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EXPORT VALUE: DECXARATXOW

'[see Rule 7 of Costoms Valostion @&eminkon of Value of Export Goods) R u l q 20071

1. Shipping BiU No & Dk-

-.
, 2. Invoice No & Dt:.

3. Nature of Tmusrtctiou:-

-. Sale Sale of Consignment Basis Gift Sample Other'

1
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4. Method of Valuation (See Export vaination Rules)

Rule 3 Rule 4 Rule 5 Rule 6

5. Whether,sel'lerand buyer are related YES

6.-IfYes, whether relationship has influenced the price YES NO

7. Terms of payment . I.

8. Terms of DelEvem
-
-_ - < a

*
9. Previous export of identical 1similar goods, if any shipping Bill No & Dt:

10;Any other refwant infinnation (attach separnte sheet, if necessary)

I I 1 1

1. We hereby dellare that the infodmatioofornirhed above is true, complete and eorreci in every respect.
.
2. We also ondertakc to bring to the notice of proper officer any particulars which subsequently come to
our knowledge which will have baring on B valuation.