INQUIRY ADVICE/AMENDMENT/REJECTION (WITH GROUNDS): FOR BOND SECTION'S USE:

REGISTRAION BY PORT AUTHORITIES BOOK & PAGE NO

REGISTRATION BY CUTOMS SHED STAFF WHARFAGE CHARGES
A) DATE & TIME OF RECEIPT STORAGE CHARGES
C) REF NO GATE PASS

EXAMINATION REPORT BY CUSTOMS SHED STAF PHYSICAL EXMINATION OBJECTIVE VERIFICATION YES NO
A) LOCATION _____________________ DISCREPANCIES

B) INSPECTED THE WHOLE SPECIFICATION [ ] DECLARATION AS PER PACKING LIST [ ] [ ]

COMPRISING ________CASES QUANTITY [ ] HAS THE VALUE BEEN APPRAISED [ ] [ ]
C) EXAMINED ___________ SELECTED ORIGIN [ ] IF YES,MENTION THE VALUE ______ [ ] [ ]
CASES BEARING NOS. ___________ PCT HEADING [ ] IS SAMPLE FORWARD TO GROUP/LAB [ ] [ ]
D) CONTAINER NOS. _____________ WT (GROSS/NET) [ ] ANY ADDITIONAL EXAM REPORT SHEET [ ] [ ]
E) MARKS AND NOS. ____________ DATE OF MFG/EXP _______ ATTACHED
F) IGM/EGM ____________________ OTHERS _______
SPECIAL REMARKS ______
DETAILED REPORT

EO(name, sig, seal & dt) AO (name, sig, seal & dt) PA (name, sig, seal & dt) AC (name, sig, seal & dt)

IMPORT / EXPORT/IN-BOND/EX-BOND/TRANSIT MR NO & DATE

DATE TIME CONTAINER/ NO OF PKGS GATE PASS N GATE PASS NO SEAL NO
VEHICLE NO

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TOTAL DECLARED
CLEARED
BALANCE

This is a system generated document, it does not require signature or stamp” as defined in sub section (kka) of Section 2 of Customs Act 1969