Port Code SB No SB Date

INDIAN CUSTOMS EDI SYSTEM INTKD6 1320624 11-MAY-22

CENTRAL BOARD OF INDIRECT TAXES AND CUSTOMS IEC/Br 3094001670 0
DEPARTMENT OF REVENUE - MINISTRY OF FINANCE GSTIN/TYPE 03AADFK4283G1ZK GSN
GOVERNMENT OF INDIA CB CODE AAGCR6976HCH001
TYPE INV ITEM CONT
Nos 1 14 0
ICD TUGHLAKABAD, NEW DELHI 110020 PKG 5 G.WT KGS 2167 * SB22130520221716

PART - I - SHIPPING BILL SUMMARY

1.MODE 2.ASSESS 3.EXMN 4.JOBBING 5.MEIS 6.DBK 7.RODTP 8.DEEC/DFIA 9.DFRC 10.RE-EXP 11.LUT
STATUS

LAND N Y N Y Y Y N N Y
A

12.PORT OF LOADING INTKD6 (Tuglakabad) 13.COUNTRY OF FINALDESTINATION UNITED STATES

14.STATE OF ORIGIN PUNJAB 15.PORT OF FINAL DESTINATION USNYC (New York)

PY
16.PORT OF DISCHARGEUSNYC (New York) 17.COUNTRY OF DISCHARGE UNITED STATES
1.EXPORTER'S NAME & ADDRESS 7.CONSIGNEE NAME & ADDRESS
K.M.P. MANUFACTURING CO. M/s Sparex Inc.
B DECLARAN

B-10-11, INDUSTRIAL. ESTATE, 190 LENA DRIVE , AURORA OH 44202

DETAILS

G.T.ROAD, BYE PASS,

CO
JALA NDHAR 2.Type Private US
3. AD CODE: 6360144 8. GSTIN / TYPE 03AADFK4283G1ZK GSN
4.RBI WAIVER NO.& DT 9.FOREX BANK A/C NO. 15XXXXXXXXX605
5.CB NAME RDA GLOBAL LOGISTICS I PVT LTD 10.DBK BANK A/C NO. 15XXXXXXXXX605
6.AEO 11. IFSC NO. UTIB0000155
1.FOB VALUE 2.FREIGHT 3.INSURANC 4.DISCOU 5.COM 1.DBK CLAIM 2. IGST AMT 3.CESS AMT
SUMMA
E MANIFEST C.VALU

EX.PR.
1083015.35 0 0 0 0 17328

D.
6.DEDUCTIONS 7.P/C 8.DUTY 9.CESS 4.IGST VALUE 5.RODTEP AMT 6.ROSCTL AMT
RT
0 0 10831 0
1.MAWB NO. 2.MAWB DT 3.HAWB NO. 4.HAWB DT N.O.C. 1.SNO 2.INV NO. 3. INV AMT. 4.CURRENC
DETAILS

F.INVOICE
1 KMP/22-23/64 14373.13 USD
4. CIN NO. 5. CIN DT. 6. CIN SITE ID SUMMARY
22PCEG0513763826800 13-MAY-22 INTKD6
PO

1.CONTAINER 2.SEAL 3.DATE 4.S No 1SR.NO 2.CHALLAN NO 3.PAYMT DT 4.AMOUNT

CHALLAN DETAILS
G. EQUIPMENT
DETAILS

EX

H
T

1.SEAL TYPE 2.NATURE OF CARGO 3.NO. OF PACKETS 4.NO. OF CONTAINERS 5.LOOSE PACKETS
I. ANNEX
DETAILS

WAREHOUSE SEALED CONTAINERISED 5 0 0

LE

6.MARKS & NUMBERS REX REGISTERATION NO. INREX3094001670DG288 DATED 06/09/2018 I/We, in regard to my/our claim
under RoDTEP scheme made in this Shipping Bill or Bill of Export "I/We undertake to abide by provisions of
Foreign Exchange Management Act, 1999, as amended from time to time, including realization/repatriat

1.EVENT 2.DATE 3.TIME 4.LEO NO. 1/223

J.PROCESS

5.Submission 11-MAY-22 16:18 6.LEO Date. 13-MAY-22

DETAILS

5.Assessment 8.BRC Realisation Date 28-FEB-23

7.Examination 13-MAY-22 17:14
9.LEO 13-MAY-22 17:16

Signature Not Verified

Digitally signed by DS CENTRAL BOARD
OF INDIRECT TAXES AND CUSTOMS 04
Date: 2022.05.13 17:22:19 IST
Reason: CUSTOMS
Location: INDIA
Glossary
A: ASSESS - Assessed, EXMN - Examined, MEIS - Merchantise Export Incentive Scheme, DBK - Drawback, ROSL - Rebate of State Levies,
DEEC - Duty Exemption Entitlement Certificate, DFRC - Duty Free Replenishment Certificate,LUT - Letter of Under Taking. B: CB - Customs Broker
AD Authoized Dealer , AEO - Authorized Economic Operator, UCR - Unique Customs Reference C: DISCOU - Discount, COM - Commission,
P/C Packing Charges,D: EX. PR.- Export Promotions E: MAWB / HAWB - Master / House Airway Bill Number J:BRC- Bank Realisation Certificate

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Page 1 Of 10
 Port Code SB No SB Date
INDIAN CUSTOMS EDI SYSTEM INTKD6 1320624 11-MAY-22
CENTRAL BOARD OF INDIRECT TAXES AND CUSTOMS IEC/Br 3094001670 0
DEPARTMENT OF REVENUE - MINISTRY OF FINANCE GSTIN/TYPE 03AADFK4283G1ZK GSN
GOVERNMENT OF INDIA CB CODE AAGCR6976HCH001
TYPE INV ITEM CONT
Nos 1 14 0
ICD TUGHLAKABAD, NEW DELHI 110020 PKG 5 G.WT KGS 2167 * SB22130520221716

PART - II - INVOICE DETAILS

1.S.No 2.INVOICE No. & Dt. 3.P.O.No. & Dt. 4.LoC No. & Dt 5.Contract No.&Dt 6.AD code 7.INVTERM
REF
A.

1 KMP/22-23/64 09/05/2022 6360144 FOB

1.EXPORTER'S NAME & ADDRESS 2.BUYER'S NAME & ADDRESS
K.M.P. MANUFACTURING CO. M/s Sparex Inc.

Y
B-10-11, INDUSTRIAL. ESTATE, 190 LENA DRIVE , AURORA OH 44202
B. TRANSACTION

G.T.ROAD, BYE PASS,

PARTIES

144012

OP
3.THIRD PARTY NAME & ADDRESS 4.BUYER AEO STATUS

1.INVOICE VALUE

TC
2.FOB VALUE 3FREIGHT 4.INSURANCE5DISCOUNT6.COMMISON 7.DEDUCT 8.P/C 9.EXCHANGE RATE
C.VAL
DTLS

14373.13 14373.13 0 0 0 0 0 1 USD INR 75.35

USD USD USD USD
1.ItemSNo 2.HS CD 3.DESCRIPTION 4.QUANTITY 5.UQC 6.RATE 7.VALUE(F/C)
1 84133030 AGRICULTURE WATER PUMPS-WATER PUMP 144 PCS 23.04 3317.76
KMP 229 ( 60125 )
OR
2 84133030 AGRICULTURE WATER PUMPS-WATER PUMP 48 PCS 20.79 997.92
KMP 175 ( 59526)
3 84133030 AGRICULTURE WATER PUMPS-WATER PUMP 64 PCS 19.602 1254.53
KMP 213 ( 53174)
4 84133030 AGRICULTURE WATER PUMPS-WATER PUMP 64 PCS 18.4788 1182.64
KMP 265 ( 68369)
5 84133030 AGRICULTURE WATER PUMPS-WATER PUMP 128 PCS 19.0728 2441.32
KMP 281 ( 68493)
XP

6 84133030 AGRICULTURE WATER PUMPS-WATER PUMP 96 PCS 20.79 1995.84

KMP 210 ( 20394)
7 84133030 AGRICULTURE WATER PUMPS-WATER PUMP 11 PCS 16.9884 186.87
KMP 121 ( 60648)
8 84133030 AGRICULTURE WATER PUMPS-WATER PUMP 11 PCS 16.632 182.95
KMP 123 ( 60632)
TE

9 84133030 AGRICULTURE WATER PUMPS-WATER PUMP 16 PCS 22.28 356.48

KMP 143 ( 41593)
10 84133030 AGRICULTURE WATER PUMPS-WATER PUMP 24 PCS 17.22 413.28
D. ITEM DETAILS

KMP 138 ( 60149)

11 84133030 AGRICULTURE WATER PUMPS-WATER PUMP 48 PCS 19.6 940.8
KMP 139 ( 60146 )
12 84133030 AGRICULTURE WATER PUMPS-WATER PUMP 42 PCS 19.602 823.28
LE

KMP 124 ( 65018)

13 84133030 AGRICULTURE WATER PUMPS-WATER PUMP ( 50 PCS 1.242 62.1
69295)
14 84133030 AGRICULTURE WATER PUMPS-WATER PUMP ( 175 PCS 1.24206 217.36
60654)

Glossary
A: Ref - Reference P.O. - Purchase Order, LoC - Letter of Credit, AD - Authorised Dealer C: VAL DTLS - Valuation Details
FOB - Freight On Board, DEDUCT - Deduction , P/C - Packing Charge D: HS CD - Harmonized System Code, UQC - Unit Quantity Code

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Page 2 Of 10
 Port Code SB No SB Date
INDIAN CUSTOMS EDI SYSTEM INTKD6 1320624 11-MAY-22
CENTRAL BOARD OF INDIRECT TAXES AND CUSTOMS IEC/Br 3094001670 0
DEPARTMENT OF REVENUE - MINISTRY OF FINANCE GSTIN/TYPE 03AADFK4283G1ZK GSN
GOVERNMENT OF INDIA CB CODE AAGCR6976HCH001
TYPE INV ITEM CONT
Nos 1 14 0
ICD TUGHLAKABAD, NEW DELHI 110020 PKG 5 G.WT KGS 2167 * SB22130520221716

PART - III - ITEM DETAILS

1INVSN 2ITEMSN 3.HS CD 4.DESCRIPTION 5.QUANTITY 6UQC 7.RATE 8VALUE(F/C) 9.FOB (INR) 10.PMV
1 1 84133030 AGRICULTURE WATER 144 PCS 23.04 3317.76 249993.19 1909.67
PUMPS-WATER PUMP KMP
229 ( 60125 )
11.DUTYAMT 12.CESS RT 13CESAMT 14.DBKCLMD 15.IGSTSTAT 16. IGST VALUE 17. IGST AMOUNT 18SCHCOD

PY
Y LUT 19
19. SCHEME DESCRIPTION 20. SQC MSR 21. SQC UQC 22. STATE OF ORIGIN 23. DISTRICT OF ORIGIN
Drawback 144 NOS PUNJAB JALANDHAR
24. PT Abroad 25.COMP CESS 26.END USE 27.FTA BENEFIT AVAILED 28. REWARD BENEFIT 29. THIRD PARTY ITEM
NCPTI 0 INR GNX200 Y Yes N

CO
1INVSN 2ITEMSN 3.HS CD 4.DESCRIPTION 5.QUANTITY 6UQC 7.RATE 8VALUE(F/C) 9.FOB (INR) 10.PMV
1 2 84133030 AGRICULTURE WATER 48 PCS 20.79 997.92 75193.32 1723.18
PUMPS-WATER PUMP KMP
175 ( 59526)
11.DUTYAMT 12.CESS RT 13CESAMT 14.DBKCLMD 15.IGSTSTAT 16. IGST VALUE 17. IGST AMOUNT 18SCHCOD
Y LUT 19
19. SCHEME DESCRIPTION 20. SQC MSR 21. SQC UQC 22. STATE OF ORIGIN 23. DISTRICT OF ORIGIN
RT
Drawback 48 NOS PUNJAB JALANDHAR
24. PT Abroad 25.COMP CESS 26.END USE 27.FTA BENEFIT AVAILED 28. REWARD BENEFIT 29. THIRD PARTY ITEM
NCPTI 0 INR GNX200 Y Yes N

1INVSN 2ITEMSN 3.HS CD 4.DESCRIPTION 5.QUANTITY 6UQC 7.RATE 8VALUE(F/C) 9.FOB (INR) 10.PMV
PO

1 3 84133030 AGRICULTURE WATER 64 PCS 19.602 1254.53 94528.83 1624.71

INVOICE (1/1)

PUMPS-WATER PUMP KMP

213 ( 53174)
11.DUTYAMT 12.CESS RT 13CESAMT 14.DBKCLMD 15.IGSTSTAT 16. IGST VALUE 17. IGST AMOUNT 18SCHCOD
Y LUT 19
19. SCHEME DESCRIPTION 20. SQC MSR 21. SQC UQC 22. STATE OF ORIGIN 23. DISTRICT OF ORIGIN
EX

Drawback 64 NOS PUNJAB JALANDHAR

24. PT Abroad 25.COMP CESS 26.END USE 27.FTA BENEFIT AVAILED 28. REWARD BENEFIT 29. THIRD PARTY ITEM
NCPTI 0 INR GNX200 Y Yes N

1INVSN 2ITEMSN 3.HS CD 4.DESCRIPTION 5.QUANTITY 6UQC 7.RATE 8VALUE(F/C) 9.FOB (INR) 10.PMV
1 4 84133030 AGRICULTURE WATER 64 PCS 18.4788 1182.64 89111.91 1531.61
T

PUMPS-WATER PUMP KMP

265 ( 68369)
LE

11.DUTYAMT 12.CESS RT 13CESAMT 14.DBKCLMD 15.IGSTSTAT 16. IGST VALUE 17. IGST AMOUNT 18SCHCOD
Y LUT 19
19. SCHEME DESCRIPTION 20. SQC MSR 21. SQC UQC 22. STATE OF ORIGIN 23. DISTRICT OF ORIGIN
Drawback 64 NOS PUNJAB JALANDHAR
24. PT Abroad 25.COMP CESS 26.END USE 27.FTA BENEFIT AVAILED 28. REWARD BENEFIT 29. THIRD PARTY ITEM
NCPTI 0 INR GNX200 Y Yes N

GLOSSARY
FOB - Freight On Board, HS CD Harmonized System Code, UQC - Unit Quantity Code, PMV - Present Market Value, CESAM - Cess Amount
IGSTSTA - IGST Payment Status, VAL - IGST Value, PAID - IGST Amount Paid, SCHCOD - Scheme Code, SQC MSR - Standard Quantity
Measurement, comp - compensatory, PT Abroad - Preferential treatment Availed Abroad

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Page 3 Of 10
 Port Code SB No SB Date
INDIAN CUSTOMS EDI SYSTEM INTKD6 1320624 11-MAY-22
CENTRAL BOARD OF INDIRECT TAXES AND CUSTOMS IEC/Br 3094001670 0
DEPARTMENT OF REVENUE - MINISTRY OF FINANCE GSTIN/TYPE 03AADFK4283G1ZK GSN
GOVERNMENT OF INDIA CB CODE AAGCR6976HCH001
TYPE INV ITEM CONT
Nos 1 14 0
ICD TUGHLAKABAD, NEW DELHI 110020 PKG 5 G.WT KGS 2167 * SB22130520221716

PART - III - ITEM DETAILS

1INVSN 2ITEMSN 3.HS CD 4.DESCRIPTION 5.QUANTITY 6UQC 7.RATE 8VALUE(F/C) 9.FOB (INR) 10.PMV
1 5 84133030 AGRICULTURE WATER 128 PCS 19.0728 2441.32 183953.51 1580.85
PUMPS-WATER PUMP KMP
281 ( 68493)
11.DUTYAMT 12.CESS RT 13CESAMT 14.DBKCLMD 15.IGSTSTAT 16. IGST VALUE 17. IGST AMOUNT 18SCHCOD

PY
Y LUT 19
19. SCHEME DESCRIPTION 20. SQC MSR 21. SQC UQC 22. STATE OF ORIGIN 23. DISTRICT OF ORIGIN
Drawback 128 NOS PUNJAB JALANDHAR
24. PT Abroad 25.COMP CESS 26.END USE 27.FTA BENEFIT AVAILED 28. REWARD BENEFIT 29. THIRD PARTY ITEM
NCPTI 0 INR GNX200 Y Yes N

CO
1INVSN 2ITEMSN 3.HS CD 4.DESCRIPTION 5.QUANTITY 6UQC 7.RATE 8VALUE(F/C) 9.FOB (INR) 10.PMV
1 6 84133030 AGRICULTURE WATER 96 PCS 20.79 1995.84 150386.54 1723.18
PUMPS-WATER PUMP KMP
210 ( 20394)
11.DUTYAMT 12.CESS RT 13CESAMT 14.DBKCLMD 15.IGSTSTAT 16. IGST VALUE 17. IGST AMOUNT 18SCHCOD
Y LUT 19
19. SCHEME DESCRIPTION 20. SQC MSR 21. SQC UQC 22. STATE OF ORIGIN 23. DISTRICT OF ORIGIN
RT
Drawback 96 NOS PUNJAB JALANDHAR
24. PT Abroad 25.COMP CESS 26.END USE 27.FTA BENEFIT AVAILED 28. REWARD BENEFIT 29. THIRD PARTY ITEM
NCPTI 0 INR GNX200 Y Yes N

1INVSN 2ITEMSN 3.HS CD 4.DESCRIPTION 5.QUANTITY 6UQC 7.RATE 8VALUE(F/C) 9.FOB (INR) 10.PMV
PO

1 7 84133030 AGRICULTURE WATER 11 PCS 16.9884 186.87 14080.61 1408.07

INVOICE (1/1)

PUMPS-WATER PUMP KMP

121 ( 60648)
11.DUTYAMT 12.CESS RT 13CESAMT 14.DBKCLMD 15.IGSTSTAT 16. IGST VALUE 17. IGST AMOUNT 18SCHCOD
Y LUT 19
19. SCHEME DESCRIPTION 20. SQC MSR 21. SQC UQC 22. STATE OF ORIGIN 23. DISTRICT OF ORIGIN
EX

Drawback 11 NOS PUNJAB JALANDHAR

24. PT Abroad 25.COMP CESS 26.END USE 27.FTA BENEFIT AVAILED 28. REWARD BENEFIT 29. THIRD PARTY ITEM
NCPTI 0 INR GNX200 Y Yes N

1INVSN 2ITEMSN 3.HS CD 4.DESCRIPTION 5.QUANTITY 6UQC 7.RATE 8VALUE(F/C) 9.FOB (INR) 10.PMV
1 8 84133030 AGRICULTURE WATER 11 PCS 16.632 182.95 13785.27 1378.53
T

PUMPS-WATER PUMP KMP

123 ( 60632)
LE

11.DUTYAMT 12.CESS RT 13CESAMT 14.DBKCLMD 15.IGSTSTAT 16. IGST VALUE 17. IGST AMOUNT 18SCHCOD
Y LUT 19
19. SCHEME DESCRIPTION 20. SQC MSR 21. SQC UQC 22. STATE OF ORIGIN 23. DISTRICT OF ORIGIN
Drawback 11 NOS PUNJAB JALANDHAR
24. PT Abroad 25.COMP CESS 26.END USE 27.FTA BENEFIT AVAILED 28. REWARD BENEFIT 29. THIRD PARTY ITEM
NCPTI 0 INR GNX200 Y Yes N

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Page 4 Of 10
 Port Code SB No SB Date
INDIAN CUSTOMS EDI SYSTEM INTKD6 1320624 11-MAY-22
CENTRAL BOARD OF INDIRECT TAXES AND CUSTOMS IEC/Br 3094001670 0
DEPARTMENT OF REVENUE - MINISTRY OF FINANCE GSTIN/TYPE 03AADFK4283G1ZK GSN
GOVERNMENT OF INDIA CB CODE AAGCR6976HCH001
TYPE INV ITEM CONT
Nos 1 14 0
ICD TUGHLAKABAD, NEW DELHI 110020 PKG 5 G.WT KGS 2167 * SB22130520221716

PART - III - ITEM DETAILS

1INVSN 2ITEMSN 3.HS CD 4.DESCRIPTION 5.QUANTITY 6UQC 7.RATE 8VALUE(F/C) 9.FOB (INR) 10.PMV
1 9 84133030 AGRICULTURE WATER 16 PCS 22.28 356.48 26860.73 1846.68
PUMPS-WATER PUMP KMP
143 ( 41593)
11.DUTYAMT 12.CESS RT 13CESAMT 14.DBKCLMD 15.IGSTSTAT 16. IGST VALUE 17. IGST AMOUNT 18SCHCOD

PY
Y LUT 19
19. SCHEME DESCRIPTION 20. SQC MSR 21. SQC UQC 22. STATE OF ORIGIN 23. DISTRICT OF ORIGIN
Drawback 16 NOS PUNJAB JALANDHAR
24. PT Abroad 25.COMP CESS 26.END USE 27.FTA BENEFIT AVAILED 28. REWARD BENEFIT 29. THIRD PARTY ITEM
NCPTI 0 INR GNX200 Y Yes N

CO
1INVSN 2ITEMSN 3.HS CD 4.DESCRIPTION 5.QUANTITY 6UQC 7.RATE 8VALUE(F/C) 9.FOB (INR) 10.PMV
1 10 84133030 AGRICULTURE WATER 24 PCS 17.22 413.28 31140.7 1427.28
PUMPS-WATER PUMP KMP
138 ( 60149)
11.DUTYAMT 12.CESS RT 13CESAMT 14.DBKCLMD 15.IGSTSTAT 16. IGST VALUE 17. IGST AMOUNT 18SCHCOD
Y LUT 19
19. SCHEME DESCRIPTION 20. SQC MSR 21. SQC UQC 22. STATE OF ORIGIN 23. DISTRICT OF ORIGIN
RT
Drawback 24 NOS PUNJAB JALANDHAR
24. PT Abroad 25.COMP CESS 26.END USE 27.FTA BENEFIT AVAILED 28. REWARD BENEFIT 29. THIRD PARTY ITEM
NCPTI 0 INR GNX200 Y Yes N

1INVSN 2ITEMSN 3.HS CD 4.DESCRIPTION 5.QUANTITY 6UQC 7.RATE 8VALUE(F/C) 9.FOB (INR) 10.PMV
PO

1 11 84133030 AGRICULTURE WATER 48 PCS 19.6 940.8 70889.31 1624.55

INVOICE (1/1)

PUMPS-WATER PUMP KMP

139 ( 60146 )
11.DUTYAMT 12.CESS RT 13CESAMT 14.DBKCLMD 15.IGSTSTAT 16. IGST VALUE 17. IGST AMOUNT 18SCHCOD
Y LUT 19
19. SCHEME DESCRIPTION 20. SQC MSR 21. SQC UQC 22. STATE OF ORIGIN 23. DISTRICT OF ORIGIN
EX

Drawback 48 NOS PUNJAB JALANDHAR

24. PT Abroad 25.COMP CESS 26.END USE 27.FTA BENEFIT AVAILED 28. REWARD BENEFIT 29. THIRD PARTY ITEM
NCPTI 0 INR GNX200 Y Yes N

1INVSN 2ITEMSN 3.HS CD 4.DESCRIPTION 5.QUANTITY 6UQC 7.RATE 8VALUE(F/C) 9.FOB (INR) 10.PMV
1 12 84133030 AGRICULTURE WATER 42 PCS 19.602 823.28 62034.14 1624.7
T

PUMPS-WATER PUMP KMP

124 ( 65018)
LE

11.DUTYAMT 12.CESS RT 13CESAMT 14.DBKCLMD 15.IGSTSTAT 16. IGST VALUE 17. IGST AMOUNT 18SCHCOD
Y LUT 19
19. SCHEME DESCRIPTION 20. SQC MSR 21. SQC UQC 22. STATE OF ORIGIN 23. DISTRICT OF ORIGIN
Drawback 42 NOS PUNJAB JALANDHAR
24. PT Abroad 25.COMP CESS 26.END USE 27.FTA BENEFIT AVAILED 28. REWARD BENEFIT 29. THIRD PARTY ITEM
NCPTI 0 INR GNX200 Y Yes N

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Page 5 Of 10
 Port Code SB No SB Date
INDIAN CUSTOMS EDI SYSTEM INTKD6 1320624 11-MAY-22
CENTRAL BOARD OF INDIRECT TAXES AND CUSTOMS IEC/Br 3094001670 0
DEPARTMENT OF REVENUE - MINISTRY OF FINANCE GSTIN/TYPE 03AADFK4283G1ZK GSN
GOVERNMENT OF INDIA CB CODE AAGCR6976HCH001
TYPE INV ITEM CONT
Nos 1 14 0
ICD TUGHLAKABAD, NEW DELHI 110020 PKG 5 G.WT KGS 2167 * SB22130520221716

PART - III - ITEM DETAILS

1INVSN 2ITEMSN 3.HS CD 4.DESCRIPTION 5.QUANTITY 6UQC 7.RATE 8VALUE(F/C) 9.FOB (INR) 10.PMV
1 13 84133030 AGRICULTURE WATER 50 PCS 1.242 62.1 4679.28 102.94
PUMPS-WATER PUMP (
69295)
11.DUTYAMT 12.CESS RT 13CESAMT 14.DBKCLMD 15.IGSTSTAT 16. IGST VALUE 17. IGST AMOUNT 18SCHCOD

PY
Y LUT 19
19. SCHEME DESCRIPTION 20. SQC MSR 21. SQC UQC 22. STATE OF ORIGIN 23. DISTRICT OF ORIGIN
Drawback 50 NOS PUNJAB JALANDHAR
24. PT Abroad 25.COMP CESS 26.END USE 27.FTA BENEFIT AVAILED 28. REWARD BENEFIT 29. THIRD PARTY ITEM
NCPTI 0 INR GNX200 Y Yes N

CO
1INVSN 2ITEMSN 3.HS CD 4.DESCRIPTION 5.QUANTITY 6UQC 7.RATE 8VALUE(F/C) 9.FOB (INR) 10.PMV
1 14 84133030 AGRICULTURE WATER 175 PCS 1.24206 217.36 16378.12 102.95
PUMPS-WATER PUMP (
60654)
11.DUTYAMT 12.CESS RT 13CESAMT 14.DBKCLMD 15.IGSTSTAT 16. IGST VALUE 17. IGST AMOUNT 18SCHCOD
Y LUT 19
19. SCHEME DESCRIPTION 20. SQC MSR 21. SQC UQC 22. STATE OF ORIGIN 23. DISTRICT OF ORIGIN
RT
Drawback 175 NOS PUNJAB JALANDHAR
24. PT Abroad 25.COMP CESS 26.END USE 27.FTA BENEFIT AVAILED 28. REWARD BENEFIT 29. THIRD PARTY ITEM
NCPTI 0 INR GNX200 Y Yes N
PO
INVOICE (1/1)

T EX
LE

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Page 6 Of 10
 Port Code SB No SB Date
INDIAN CUSTOMS EDI SYSTEM INTKD6 1320624 11-MAY-22
CENTRAL BOARD OF INDIRECT TAXES AND CUSTOMS IEC/Br 3094001670 0
DEPARTMENT OF REVENUE - MINISTRY OF FINANCE GSTIN/TYPE 03AADFK4283G1ZK GSN
GOVERNMENT OF INDIA CB CODE AAGCR6976HCH001
TYPE INV ITEM CONT
Nos 1 14 0
ICD TUGHLAKABAD, NEW DELHI 110020 PKG 5 G.WT KGS 2167 * SB22130520221716

PART - IV - EXPORT SCHEME DETAILS

A. DRAWBACK & ROSL CLAIM

1.INV SNO 2.ITEM SNO 3.DBK SNO. 4.QTY/WT 5.VALUE 6.RATE 7.DBK AMT 8.STALEV 9.CENLEV 10.ROSCTL AMT
1 1 8413B 144 249993.19 1.6 3999.89 0 0 0
1 2 8413B 48 75193.32 1.6 1203.09 0 0 0
1 3 8413B 64 94528.83 1.6 1512.46 0 0 0
1 4 8413B 64 89111.91 1.6 1425.79 0 0 0

Y
1 5 8413B 128 183953.51 1.6 2943.26 0 0 0
1 6 8413B 96 150386.54 1.6 2406.18 0 0 0
1 7 8413B 11 14080.61 1.6 225.29 0 0 0

OP
1 8 8413B 11 13785.27 1.6 220.56 0 0 0
1 9 8413B 16 26860.73 1.6 429.77 0 0 0
1 10 8413B 24 31140.7 1.6 498.25 0 0 0
1 11 8413B 48 70889.31 1.6 1134.23 0 0 0
1 12 8413B 42 62034.14 1.6 992.55 0 0 0
1 13 8413B TC50 4679.28 1.6 74.87 0 0 0
1 14 8413B 175 16378.12 1.6 262.05 0 0 0
B. AA / DFIA LICENCE DETAILS
1.INV SNO 2.ITEM SNO 3.LICENCE NO 4.DESCN OF EXPORT ITEM 5.EXP SNO 6.EXPQTY 7.UQC 8.FOB VALUE
9.SION 10.DESCN OF IMPORT ITEM 11IMP SNO 12IMPQT 13.UQC 14.INDIG / IMP
OTHER ADDITIONAL INFORMATION

OR

C. JOBBING DETAILS
1.BE NO 2.BE DATE 3.PORT CODE 4.DESCN OF IMPORTED GOODS 5.QTY IMP 6.QTY USED

D. SINGLE WINDOW DECLARATION

1.INVSN 2.ITMSN 3.INFO 4.QUALIFIER 5.INFO CD 6.INFO TEXT 7.INFO MSR 8.UQC
XP

1 1 ORC STO 03
1 1 ORC DOO 34
1 1 CHR SQC 144 NOS
1 1 ORC EPT NCPTI
1 1 DTY GCESS 0 INR
TE

1 1 DTY RDT RODTEPY Claimed 144 NOS

1 2 DTY GCESS 0 INR
1 2 DTY RDT RODTEPY Claimed 48 NOS
1 2 CHR SQC 48 NOS
1 2 ORC STO 03
1 2 ORC DOO 34
1 2 ORC EPT NCPTI
LE

1 3 ORC STO 03
1 3 ORC DOO 34
1 3 DTY GCESS 0 INR
1 3 ORC EPT NCPTI
1 3 CHR SQC 64 NOS
1 3 DTY RDT RODTEPY Claimed 64 NOS
1 4 ORC DOO 34
1 4 ORC STO 03
1 4 CHR SQC 64 NOS
1 4 DTY RDT RODTEPY Claimed 64 NOS
1 4 DTY GCESS 0 INR
1 4 ORC EPT NCPTI
1 5 DTY GCESS 0 INR
1 5 ORC EPT NCPTI
1 5 CHR SQC 128 NOS
1 5 ORC STO 03
1 5 ORC DOO 34
1 5 DTY RDT RODTEPY Claimed 128 NOS
1 6 ORC STO 03
1 6 ORC DOO 34
Glossary
INVSN - Invoice Serial Number ITMSN - Item Serial Number A: DBK - Drawback, ROSL - Rebate of State Levies, B: DFIA - Duty Free Import
Authorization, EXP - Export , IMP - Import , UQC-Unit Quanity CodeFOB - Freight On Board D: INFO - Information CD - Code MSR - Measuremen
E: ING - Ingredient F : RES CD - Result Code, RES TXT - Result Text ST DT -Start Date G: IRN - Image Reference Number CD - Code PLA - Pla

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Visit ICEGATE portal to verify latest version*.
Page 7 Of 10
 Port Code SB No SB Date
INDIAN CUSTOMS EDI SYSTEM INTKD6 1320624 11-MAY-22
CENTRAL BOARD OF INDIRECT TAXES AND CUSTOMS IEC/Br 3094001670 0
DEPARTMENT OF REVENUE - MINISTRY OF FINANCE GSTIN/TYPE 03AADFK4283G1ZK GSN
GOVERNMENT OF INDIA CB CODE AAGCR6976HCH001
TYPE INV ITEM CONT
Nos 1 14 0
ICD TUGHLAKABAD, NEW DELHI 110020 PKG 5 G.WT KGS 2167 * SB22130520221716

PART - IV - EXPORT SCHEME DETAILS

D. SINGLE WINDOW DECLARATION

1.INVSN 2.ITMSN 3.INFO 4.QUALIFIER 5.INFO CD 6.INFO TEXT 7.INFO MSR 8.UQC
1 6 CHR SQC 96 NOS
1 6 DTY RDT RODTEPY Claimed 96 NOS
1 6 DTY GCESS 0 INR
1 6 ORC EPT NCPTI

Y
1 7 ORC STO 03
1 7 ORC DOO 34
1 7 CHR SQC 11 NOS

OP
1 7 ORC EPT NCPTI
1 7 DTY GCESS 0 INR
1 7 DTY RDT RODTEPY Claimed 11 NOS
1 8 ORC DOO 34
1 8 ORC STO 03
1 8 CHR SQC
TC 11 NOS
1 8 DTY RDT RODTEPY Claimed 11 NOS
1 8 DTY GCESS 0 INR
1 8 ORC EPT NCPTI
1 9 DTY GCESS 0 INR
1 9 ORC EPT NCPTI
1 9 CHR SQC 16 NOS
OTHER ADDITIONAL INFORMATION

1 9 ORC DOO 34
OR

1 9 ORC STO 03
1 9 DTY RDT RODTEPY Claimed 16 NOS
1 10 ORC STO 03
1 10 ORC DOO 34
1 10 DTY GCESS 0 INR
1 10 ORC EPT NCPTI
1 10 CHR SQC 24 NOS
XP

1 10 DTY RDT RODTEPY Claimed 24 NOS

1 11 ORC DOO 34
1 11 ORC STO 03
1 11 DTY RDT RODTEPY Claimed 48 NOS
1 11 DTY GCESS 0 INR
TE

1 11 ORC EPT NCPTI

1 11 CHR SQC 48 NOS
1 12 ORC STO 03
1 12 ORC DOO 34
1 12 CHR SQC 42 NOS
1 12 ORC EPT NCPTI
1 12 DTY GCESS 0 INR
LE

1 12 DTY RDT RODTEPY Claimed 42 NOS

1 13 ORC STO 03
1 13 ORC DOO 34
1 13 CHR SQC 50 NOS
1 13 ORC EPT NCPTI
1 13 DTY GCESS 0 INR
1 13 DTY RDT RODTEPY Claimed 50 NOS
1 14 ORC STO 03
1 14 ORC DOO 34
1 14 CHR SQC 175 NOS
1 14 ORC EPT NCPTI
1 14 DTY GCESS 0 INR
1 14 DTY RDT RODTEPY Claimed 175 NOS
E. SINGLE WINDOW DECLARATION - CONSTITUENTS
1.INVSN2.ITMSNO 3.C SNO 4.NAME 5.CODE 6.PERCENTAGE 7.YIELD PCT 8.ING

F. SINGLE WINDOW DECLARATION - CONTROL

1.INVSN2.ITMSNO 3.CONTROL TYPE 4.LOCATION 5.ST DT 6.END DT 7.RES CD 8.RES TEXT

Glossary
INVSN - Invoice Serial Number ITMSN - Item Serial Number A: DBK - Drawback, ROSL - Rebate of State Levies, B: DFIA - Duty Free Import
Authorization, EXP - Export , IMP - Import , UQC-Unit Quanity CodeFOB - Freight On Board D: INFO - Information CD - Code MSR - Measuremen
E: ING - Ingredient F : RES CD - Result Code, RES TXT - Result Text ST DT -Start Date G: IRN - Image Reference Number CD - Code PLA - Pla

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Visit ICEGATE portal to verify latest version*.
Page 8 Of 10
 Port Code SB No SB Date
INDIAN CUSTOMS EDI SYSTEM INTKD6 1320624 11-MAY-22
CENTRAL BOARD OF INDIRECT TAXES AND CUSTOMS IEC/Br 3094001670 0
DEPARTMENT OF REVENUE - MINISTRY OF FINANCE GSTIN/TYPE 03AADFK4283G1ZK GSN
GOVERNMENT OF INDIA CB CODE AAGCR6976HCH001
TYPE INV ITEM CONT
Nos 1 14 0
ICD TUGHLAKABAD, NEW DELHI 110020 PKG 5 G.WT KGS 2167 * SB22130520221716

PART - IV - EXPORT SCHEME DETAILS

G.SUPPORTING DOCUMENTS
1.INVSN2.ITMSNO 3 DOCTYPCD 4. ICEGATE ID 5. IRN 6.PARTY CD 7.ISSUE PLA 8.ISS DT 9.EXP DT
1 0 165000 RDALUDHIANA 2022051100072622 PUNJAB 17-MAR-22
1 0 331000 RDALUDHIANA 2022051100073118 PUNJAB 09-MAY-22
H.INVOICE DETAILS

Y
1.SNO 2.INVOICE NO 3.INVOICE AMOUNT 4.CURRENCY
1 KMP/22-23/64 14373.13 USD
I.CONTAINER DETAILS

OP
1.SNO 2.CONTAINER 3.SEAL 4.DATE

J.AR4 DETAILS
1.INVSN 2.ITMSN 3.AR4 NUMBER 4.AR4 DATE 5.COMMISSIONERATE 6.DIVISION 7.RANGE
TC K. THIRD PARTY DETAILS
1.INVSN 2.ITMSN 3.IEC 4. EXPORTER NAME 5. ADDRESS 6.GSTN ID AND TYPE

L. ITEM MANUFACTURER/PRODUCER/GROWER DETAILS

OTHER ADDITIONAL INFORMATION

1.INVSN2.ITMSN 3.TYPE 4.MANUFACT CD 5.SOURCE STATE 6.TRANS CY 7.ADDRESS

OR

M. RODTEP DETAILS
1.INVSN2.ITMSN 3. QUANTITY 4. UQC 5. NO. OF UNITS 6. VALUE
1 1 144 NOS 1 2500
1 2 48 NOS 1 752
XP

1 3 64 NOS 1 945
1 4 64 NOS 1 891
1 5 128 NOS 1 1840
1 6 96 NOS 1 1504
1 7 11 NOS 1 141
TE

1 8 11 NOS 1 138
1 9 16 NOS 1 269
1 10 24 NOS 1 311
1 11 48 NOS 1 709
1 12 42 NOS 1 620
1 13 50 NOS 1 47
1 14 175 NOS 1 164
LE

Glossary
INVSN - Invoice Serial Number ITMSN - Item Serial Number A: DBK - Drawback, ROSL - Rebate of State Levies, B: DFIA - Duty Free Import
Authorization, EXP - Export , IMP - Import , UQC-Unit Quanity CodeFOB - Freight On Board D: INFO - Information CD - Code MSR - Measuremen
E: ING - Ingredient F : RES CD - Result Code, RES TXT - Result Text ST DT -Start Date G: IRN - Image Reference Number CD - Code PLA - Pla

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Visit ICEGATE portal to verify latest version*.
Page 9 Of 10
 Port Code SB No SB Date
INDIAN CUSTOMS EDI SYSTEM INTKD6 1320624 11-MAY-22
CENTRAL BOARD OF INDIRECT TAXES AND CUSTOMS IEC/Br 3094001670 0
DEPARTMENT OF REVENUE - MINISTRY OF FINANCE GSTIN/TYPE 03AADFK4283G1ZK GSN
GOVERNMENT OF INDIA CB CODE AAGCR6976HCH001
TYPE INV ITEM CONT
Nos 1 14 0
ICD TUGHLAKABAD, NEW DELHI 110020 PKG 5 G.WT KGS 2167 * SB22130520221716

PART - V - DECLARATIONS

Y
OP
TC
A. DECLARATION STATEMENT

OR
XP
TE
LE
B. AUTHORIZED
SIGNATORY

DATE AUTHORIZED SIGNATORY CHA NAME :AAGCR6976HCH001

PLACE

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Page 10 Of 10