties and licence fees:

:

(f). Value of proceeds which accure to seller

:

(g). Freight

:

(h). Insurance

:

(i). Loading, unloading, handling charges

:

(j). Landing charges

 

(k). Other payments, if any:

22.

Assessable Value in Rs:

23. 

Previous imports of indentical /similar goods if any:

:

(a). Bill of entry Number and Date

 

(b). IGM Number and Date:

24.

Any other revenant information: (Attach separate sheet, if necessary)

 

DECLARATION

1. I/We hereby declare that the information furnished above are true, complete and correct in our respect.

2. I/We also undertake to bring to the notice of proper officer any particulars, which subsequently come to my/ our knowledge, which will have a bearing on valuation.

Place

Date:

Signature of importer

FOR CUSTOM HOUSE USE

 

1

Bill of Entry Number and Date

2

Valuation Method Applied (See Rules 4 to 8 ):

3

If declared value not accepted, brief reasons

4

Reference number and date of any previous decisions/ruling

5

Value Assessed

A .O. Assistant Collector