wej Ae Gw›Uª/G·‡cvU© c~i‡Yi wb‡`©wkKv

1. †NvlYv (Declaration):
a. †NvlYvi aib (Model of Declaration): †NvlK KZ…K © Avewk¨Kfv‡e c~iY‡hvM¨| †NvlYvi cÖKvi
(model of declaration) UvBc Ki‡Z n‡e| D`vniY: Avg`vwbi †¶‡Î ‘IM’ Ges ißvwbi †¶‡Î ‘EX’
wjL‡Z n‡e|
Type of Declaration Code
Imports IM
Exports EX
b: Dc-wefvM (Sub-Category): †NvlK KZ…K © Avewk¨Kfv‡e c~iY‡hvM¨| mvgwqK Avg`vwb/ißvwb, UªvbwRU
ev Iq¨vinvDwms D‡Ïk¨ wKbv Zv Dc-wefvM (Sub-Category) N‡i UvBc Ki‡Z n‡e| D`vniY:
General Procedure Code
Permanent Export 1
Import Entry for Home Use 4
c: cÖ‡hvR¨ bq (Not Applicable): fwel¨r e¨env‡ii Rb¨ msiw¶Z|
e: Awd‡mi bvg (Office Name): wej Ae Gw›Uª/G·‡cvU© †h Awd‡m `vwLj Kiv n‡e Zvi bvg GLv‡b
wjL‡Z n‡e| Kw¤úDUv‡i ïévq‡bi †¶‡Î ¯^qswµqfv‡e Kv÷gm Kw¤úDUvi KZ…©K c~iY‡hvM¨|
D`vniY: XvKv Kv÷g nvDm (hw` Office Code 101 nq)|
f: †gwb‡d÷ b¤^i (Manifest No.): Avg`vwb wej Ae Gw›Uªi †¶‡Î †NvlK KZ…©K Avewk¨Kfv‡e c~iY‡hvM¨|
Kv÷g nvDm/†÷k‡b Kv÷gm KZ…K © cÖ`Ë †iv‡Ukb b¤^i (Rotation Number) UvBc Ki‡Z n‡e|
†gwb‡d÷ b¤^‡ii QKwU YY NNNNNN ai‡bi n‡e †hLv‡b YY w`‡q cwÄKv eQi Ges NNNNNN
w`‡q †gwb‡d÷ b¤^i †evSv‡e| D`vniY: 1999 mv‡ji 220 b¤^i †gwb‡d÷ †evSv‡Z 99000220 wjL‡Z
n‡e|
g: †iwR‡÷ªkb b¤^i (Registration No.): GN‡i Kv÷gm KZ…c © ¶ KZ…K
© wej Ae Gw›Uª/G·‡cvU© †iwR‡÷ªkb
b¤^i D‡jøL Ki‡Z n‡e| Kw¤úDUvi ïévq‡bi †¶‡Î ¯^qswµqfv‡e Kv÷gm Kw¤úDUvi KZ…K © c~iY‡hvM¨|
D`vniY: C00251
h: †iwR‡÷ªkb ZvwiL (Registration Date): GN‡i Kv÷gm KZ…c © ¶ KZ…©K wej Ae Gw›Uª/G·‡cvU©
†iwR‡÷ªkb ZvwiL D‡jøL Kiv n‡e| Kw¤úDUv‡i ïévq‡bi †¶‡Î ¯^qswµqfv‡e Kv÷gm Kw¤úDUvi KZ…©K
c~iY‡hvM¨| D`vniY: 18/08/2000

2. KbmvBbi/ißvwbKviK (bvg I wVKvbv) (Consignor/Exporter: Name and Address)

†NvlK KZ…K © Avewk¨Kfv‡e c~iY‡hvM¨| wej Ae G·‡cvU©: G‡¶‡Î evsjv‡`k n‡Z ißvwbKvix e¨w³ ev cÖwZôv‡bi
c~Y© bvg, wVKvbv Ges g~mK wbeÜb b¤^i UvBc Ki‡Z n‡e|
D`vniY: Name ABC
Street Address XYZ Commercial Area
City Dhaka
Postal Code 1000
BIN (VAT) **************
A_ev
wej Ae Gw›Uª: evsjv‡`‡k Avg`vwbi †¶‡Î Bbf‡qm/wej Ae †jwWs G ewY©Z ißvwbKviK e¨w³ ev cÖwZôv‡bi c~Y©
bvg I wVKvbv UvBc Ki‡Z n‡e|
D`vniY: Name AAA
Street Address Rockville Avenue
City Rockville
State & Postal Code Maryland
Country USA
3. c„ôv (Page):
†NvlK KZ…©K Avewk¨Kfv‡e c~iY‡hvM¨|
wej Ae Gw›Uª/G·‡cv‡U©i cÖ_g c„ôvmn cieZ©x mKj c„ôvmg~‡ni msL¨v UvBc Ki‡Z n‡e|
3a 3a
D`vniY:
For 1 page BOE 1st page: 1. 1. Page 1 of 1
For 3 page BOE 1st page: 1. 3. Page 1 of 3
2nd page: 2. 3. Page 2 of 3
3rd page: 3. 3. Page 3 of 3

4. cÖ‡hvR¨ bq (Not Applicable):

fwel¨r e¨env‡ii Rb¨ msiw¶Z|

5. c` (Items):
†NvlK KZ…K© Avewk¨Kfv‡e c~iY‡hvM¨| wej Ae Gw›Uª/ G·‡cv‡U©i cÖ_g c„ôv Ges cieZx© mKj c„ôvq DwjøwLZ
me©‡gvU c` (Item) Gi msL¨v GN‡i D‡jøL Ki‡Z n‡e| D`vniY: 17

6. me©‡gvU c¨v‡KR msL¨v (Total Package):

†NvlK KZ…K© Avewk¨Kfv‡e c~iY‡hvM¨| mKj ai‡bi c` (item) Gi me©‡gvU c¨v‡KR mgwói msL¨v GN‡i wjL‡Z
n‡e| D`vniY: 450

7. G‡R›U †idv‡iÝ b¤^i (Agent Reference Number):

Kv÷gm KZ…c© ¶ KZ…K© c~iY‡hvM¨| wej Ae Gw›Uª MÖnYKv‡j †iwR÷v‡ii AbyµwgK b¤^i (Serial Number) GB
N‡i UvBc Ki‡Z n‡e| D`vniY: 725

8. KbmvBwb/Avg`vwbKviK (bvg I wVKvbv) [Consignee/Importer: Name and Address]

†NvlK KZ…K © Avewk¨Kfv‡e c~iY‡hvM¨| wej Ae Gw›Uª: evsjv‡`‡k Avg`vwbi †¶‡Î Avg`vwbKviK e¨w³ ev cÖwZôv‡bi
c~Y© bvg, wVKvbv Ges weAvBGb (f¨vU) b¤^i UvBc Ki‡Z n‡e|
D`vniY: Name ABC
Street Address XYZ Commercial Area
City Dhaka
Postal Code 1000
BIN (VAT) **************
A_ev,
wej Ae G·‡cvU©: evsjv‡`k n‡Z ißvwbi †¶‡Î we‡`wk Avg`vwbKviK e¨w³ ev cÖwZôv‡bi c~Y© bvg I wVKvbv
(Bbf‡qm/wej Ae †jwWs Abyhvqx) UvBc Ki‡Z n‡e|
D`vniY: Name AAA
Street Address Rockville Avenue
City Rockville
State & Postal Code Maryland
Country USA

9. cÖ‡hvR¨ bq (Not Applicable):

fwel¨r e¨env‡ii Rb¨ msiw¶Z|
10. cÖ‡hvR¨ bq (Not Applicable):
fwel¨r e¨env‡ii Rb¨ msiw¶Z|

11. cÖ‡hvR¨ bq (Not Applicable):

fwel¨r e¨env‡ii Rb¨ msiw¶Z|

12. me©‡gvU ïévqb‡hvM¨ g~j¨ (Total Assessable Value):

GN‡i Pvjv‡bi me©‡gvU ïévqb‡hvM¨ g~j¨ D‡jøL Ki‡Z n‡e| Kw¤cDUv‡i ïévq‡bi †¶‡Î Kv÷gm/Kw¤cDUvi KZ…K
©
c~iY‡hvM¨|
D`vniY: FOB Value + Freight + Insurance + Landing Charge + Other charges (if any)
CIF Value + Landing Charge + Other charges (if any)
C&F Value + Insurance + Landing Charge + Other charges (if any)

13. cÖ‡hvR¨ bq (Not Applicable):

fwel¨r e¨env‡ii Rb¨ msiw¶Z|

14. wmGÛGd G‡R›U (bvg I wVKvbv) (Declaring/ Agent [Name and Address]):
wmGÛGd G‡R›U KZ…K © †NvlK KZ…K© Avewk¨Kfv‡e c~iY‡hvM¨| wej Ae Gw›Uª/G·‡cvU© `vwLjKvix wmGÛGd
G‡R‡›Ui c~Y© bvg, wVKvbv Ges G‡R›U AvB‡Ww›Uwd‡Kkb b¤^i (AIN) GN‡i D‡jøL Ki‡Z n‡e|
D`vniY: Name ABC
Street Address Commercial Area
City Dhaka
Postal Code 1000
AIN ******

15a. ißvwbKviK †`k (Country of Export):

†h †`k †_‡K cY¨wU Avg`vwb Kiv n‡q‡Q †m †`‡ki bvg wjL‡Z n‡e| Kw¤cDUv‡i ïévq‡bi †¶‡Î Kv÷gm KZ…K©
c~iY‡hvM¨| 15b N‡i wba©vwiZ †KvW emv‡j GN‡i ißvwbKviK †`‡ki bvg em‡e| D`vniY: 15b N‡i ‘SG’ †jLv
n‡j Kw¤cDUv‡i ¯^qswµqfv‡e Country of Export: Singapore Avm‡e|

15b. ißvwbKviK †`‡ki †KvW (Country of Export Code):

Avg`vwb wej Ae Gw›Uªi †¶‡Î Avewk¨Kfv‡e †NvlK KZ©„K c~iY‡hvM¨| ißvwbKviK †`‡ki †KvW UvBc Ki‡Z n‡e|
D`vniY: ‘IN’ for India.

15c. cÖ‡hvR¨ bq (Not Applicable):

fwel¨r e¨env‡ii Rb¨ msiw¶Z|

16. Kvw›Uª Ae AwiwRb (Country of Origin):

†NvlK KZ…K© Avewk¨Kfv‡e c~iY‡hvM¨| Kw¤úDUv‡i ïévq‡bi †¶‡Î 34a N‡i cÖ`Ë †KvW Abyhvqx G Ni Kv÷gm
Kw¤úDUvi KZ…©K ¯^qswµqfv‡e c~iY n‡e| cY¨ †Kvb †`‡k ˆZwi ev Drcvw`Z n‡q‡Q Zv G Ni n‡Z Rvbv hv‡e|
hw` GKvwaK †`‡k Drcvw`Z cY¨ Pvjv‡b _v‡K Zvn‡j Kvw›Uª Ae AwiwRb- Gi ¯’‡j ‘many’ kãwU cÖ‡hvR¨ n‡e|
D`vniY 1: hw` 34a N‡i SG †jLv nq Z‡e Kvw›Uª Ae AwiwRb Singapore
D`vniY 2: hw` cÖ_g cvZvq 34a N‡i SG †jLv Ges wØZxq cvZvq 34a N‡i AU †jLv nq Z‡e Kvw›Uª Ae
Ae AwiwRb many

17a. wej Ae G·‡cv‡U©i †¶‡Î MšÍe¨ †`‡ki †KvW (Country of Destination Code for Bill of Export):
wej Ae G·‡cv‡U©i †¶‡Î †NvlK KZ…K© Avewk¨Kfv‡e c~iY‡hvM¨| P~ovšÍ †`‡ki †KvW UvBc Ki‡Z n‡e|
 D`vniY: United States of America Gi Rb¨ US wjL‡Z n‡e|

17b. cÖ‡hvR¨ bq (Not Applicable):

fwel¨r e¨env‡ii Rb¨ msiw¶Z|

17c. wej Ae G·‡cv‡U©i †¶‡Î MšÍe¨ †`k (Country of Destination for Bill of Export):
17a N‡i ewY©Z †Kv‡Wi wfwˇZ G Ni c~iY Ki‡Z n‡e| Kw¤cDUv‡i ïévq‡bi †¶‡Î Kw¤cDUv‡iI ¯^qswµqfv‡e
c~iY Kiv n‡q hv‡e| D`vniY: hw` 17a †Z US nq Z‡e MšÍe¨ †`k United States of America.

18. evn‡bi bvg/ RvZxqZv (Name of Carrier and Nationality):

evn‡Ki bvg: †NvlK KZ…©K Avewk¨Kfv‡e c~iY‡hvM¨| evn‡Ki bvg (RvnvR, wegvb, ms¯’v ev Ab¨ ai‡bi) wjL‡Z ev
UvBc Ki‡Z n‡e| d¬vBU b¤^i ev Ab¨ †Kv‡bv kbv³KiY b¤^i _vK‡j ZvI wjL‡Z n‡e| evn‡Ki bvg Rvbv bv _vK‡j
†d«BU d‡ivqvW©v‡ii bvg wjL‡Z n‡e|
D`vniY: †KvUv wKbvevjy (Rvnv‡Ri bvg), wm½vcyi GqvijvBbm SQ-420 (wegvb ms¯’vi bvg I d¬vBU b¤^i)
**** †d«BU d‡ivqvW©vm© wj.
RvZxqZv:
†NvlK KZ…K© Avewk¨Kfv‡e c~iY‡hvM¨| evn‡Ki RvZxqZv UvBc Ki‡Z n‡e| RvZxqZv ej‡Z evnK †Kvb †`‡k
†iwRw÷ªK…Z ev †Kv‡bv †`‡ki gvwjKvbvaxb Zv †evSv‡e| D`vniY: hw` Country Code ‘SG’ nq Z‡e
Nationality ‘Singapore’.

19. Kb‡UBbvi d¬¨vM (C.F- Container Flag):

Avg`vwb wej Ae Gw›Uªi †¶‡Î †NvlK KZ…K
© Avewk¨Kfv‡e c~iY‡hvM¨| RvnvR Kb‡UBbvievnx wKbv Zv †evSv‡bvi
Rb¨ G Ni c~iY Ki‡Z n‡e| D`vniY: 1 n‡j Kb‡UBbvievnx RvnvR, 0 n‡j Ab¨vb¨ ai‡bi RvnvR|

20. †Wwjfvwi Uvg©m (Delivery Terms):

†NvlK KZ…K
© Avewk¨Kfv‡e c~iY‡hvM¨| D`vniY: CFR = Cost and Freight, CIF = Cost, Insurance and
Freight

21. cÖ‡hvR¨ bq (Not Applicable):

fwel¨r e¨env‡ii Rb¨ msiw¶Z|

22. gy`ªv (Currency)/ me©‡gvU Bbf‡qm g~j¨ (Total Invoice Value):

gy`ªv (Currency): †NvlK KZ…©K Avewk¨Kfv‡e c~iY‡hvM¨| Appendix 3 G ewY©Z Currency Code Øviv G
Ni UvBc K‡i c~iY Ki‡Z n‡e| D`vniY: ‘USD’ for United States of America Dollar
me©‡gvU Bbf‡qm g~j¨ (Total Invoice Value): †NvlK KZ…K © Avewk¨Kfv‡e c~iY‡hvM¨| †d«BU, BÝy¨‡iÝ Ges
Ab¨vb¨ PvR© ev` w`‡q `kwgK we›`yi c‡ii `yBA¼ mn me©‡gvU Bbf‡qm g~j¨ wjL‡Z ev UvBc Ki‡Z n‡e| wjwLZ
me©‡gvU Bbf‡qm g~j¨ 55 b¤^i N‡i wjwLZ Total Consignment Wt. and Value Gi mv‡_ mvgÄm¨c~Y© n‡e|
D`vniY: 157899.89

23. wewbgq nvi (Exchange Rate):

Avg`vwb wej Ae Gw›Uªi Rb¨ Avewk¨Kfv‡e c~iY‡hvM¨| ˆe‡`wkK gy`ªvi mv‡_ evsjv‡`wk UvKvi (BDT) Kv÷gm
wewbgq nvi G N‡i wjL‡Z ev UvBc Ki‡Z n‡e| D`vniY: hw` Currency Code USD (US Dollar) nq Z‡e
wewbgq nvi: 84.95 (AvM÷, 2020 gv‡mi Rb¨)|

24. †jb‡`‡bi cÖK…wZ (Nature of Transaction):

†NvlK KZ…©K Avewk¨Kfv‡e c~iY‡hvM¨| Kw¤úDUvi ewnf~©Z wej Ae Gw›Uªi †¶‡Î †Kv‡Wi cvkvcvwk weeiYI UvBc
n‡e|
 Description Code
LC 01
IP = Import Permit 06
CP = Clearance Permit 07

25. evn‡bi cÖK…wZ (MOT-Mode of Transport):

†NvlK KZ…K© Avewk¨Kfv‡e c~iY‡hvM¨| cÖ`Ë †KvW Abyhvqx evn‡bi cÖK…wZi †KvW UvBc Ki‡Z n‡e| Kw¤úDUvi
ewnf~©Z wej Ae Gw›Uªi †¶‡Î †Kv‡Wi cv‡k evn‡bi cÖK…wZ UvBc Ki‡Z n‡e|

Description Code
Maritime Transport 1
Rail Transport 2
Road Transport 3
Air Transport 4

26. cÖ‡hvR¨ bq (Not Applicable):

fwel¨r e¨env‡ii Rb¨ msiw¶Z|

27. cY¨ †evSvB/ AeZi‡Yi ¯’vb (Place of Loading/ Unloading):

†NvlK KZ…K© Avewk¨Kfv‡e c~iY‡hvM¨| G ewY©Z AvšÍR©vwZK †cvU© †KvW Abyhvqx G Ni c~iY Ki‡Z n‡e| wej Ae
Gw›Uªi †¶‡Î we‡`k¯’ †h e›`‡i cY¨ †evSvB Kiv n‡q‡Q Zvi bvg Ges evsjv‡`k¯’ †h e›`‡i D³ cY¨ Lvjvm n‡e
Zvi bvg wjL‡Z n‡e| wej Ae G·‡cv‡U©i †¶‡Î evsjv‡`k¯’ †h e›`‡i cY¨ †evSvB Kiv n‡q‡Q Zvi bvg Ges we‡`k¯’
†h e›`‡i Zv Lvjvm n‡e Zvi bvg UvBc Ki‡Z n‡e|
D`vniY: NZAKL : Auckland, New Zealand
BDCGP : Chittagong, Bangladesh

28. Avw_©K I e¨vswKs Z_¨vw` [†KejgvÎ Avg`vwb wej Ae Gw›Uªi †ejvq] (Financial and Banking Data only
for Import Bill of Entry):
e¨vsK †KvW (Bank Code): †NvlK KZ…K © Avewk¨Kfv‡e c~iY‡hvM¨| ewY©Z †KvW Abyhvqx e¨vsK †KvW wjL‡Z n‡e|
D`vniY: 0016 Agrani Bank, Agrabad, Chittagong.

†m±i I A‡_©i Drm (Sector and Fund Source): †NvlK KZ…K © Avewk¨Kfv‡e c~iY‡hvM¨| †m±i m¤úwK©Z
Z_¨ n‡Z Avg`vwb Pvjv‡bi aib (category) cvIqv hvq| cY¨Pvjv‡bi g~j¨ Kxfv‡e cwi‡kvwaZ n‡q‡Q Zv A‡_©i
Drm n‡Z Rvbv hvq| Appendix 10 G ewY©Z †KvW Abyhvqx G Ni c~iY Ki‡Z n‡e|
D`vniY: 012 Commercial Cash
e¨vs‡Ki bvg (Bank Name): Dc‡i ewY©Z †KvW Abyhvqx mswkøó e¨vs‡Ki bvg G N‡i wjL‡Z n‡e| Kw¤úDUv‡i
ïévq‡bi †¶‡Î Kv÷gm Kw¤úDUvi KZ…©K c~iY‡hvM¨|
FYcÎ b¤^i (LC Number): †NvlK KZ…K © Avewk¨Kfv‡e c~iY‡hvM¨| G N‡i 11 msL¨v wewkó FYcÎ b¤^i
wjL‡Z/UvBc Ki‡Z n‡e|
FYc‡Îi ZvwiL (LC Date): †NvlK KZ…K © Avewk¨Kfv‡e c~iY‡hvM¨| G N‡i FYc‡Îi ZvwiL ‘dd mm yy’
st
QKg‡Z D‡jøL Ki‡Z n‡e| D`vniY: 1 December 2001 = 011201
FYcÎ A_ivB‡Rkb b¤^i (LCA Number): †NvlK KZ…K © Avewk¨Kfv‡e c~iY‡hvM¨| G N‡i FYcÎ A_ivB‡Rkb
b¤^i wjL‡Z ev UvBc Ki‡Z n‡e|
FYcÎ A_ivB‡Rkb ZvwiL (LCA Date): †NvlK KZ…©K Avewk¨Kfv‡e c~iY‡hvM¨| G N‡i mswkøó ZvwiL ‘dd
mm yy’ QKg‡Z D‡jøL Ki‡Z n‡e| D`vniY: 10th February 2002 = 1002 02
29. AvMgb/ wbM©gb `ßi (Office of Entry/Departure):
†NvlK KZ…K© Avewk¨Kfv‡e c~iY‡hvM¨| wej Ae Gw›Uª/G·‡cv‡U©i †¶‡Î †h ïé †÷kb/e›`‡i Zv `vwLj Kiv n‡e
Zvi †KvW wjL‡Z n‡e| Kw¤úDUvi ewnf~©Z ïévq‡bi †¶‡Î Awd‡mi bvgI wjL‡Z n‡e|
D`vniY: 101- XvKv Kv÷g nvDm, 301- PÆMÖvg Kv÷g nvDm

Sector – Source Code

Deferred Payment - SEW/WES 117
Deferred Payment - Other 119
Other - Barter 121
Other - Cash 122
Other - Credit 123
Other - Grant 124
Other - Loan 125
Other - PL480 126
Other - SEM/WES 127
Other - Other 129

30. c‡Y¨i Ae¯’vb (Location of Goods):

wej Ae Gw›Uªi †¶‡Î †NvlK KZ…©K Avewk¨Kfv‡e c~iY‡hvM¨| Appendix 11 G ewY©Z ZvwjKv Abyhvqx Avg`vwb
c‡Y¨i Ae¯’vb¯’j wjL‡Z n‡e| D`vniY: 301 SH02 = Shed 2, Chittagong

31. AvB‡UgwfwËK c‡Y¨i †gvoK I eY©bv (Packages and Description of Goods by ITEM):
gvK©m I b¤^i (Marks and Number): †NvlK KZ…K © Avewk¨Kfv‡e c~iY‡hvM¨| wej Ae †jwWs, Bbf‡qm,
c¨vwKs wj÷ cÖf„wZi wfwˇZ cY¨ mwVKfv‡e wPwýZ Kivi Rb¨ †gvo‡Ki Mv‡q ewY©Z wkwcs gvK©m I b¤^i D‡jøL
Ki‡Z n‡e| hw` †Kv‡bv c‡`i c‡Y¨i Mv‡q GKvwaK gvK©m I b¤^i _v‡K Zvn‡j cÖ_‡g cÖvBgvwi gvK©m D‡jøL K‡i
cieZx©‡Z †m‡KÛvwi gvK©m D‡jøL Ki‡Z n‡e|
D`vniY: Marks: Galco Steel, Number:UCM/ 9426/ 2000
c¨v‡K‡Ri msL¨v (Number of Packages): †NvlK KZ…K © Avewk¨Kfv‡e c~iY‡hvM¨| wej Ae †jwWs ev Abyiƒc
wej, Bbf‡qm ev c¨vwKs wj‡÷ G ewY©Z me©‡gvU c¨v‡K‡Ri msL¨v G N‡i wjL‡Z ev UvBc Ki‡Z n‡e| D`vniY: 15
c¨v‡KR †KvW (Packages Code): †NvlK KZ…K © Avewk¨Kfv‡e c~iY‡hvM¨| Appendix 12 G ewY©Z c¨v‡KR
†KvW Abyhvqx c¨v‡KR †KvW D‡jøL Ki‡Z n‡e| D`vniY: CR = Goods were imported in crates
Kb‡UBbvi b¤^i (Container Number): cY¨Pvjvb Kb‡UBbviRvZ n‡j G N‡i Kb‡UBbvi b¤^i (mg~n)
wjL‡Z/UvBc Ki‡Z n‡e|
`ªóe¨ (Note): cÖwZwU AvB‡Ug jvB‡bi Rb¨ m‡e©v”P PviwU ch©šÍ Kb‡UBbvi b¤^i G N‡i †jLv hv‡e| hw` †Kv‡bv
AvB‡Ug jvB‡b PviwUi †ewk Kb‡UBbvi _v‡K Z‡e D³ AvB‡UgwU‡K m‡e©v”P PviwU Kb‡UBbvi wn‡m‡e wef³ K‡i
GKvwaK AvB‡Ug wn‡m‡e †NvlYv Ki‡Z n‡e| D`vniY: TEXU 2284667/ 347370
c‡Y¨i U¨vwid eY©bv (Tariff Description of the Goods): Kv÷gm/ Kw¤cDUvi KZ…©K c~iYxq| 33 bs N‡i
GBPGm †KvW D‡jøL Ki‡j Kv÷gm G¨v‡±i cÖ_g Zdwmj Abyhvqx G N‡i c‡Y¨i eY©bv Avm‡e| Z‡e Kw¤cDUvi
ewnf©~Z ïévq‡bi †¶‡Î Customs Act, 1969-Gi cÖ_g Zdwmj Abyhvqx eY©bv wjL‡Z n‡e|
D`vniY: Pile Floor Covering – Jute Carpets
c‡Y¨i evwYwR¨K eY©bv Ges †¯cwmwd‡Kkb (Commercial Description & Specification of the
Goods): †NvlK KZ…K © Avewk¨Kfv‡e c~iY‡hvM¨| Bbf‡qm Abyhvqx c‡Y¨i evwYwR¨K eY©bv Ges mywbw`©ó
†¯úwmwd‡Kkb my¯úófv‡e D‡jøL Ki‡Z n‡e| D`vniY: Jute Carpet, Size 96, item code, art no, purity
etc.
32. AvB‡Ug b¤^i (Item No.):
†NvlK KZ…K© Avewk¨Kfv‡e c~iY‡hvM¨| wej Ae Gw›Uª/G·‡cv‡U©i cÖ_g cvZvq cÖ_g AvB‡Ug Ges cieZx© cÖwZ cvZvq
`ywU K‡i AvB‡Ug wjwce× Ki‡Z n‡e|
D`vniY: BOE with 1 item: 1
BOE with three items
First page field: 1
Second page first field: 2
Second page second field: 3

33. GBPGm †KvW (HS Code):

†NvlK KZ…K© Avewk¨Kfv‡e c~iY‡hvM¨| Bbf‡qm, nvi‡gvbvBRW wm‡÷g Ges Kv÷gm A¨v‡±i cÖ_g Zdwmj Abyhvqx
8 msL¨v wewkó c‡Y¨i GBPGm †KvW G N‡i D‡jøL Ki‡Z n‡e| D`vniY: 5702.39.11

34. Kvw›Uª Ae AwiwRb †KvW (C.O. Code):

a. †NvlK KZ…K© Avewk¨Kfv‡e c~iY‡hvM¨| Appendix 3 Abyhvqx Country of origin code wjL‡Z/UvBc Ki‡Z
n‡e| D`vniY: hw` Country Code ‘SG’ nq Z‡e Country of Origin: Singapore.
b. cÖ‡hvR¨ bq| fwel¨r e¨env‡ii Rb¨ msiw¶Z|

35. MÖm IRb (†KwR) (Gross Weight KG):

†NvlK KZ…©K Avewk¨Kfv‡e c~iY‡hvM¨|
c‡Y¨i MÖm IRb `kwg‡Ki ci `yB Ni ch©šÍ †KwR‡Z G N‡i D‡jøL Ki‡Z n‡e|
D`vniY: 443.27

36. Pzw³ †KvW (Agreement Code):

cÖ‡hvR¨ †¶‡Î c~iY‡hvM¨|
†Kv‡bv evwYR¨ Pzw³i AvIZvq n«vmK…Z nv‡i ïé myweav `vwe Ki‡j Appendix 13 Abyhvqx mswkøó Pzw³i †KvW G N‡i
D‡jøL Ki‡Z n‡e| Kw¤úDUvi ewnf~©Z ïévq‡bi †¶‡Î Pzw³i bvgI wjL‡Z n‡e|
D`vniY: For Bangladesh-Bhutan Agreement Code: 111

37. Kv÷gm cÖwmwWDi †KvW (Customs Procedure Code: CPC):

a. cÖwmwWDi †KvWm (Procedure Codes):
†NvlK KZ…©K Avewk¨Kfv‡e c~iY‡hvM¨|
Kv÷gm cÖwmwWDi †KvW w`‡q cY¨Pvjvb Lvjv‡mi mgq ïé Ki nv‡ii cÖ‡hvR¨Zvi welqwU wPwýZ n‡e| wmwcwm †KvW
4 msL¨vwewkó n‡e| cÖ_g `yB msL¨vi gva¨‡g cY¨ Lvjv‡mi mgq †h cÖwmwWDi e¨envi Kivi Aby‡iva Kiv n‡q‡Q Zv
†evSv‡e Ges cieZx© `yB msL¨vi gva¨‡g BwZc~‡e© D³ c‡Y¨i Rb¨ †Kvb cÖwmwWDi cÖ‡hvR¨ n‡q‡Q Zv †evSv‡e|
Kw¤úDUvi ewnf~©Z ïévq‡bi †¶‡Î wmwcwmi cvkvcvwk cÖwmwWD‡ii bvgI D‡jøL Ki‡Z n‡e|
D`vniY: (1) Procedure 4000 represents; direct import for home use, requested code 40
indicates import to home market, while the previous code 00 indicates no previous
procedure applied to the goods.
D`vniY: (2) Procedure 1071 represents; permanent export after being in a Customs
warehouse, requested code 10 indicates permanent export, while previous procedure code
71 indicates the previous action was the goods were entered into a warehouse.

b. AwZwi³ cÖwmwWDi †KvWm (Additional Procedure Codes):

†NvlK KZ…©K Avewk¨Kfv‡e c~iY‡hvM¨|
ïé KimsµvšÍ †Kv‡bv we‡kl Ae¨vnwZ `vwei †¶‡Î GB AwZwi³ cÖwmwWDi †KvWm e¨envi Ki‡Z n‡e| Kw¤úDUvi
ewnf~©Z ïévq‡bi †¶‡Î AwZwi³ cÖwmwWDi- Gi bvgI D‡jøL Ki‡Z n‡e|
D`vniY: (1) 179 = Diplomatic reduction of Duty and VAT.
 (2) 000 = No duty or tax reduction being claimed.

38. †bU IRb (†KwR) (Net Weight KG):

†NvlK KZ…©K Avewk¨Kfv‡e c~iY‡hvM¨| c‡Y¨i †bU IRb G N‡i `kwg‡Ki ci `yB Ni ch©šÍ †KwR‡Z wjL‡Z/ UvBc
Ki‡Z n‡e| D`vniY: 333.67

39. wfmv †idv‡iÝ (Visa Reference):

cÖ‡hvR¨‡¶‡Î c~iY‡hvM¨| ˆZwi †cvkvK ißvwbi †¶‡Î wfmv cÖ‡hvR¨ n‡j G N‡i wfmv b¤^i wjL‡Z/UvBc Ki‡Z n‡e|

40. jvBb/ wmwiqvj-Kv‡M©v †jwWs b¤^i (Line Number/ Sl. Number – Cargo Lading No.):
Avg`vwb wej Ae Gw›Uªi †¶‡Î †NvlK KZ…K © Avewk¨Kfv‡e c~iY‡hvM¨| cwienY `wjj h_v wej Ae †jvwWs, GqviI‡q
wej, UªvK wiwmÞ A_ev †ijI‡q wiwm‡Þi b¤^i G N‡i wjL‡Z/UvBc Ki‡Z n‡e| †h‡¶‡Î GKvwaK jvBb b¤^i/
wmwiqvj b¤^i - Kv‡M©v †jwWs b¤^i _v‡K †m‡¶‡Î Kgv (comma) ‘,’ w`‡q cÖwZwU b¤^i c„_K Ki‡Z n‡e|
D`vniY: SIN/DHK/FCL00-0116, 0117

41. cwigvY/ GKK (Quantity/ Unit):

a. cwigvY (Statistical Quantity): w` Kv÷gm A¨v±, 1969 Gi cÖ_g Zdwm‡j DwjøwLZ (hw` _v‡K) c‡Y¨i GKK
Abyhvqx mswkøó c‡Y¨i cwigvY G N‡i wjL‡Z/UvBc Ki‡Z n‡e|
b. cwigv‡ci GKK (Statistical Unit): w` Kv÷gm A¨v±, 1969 Gi cÖ_g Zdwmj Abyhvqx c‡Y¨i GKK
(Statistical Unit) G N‡i D‡jøL Ki‡Z n‡e| D`vniY: 1000 ML

42. AvB‡Ug Bbf‡qm g~j¨ (Item Invoice Value):

†NvlK KZ…©K Avewk¨Kfv‡e c~iY‡hvM¨; G N‡i c‡Y¨i AvB‡Ug Bbf‡qm g~j¨ wjL‡Z/UvBc Ki‡Z n‡e|
D`vniY: 1245

43. g~j¨vqb c×wZ (Valuation Method (V.M. Code):

Avg`vwb wej Ae Gw›Uªi †¶‡Î †NvlK KZ…K
© Avewk¨Kfv‡e c~iY‡hvM¨| ewY©Z g~j¨vqb c×wZ †KvW Abyhvqx cÖ‡hvR¨
†KvW G N‡i D‡jøL Ki‡Z n‡e| Kw¤úDUvi ewnf~©Z ïévq‡bi †¶‡Î g~j¨vqb c×wZI D‡jøL Ki‡Z n‡e|
D`vniY: For transaction value, code: 1
For fall back method, code: 6

44. AwZwi³ Z_¨ m~Î (Additional Information Documents)/`vwLjK…Z mb` I cÖZ¨qbcÎ (Produced
Certificates and Authorization):
wb‡¤œv³ Ni¸‡jv cÖ‡hvR¨ †¶‡Î †NvlK KZ…K
© c~iY‡hvM¨|
AvB Avi wm/ B Avi wm b¤^i (IRC/ERC No.):
Avg`vwb wej Ae Gw›Uªi †¶‡Î Bg‡cvU©vm© †iwR‡÷ªkb b¤^i (Importer’s Registration Number): G N‡i
D‡jøL Ki‡Z n‡e| D`vniY: BA 59607
ißvwbi †¶‡Î G·‡cvU©vi †iwR‡÷ªkb b¤^i (Exporter’s Registration Number) G N‡i D‡jøL Ki‡Z n‡e|
D`vniY: KA 17965
wmAviGd b¤^i (CRF No.):
wcGmAvB c×wZi AvIZvq Avg`vwbi †¶‡Î wcGmAvB †Kv¤úvwb †KvW, wmAviGd (Clean Report of Findings
– CRF) b¤^i Ges wmAviGd ZvwiL G N‡i D‡jøL Ki‡Z n‡e| wcGmAvB †Kv¤úvwb †KvW-Gi Rb¨ Appendix
17 `ªóe¨| D`vniY: 01A5678ABC787809 05122007 (date format DDMMYYYY) wcGmAvB fy³
cY¨ wcGmAvB c×wZi AvIZvq Avg`vwb bv K‡i mivmwi Avg`vwb Ki‡j 1% wcGmAvB mvwf©m PvR© cÖ`vb Ki‡Z
nq| †h‡nZz CRF bv¤^vi †bB AZGe Wvwg CRF bv¤^vi wnmv‡e 999999 Ges ZvwiL (date format
DDMMYYYY) G N‡i D‡jøL Ki‡j 1% wcGmAvB Av`vq n‡e| D`vniY: 99999999 05122007 (date
format DDMMYYYY)
 BG·wc b¤^i (EXP Number): cÖ‡hvR¨ †¶‡Î c~iY‡hvM¨| ißvwbi †¶‡Î evsjv‡`k e¨vsK KZ…©K wba©vwiZ BG·wc
di‡gi b¤^i G N‡i D‡jøL Ki‡Z n‡e| D`vniY: 50997
mshy³ `wjjvw`i †KvW (Attach Doc. Codes): †NvlK KZ…K © Avewk¨Kfv‡e c~iY‡hvM¨| Appendix 18 G
ewY©Z ZvwjKv n‡Z cÖ‡hvR¨ mshy³ `wjjvw`i †KvW G N‡i D‡jøL Ki‡Z n‡e| D`vniY: For Cargo Lading
Document Code: 101
c~e©eZx© wej Ae Gw›Uª/ G·‡cvU© b¤^i (Preceding I/E No.): cÖ‡hvR¨‡¶‡Î c~iY‡hvM¨| cÖ‡hvR¨‡¶‡Î c~e©eZx©
wej Ae Gw›Uª/G·‡cvU© b¤^i wjL‡Z/UvBc Ki‡Z n‡e|
D`vniY: (1) If originally imported on temporary basis and is now being exported, the
preceeding I/E No would be the BoE number allocated to the import BoE.
(2) If Clearing of goods is done by means of exbond then the preceeding I/E no.
would be the BoE number allocated to the Into Bond BoE.
¸`vg †KvW (Warehouse Code): cÖ‡hvR¨ †¶‡Î e¨envi Ki‡Z n‡e|

Bbf‡qm b¤^i I ZvwiL (Invoice No and Date): †NvlK KZ…©K Avewk¨Kfv‡e c~iY‡hvM¨| G N‡i Bbf‡qm
b¤^i wjL‡Z/UvBc Ki‡Z n‡e| GQvov Bbf‡q‡mi ZvwiL ‘dd mm yy’ QKg‡Z D‡jøL Ki‡Z n‡e|
D`vniY: PMK – 2001/2000 Date: 15th January, 2001 = 15/01/01
BDwc/ BDwW b¤^i I ZvwiL (UP/UD No. and Date): ißvwbgyLx †cvkvK Ges G‡·mwiR wkí ev Ab¨ †Kvb
†¯úkvj e‡ÛW Iq¨vinvD‡mi BDwc/BDwW b¤^i ZvwiLmn GLv‡b D‡jøL Ki‡Z n‡e| EPZ Gi Af¨šÍ‡ii cÖwZôv‡bi
Rb¨ BEPZA Gi Export Permit b¤^i wjL‡Z n‡e| Zvwi‡Li †¶‡Î ‘dd mm yy’ QK AbymiY Ki‡Z n‡e|
D`vniY: UP/UD No.: 0344, Date: 15th February 2002 = 15/02/02

PSI Company Code

Inspectorate Griffith Ltd 01
Bureau Veritas (BIVAC) Bangladesh Ltd 02
Intertek Testing Services (BD) Ltd 03

45. mgš^q (Adjustment):

†Nvl‡Ki Rb¨ cÖ‡hvR¨ bq| Kv÷gm KZ…c
© ¶ KZ…©K c~iY‡hvM¨| †Kv‡bv Kvi‡Y †NvwlZ g~j¨ cwieZ©b Ki‡Z n‡j Zv
mgš^q (Adjustment) Gi gva¨‡g Ki‡Z n‡e| Giƒc mgš^q wb‡Pi m~Î Abyhvqx Ki‡Z n‡e|

mgš^q m~Î: = Assessable Value/ Declared Value= Adjustment

D`vniY: Where Declared Value is USD 200/Unit and Assessable Value is USD 300/unit

Adjustment = 300/200 = 1.5

46. AvB‡Ug ïévqb g~j¨ (Item Assessable Value):

Avg`vwb wej Ae Gw›Uªi †¶‡Î Avewk¨Kfv‡e c~iY‡hvM¨| ¯’vbxq gy`ªvq ïévqb‡hvM¨ g~j¨ wnmve K‡i G N‡i
wjL‡Z/UvBc Ki‡Z n‡e| D`vniY:
(FOB Value + Freight + Insurance + Landing Charge + Other charges if any)  Exchange
Rate = Assessable Value

47. AvB‡UgIqvwi ïéK‡ii wnmve (Calculation of Taxes by Item):

ïaygvÎ Avg`vwb wej Ae Gw›Uªi †¶‡Î †NvlK KZ…©K Avewk¨Kfv‡e c~iY‡hvM¨| wb‡Pi D`vniY Abyhvqx ïéK‡ii
we¯ÍvwiZ wnmve D‡jøL Ki‡Z n‡e| D`vniY:
Customs Duty (CD), Supplementary Duty (SD), Value Added Tax (VAT), Advance
Income Tax (AIT), License Fee (LF), Infrastructure Development Surcharge (IDSC),
 Advance Value Added Tax (AVAT), Pre-shipment Inspection Service Charge (PSISC).
Regularity Duty (RD) etc.
Customs generated, provides Mode of Payment: Cash/ Cheque

Type Base Rate Amount MP

CD Assessable Value As per Item CD Amount
SD Assessable Value + CD As per Item SD Amount
VAT Assessable Value + CD + SD As per Item VAT Amount
AIT Assessable Value As per Item AIT Amount
LF Assessable Value As per Item LF Amount
IDSC Assessable Value As per Item IDSC Amount
AVAT Assessable Value + CD + SD As per Item AVAT Amount
AT Assessable Value + CD + SD As per Item AT Amount
PSISC Assessable Value As per Item PSISC Amount
RD Assessable Value As per Item RD Amount

48. GKvD›U Kv‡i›U b¤^i (Account Current No.):

Avg`vwb wej Ae Gw›Uªi †¶‡Î †NvlK KZ…©K cÖ‡hvR¨ †¶‡Î c~iY‡hvM¨| †Kv‡bv †÷k‡b c~e© cwi‡kvwaZ ïéKivw`i
wnmve msewjZ GKvD›U Kv‡i›U c×wZ cÖPwjZ _vK‡j Zvi b¤^i G N‡i wjL‡Z n‡e|
D`vniY: As used at different Customs Stations

49. ¸`vg b¤^i I †gqv` (Warehouse Number and Period):

Avg`vwb wej Ae Gw›Uªi †¶‡Î H”QKfv‡e c~iY‡hvM¨| Avg`vwb cY¨ hw` †Kv‡bv ¸`v‡g (warehouse) ivLv nq
Zvn‡j D³ ¸`vg b¤^i Ges KZ w`‡bi Rb¨ D³ cY¨ ¸`v‡g ivLvi Rb¨ Aby‡gv`bcÖvß Zv D‡jøL Ki‡Z n‡e|
D`vniY: 1111 30

50. we¯ÍvwiZ wnmve (Accounting Details):

a. cwi‡kva c×wZ (Mode of Payment): †NvlK KZ…K © cwi‡kv‡ai c×wZ D‡jøL Ki‡Z n‡e| Kw¤úDUv‡i ïévq‡bi
†¶‡Î Kv÷gm Kw¤cDUvi KZ…©K c~iY‡hvM¨| D`vniY: Cash Final or Cash Provisional etc.
b. G‡mm‡g›U b¤^i I ZvwiL (Assessment No. and Date): †Nvl‡Ki Rb¨ cÖ‡hvR¨ bq| `vwLjK…Z wej Ae Gw›Uª
G‡mm‡g›U nIqvi ci G N‡i Kv÷gm/Kw¤úDUvi KZ…©K G‡mm‡g›U b¤^i I ZvwiL wcÖ›U n‡e|
D`vniY: A 0001 08/08/2000
c. wiwmÞ b¤^i (Receipt Number): †Nvl‡Ki Rb¨ cÖ‡hvR¨ bq| G‡mm‡g›U †bvwUk Abyhvqx ïéKi
cwi‡kv‡ai ci Kv÷gm/Kw¤cDUvi KZ…K © G N‡i wiwmÞ b¤^i I ZvwiL wcÖ›U n‡e| D`vniY: R 0001
08/08/2000

d. M¨vivw›U (Guarantee): cÖ‡hvR¨ †¶‡Î †NvlK KZ…K © c~iY‡hvM¨| M¨vivw›Ui wecix‡Z †Kv‡bv cY¨Pvjvb Lvjv‡mi
†¶‡Î G N‡i M¨vivw›U b¤^i I ZvwiL wjL‡Z/UvBc Ki‡Z n‡e| D`vniY: ABBL/KB/BG/2001/082
Date: 18/12/01
e. `wjj wd/ g~mK (DF/ VAT): †NvlK KZ…K © Avewk¨Kfv‡e c~iY‡hvM¨| G N‡i `wjjvw` cÖwµqvKiY wd
(Document Processing Fee) Ges G‡R›U Kwgk‡bi Dci g~mK- Gi cwigvY ¯’vbxq gy`ªvq wjL‡Z n‡e|
D`vniY: 769.00
f. me©‡gvU ïéKi (Total Duty and Taxes): †NvlK KZ…K © Avewk¨Kfv‡e c~iY‡hvM¨| wej Ae Gw›Uª/ wej Ae
G·‡cv‡U©i wecix‡Z cÖ‡`q me©‡gvU A‡_©i cwigvY G N‡i wjL‡Z/UvBc Ki‡Z n‡e|
D`vniY: Type Amount
CD CD Amount
 SD SD Amount
VAT VAT Amount
AIT AIT Amount
LF LF Amount
IDSC IDSC Amount
AVAT AVAT Amount
AT Advanced Tax
PSISC PSISC Amount
RD RD Amount
Fine/ Penalty
DF/ VAT
Total Duty & Taxes Total Amount

51-54. cÖ‡hvR¨ bq (Not Applicable):

fwel¨r e¨env‡ii Rb¨ msiw¶Z|

55. Pvjv‡bi me©‡gvU IRb I g~j¨ (Total Consignment Weight andValue):

Avg`vwb wej Ae Gw›Uªi Rb¨ †NvlK KZ…K
© Avewk¨Kfv‡e c~iY‡hvM¨| Pvjv‡bi me©‡gvU g~j¨ wjL‡Z/UvBc Ki‡Z n‡e|
cvkvcvwk Pvjv‡bi me©‡gvU MÖm IRb (Gross weight) I wbU IRb (Net weight) †KwR‡Z D‡jøL Ki‡Z n‡e|
G Gi cv‡k †gvU MÖm IRb Ges N Gi cv‡k †gvU wbU IRb wjL‡Z n‡e| Pvjv‡bi †d«BU, BÝy¨‡iÝ, j¨vwÛs PvR©,
Av`vi wWDwUGej K÷ Ges GjvIGej wWWvKkb (hw` _v‡K) wjL‡Z/UvBc Ki‡Z n‡e|

D`vniY: US$ Dollar

Total Gr. & nt. wt. (kg) G 900 N 895
Description Amount Currency Code
Invoice Value – C&F 100,000 USD
External Freight 500 USD
Insurance 1,000 USD
Landing Charge 1,000 USD
Other Dutiable Costs 0 USD
Allowable Deduction 0 USD
Total 102,500 USD

56. †NvlYv (Declaration):

Avg`vwbKviK/ ißvwbKviK Ges ZrKZ…©K wb‡qvwRZ wmGÛGd G‡R›U KZ…©K Avewk¨Kfv‡e c~iY‡hvM¨| D`vniY:
Name, Designation, Signature and date of the Importer/ Exporter.
Name, Card No, Signature and date of the Authorized person (C&F Agent)