Advance Paperwork to be forwarded to :

SHIPPER's LETTER OF INSTRUCTION

Date: 12/12/2022 Invoice No. AMC/22-23/185 Destination USA LUT
1. Basic Info

FedEx A/c No. 786309159 Date 12-Dec-2022 IEC No. 2903001693 Payment Type Under IGST Paid
No.Of Pkgs 2 IEC Branch Code
Marks & Numbers PAN No. ACSPU8920H GSTN NO. 09ACSPU8920H1ZS
GSTN
EIN No. Net Wt. AD Code No. DETAILS STATE CODE 9
FedEx AWB No. Gross Wt. 39.00 KGS End Use Code GSTIN TYPE

Shipper Consignee Buyer,if other than Consignee Mandatory if PSD / EP copy delivery address other than IEC Add.
Chelsea Miller Post shipment document / EP delivery instructions
2. Shipper & Consignee

64 Music Mountain road Contact person

Falls village CT Telephone / Mobile
6031 Address 1
Address 2
USA City
AMC OVERSEAS Pin Code
Tel No. Email id for e-PSD
Email Address

MANDATORY
Any other instructions on
Fax No. PSD/EP delivery

Contract Type (tick one) Documents Enclosed (tick where applicable)

Ex-Works C & F (breakup) C I F (breakup) FedEx AWB (duly complete)
FOB Cost 0 Cost Invoice (5 copies)
Freight 0 Insurance Packing List (5 copies)
3. Shipping Bill & Contract

0 Freight Export Value Declaration (EVD)

Other - Please specify
Currency Euro 0.00 SDF / FEMA declaration
Type of Shipping Bill (tick one) EOU Annexure C1 (For 100% EOU shipments)
Duty Drawback EPCG(Concesnal or Zero duty) Other - Please specify GSP/ Certificate of Origin Form
Non Drawback NFEI Re-Export Original, Duplicate Visa (with 2 copies)
Advance Authorisation Jobbing Repair and Return Bank Certificate (GR waiver)
(Drawback / ROSCTL) Drawback + EPCG RoDTEP Scheme
Commercial exports by courier -value =<INR25K(FOB)

If RoDTEP box is ticked in type of shippping bill please mention on the Shipping Bill as under: "We intend to claim Export sheme under RoDTEP"
4. Misc.Info

Detail of Preferential Agreements under which the goods are being exported wherever applicable (If the agreement applies to all the items in the invoice. Else attach the Item details in sheet Details Itemwise.)

Standard Unit Quantity Code (SQC) for that CTH as per the first schedule for the customs Tariff Act 1975. (If the SQC applies to all the items in the invoice. Else attach the Item details in sheet Details Itemwise.)
State of Origin of Goods . (If the State of origin applies to all the items in the invoice. Else attach the Item details in sheet Details Itemwise.)
District or Origin of goods (If the District of origin applies to all the items in the invoice. Else attach the Item details in sheet Details Itemwise.)

Duty Drawback Details :

5. Drawback, DEEC,

IF REQUIRED
EPCG Information

Bank Details : Description of Goods :

Current A/c No. : Additional Instructions:
IFSC Code :
Advance Authorization / EPCG Details
Inv Item No REG No Date Advance Authorization / EPCG File No., LIC No. & Date:
(If LIC prior to 2009)
Any Other Documents:
Other Handling Information - Certificate of Origin (COI) :
6. GSP

COI REQUIRED? If YES - (It will be prepared by Jeena & Co.) GSP Type: Normal / Tatkal (Same Day) (Please tick any one)
If NO - Please provide the GSP (if applicable).

MANDATORY
We hereby appoint M/s Jeena & Company/JFS Freight Services Pvt. Ltd/Fedex Express Transportation Supply Chain Services (India) Pvt.Ltd/Sun Impex Clearing & Shipping Agency Pvt Ltd as our authorized Customs Broker
to prepare documents on our behalf and getting our cargo cleared as per the documents and information provided to them by us. We hereby also declare that the information in the subject invoice is as per our knowledge,
true and correct and if during custom examination anything found contradictory, objectionable in the shipment, neither Customs Broker nor the carrier would be held responsible
7. Declaration

I/ We declare that the particulars given herein are true, correct and complete
“I/We undertake to abide by provisions of Foreign Exchange Management Act, 1999, as amended from time to time, including realization / repatriation of foreign exchange to / from India.

Shipper Signature and Stamp

Shipper Name & Designation Contact Details: