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Ceramtec Gmbh 0321nsmi0007125 Eur 8548
Ceramtec Gmbh 0321nsmi0007125 Eur 8548
Ceramtec Gmbh 0321nsmi0007125 Eur 8548
Case Of CRN : No
CONTAINER DETAILS (IN CASE OF CLEARANCE AT ICDs AND SEA PORTS), WHEREVER APPLICABLE
Sr.No. Container Seal Number Fcl Lcl
1 "" "" ""
Whether Clearance of Imported Goods is Sought against NO
any type of bond already registered with Customs? :
BOND DETAILS
Sr.No. Bond Type Bond Number
1 "" ""
DETAILS OF PROCUREMENT CERTIFICATE, IF ANY
Procurement Under 36/96 NO Procurement Certificate
Cus.: Number:
Date of Issuance of Certi- Location Code of the Cent-
ficate : ral Excise Office Issuing
the Certificate :
Commissionerate : Division :
Range :
Details Of Invoice - 1
Invoice Number : 5640025560 Date of Invoice : 24/04/2024
Purchase Order Number : Date of Purchase Order :
Contract Number : Date of Contract :
Letter of Credit : Date of Letter of Credit :
SUPPLIER DETAILS
Name : CERAMTEC GMBH Address : CERAMTEC-WEG 1
*,MARKTREDWITZ,MARKT
Page 2 of 16
RED-
WITZ,MARKTREDWITZ,GE
RMANY,95615
IF SUPPLIER IS NOT THE SELLER,
Name : Address :
BROKER/ AGENT DETAILS
Name : Address :
Page 3 of 16
Rate (%) : Amount :
Any Other Information
which has a Bearing on
Value :
Details of Special Valuation Branch (SVB) Loading Wherever Applicable (at Invoice Level) (Fill only if same for
all goods of the consignment OTHERWISE DECLARE AT ITEM LEVEL)
Are the Buyer and Seller N If the Buyer and Seller are N
Related? Related, has the Relation-
ship been Examined Earlier
by the SVB:
IF EXAMINED EARLIER BY THE SVB,
SVB Reference Number: N SVB Date :
Indication for Provisional / N
Final :
DETAILS OF ITEM(S) IN INVOICE - 1
Details Of Item - 1
Case for Re-import : NO Import Against License : NO
Serial Number in Invoice : ""
(i) Whether it is an E-
Commerce re-import con-
signment containing jew-
ellery falling under CTH
7113 or CTH 7117 (Yes/No):
(ii) If yes, Item-wise spe-
cification corresponding to
column (i) :
(B.1) General Specifications (2)
(i) Item S.No.[of Invoice NO. (ii) SKU NO:
given in the field details of
Invoices(s)] :
(iii) Type of Jewellery :
Purity : Whether studded or set
with precious/semiprecious
stones :
Wt.(in gm): If yes, :
(a) Diamond
(a) Cut : (b) Color :
(c) Clarity : (d) Carat :
(e) No.of.Stones :
(b) If other precious or semiprecious stone
(a) Name of the stone : (b) Whether Natural or Syn-
thetic :
(c) No. of Stones: (d) Country of origin :
DETAILED DESCRIPTION OF ITEM
Item Description : 38.39.7175.455.00 BIOLOX DELTA bh 28 12 M STD - (BALL HEAD MIXED OXIDE
CERAMICS FOR HIP)
General Description :
Currency for Unit Price : EUR Unit Price : 170
Unit of Measure : NOS Quantity : 20
Rate Of Exchange : 90.75
Accessories, if any : N/A
Name of Manufacturer : CERAMTEC GMBH Brand : ""
Model : N/A Grade : N/A
Specification : N/A End Use of Item: N/A
Country of Origin : GERMANY
Page 4 of 16
DETAILS IN CASE OF PREVIOUS IMPORTS :
Bill of Entry Number : N/A Date : N/A
Currency : N/A Unit Value : N/A
Customs House : N/A
CLASSIFICATION DETAILS :
RITC : 90213100
CTSH : 90213100 CETSH : 90213100
Currency for RSP : "" Retail Sales Price Per Unit : N/A
EXIM Scheme Code, if any : N/A Para No./Year of EXIM N/A
Policy :
DETAILS OF SPECIAL VALUATION BRANCH (SVB) LOADING WHEREVER APPLICABLE (AT ITEM LEVEL)
Are the Buyer and Seller N If the Buyer and Seller are N
Related? : Related, has the Relation-
ship been Examined Earlier
by the SVB :
IF EXAMINED EARLIER BY THE SVB,
SVB Reference Number: N SVB Date : N/A
Indication for Provisional / N
Final :
NOTIFICATION USED FOR THE ITEM (CUSTOM/EXCISE, TARIFF/NON-TARIFF)
Sr.No. Notification Number Serial Number of Notifica-
tion
1 001/2017 I255A
2 001/2017 56
3 011/2021 17
DUTY DETAILS
Sr.No. Duty Head Ad Valorem Specific Rate Duty Forgone Duty Amount
1 BCD 7.5 0 0 27732
2 AIDC 0 0 0 0
3 HLTH 5 0 0 18488
4 SW Srchrg 10 0 0 4622
5 IGST 5 0 0 21030
6 CMPNSTRY 0 0 0 0
SHIPPING BILL DETAILS IN CASE OF RE-IMPORT
Shipping Bill Number : N/A Shipping Bill Date : N/A
Port of Export : N/A Invoice Number of Ship- N/A
ping Bill :
Item Serial Number in Ship- N/A
ping Bill :
A. Details of Consignment exported
(A.1) S.No of the Jewellery (A.2) FOB value of the cor-
Item in the CSB-V : responding Jewellery Item :
(A.3) Reason for re-import :
PAYMENTS MADE FOR EXPORT ON A PRO-RATA BASIS (IN RUPEES)
Freight : N/A Insurance : N/A
Total Repair Cost N/A
(including cost of materials
used in repair) :
DETAILS RELATING TO DUTY EXEMPTION BASED ON EXIM SCHEMES AND LICENSE NUMBERS
Additional Duty Exemption NO
Requested:
Notification Number : N/A Serial Number in Notifica- N/A
tion :
License Registration Num- N/A License Registration Date : N/A
ber:
Debit Value (Rs.): N/A
Page 5 of 16
Unit of Measure for Quant- N/A Debit Quantity : N/A
ity to be Debited :
Item Serial Number in Li- N/A
cense:
Assessable Value: 369764.64
Details Of Item - 2
Case for Re-import : NO Import Against License : NO
Serial Number in Invoice : ""
(i) Whether it is an E-
Commerce re-import con-
signment containing jew-
ellery falling under CTH
7113 or CTH 7117 (Yes/No):
(ii) If yes, Item-wise spe-
cification corresponding to
column (i) :
(B.1) General Specifications (2)
(i) Item S.No.[of Invoice NO. (ii) SKU NO:
given in the field details of
Invoices(s)] :
(iii) Type of Jewellery :
Purity : Whether studded or set
with precious/semiprecious
stones :
Wt.(in gm): If yes, :
(a) Diamond
(a) Cut : (b) Color :
(c) Clarity : (d) Carat :
(e) No.of.Stones :
(b) If other precious or semiprecious stone
(a) Name of the stone : (b) Whether Natural or Syn-
thetic :
(c) No. of Stones: (d) Country of origin :
DETAILED DESCRIPTION OF ITEM
Item Description : 38.39.7175.445.00 BIOLOX DELTA BH 28 12/24 S STD (BALL HEAD MIXED OX-
IDE CERAMICS FOR HIP)
General Description :
Currency for Unit Price : EUR Unit Price : 170
Unit of Measure : NOS Quantity : 10
Rate Of Exchange : 90.75
Accessories, if any : N/A
Name of Manufacturer : CERAMTEC GMBH Brand : ""
Model : N/A Grade : N/A
Specification : N/A End Use of Item: N/A
Country of Origin : GERMANY
DETAILS IN CASE OF PREVIOUS IMPORTS :
Bill of Entry Number : N/A Date : N/A
Currency : N/A Unit Value : N/A
Customs House : N/A
CLASSIFICATION DETAILS :
RITC : 90213100
CTSH : 90213100 CETSH : 90213100
Currency for RSP : "" Retail Sales Price Per Unit : N/A
EXIM Scheme Code, if any : N/A Para No./Year of EXIM N/A
Page 6 of 16
Policy :
DETAILS OF SPECIAL VALUATION BRANCH (SVB) LOADING WHEREVER APPLICABLE (AT ITEM LEVEL)
Are the Buyer and Seller N If the Buyer and Seller are N
Related? : Related, has the Relation-
ship been Examined Earlier
by the SVB :
IF EXAMINED EARLIER BY THE SVB,
SVB Reference Number: N SVB Date : N/A
Indication for Provisional / N
Final :
NOTIFICATION USED FOR THE ITEM (CUSTOM/EXCISE, TARIFF/NON-TARIFF)
Sr.No. Notification Number Serial Number of Notifica-
tion
1 001/2017 I255A
2 001/2017 56
3 011/2021 17
DUTY DETAILS
Sr.No. Duty Head Ad Valorem Specific Rate Duty Forgone Duty Amount
1 BCD 7.5 0 0 13866
2 AIDC 0 0 0 0
3 HLTH 5 0 0 9244
4 SW Srchrg 10 0 0 2311
5 IGST 5 0 0 10515
6 CMPNSTRY 0 0 0 0
SHIPPING BILL DETAILS IN CASE OF RE-IMPORT
Shipping Bill Number : N/A Shipping Bill Date : N/A
Port of Export : N/A Invoice Number of Ship- N/A
ping Bill :
Item Serial Number in Ship- N/A
ping Bill :
A. Details of Consignment exported
(A.1) S.No of the Jewellery (A.2) FOB value of the cor-
Item in the CSB-V : responding Jewellery Item :
(A.3) Reason for re-import :
PAYMENTS MADE FOR EXPORT ON A PRO-RATA BASIS (IN RUPEES)
Freight : N/A Insurance : N/A
Total Repair Cost N/A
(including cost of materials
used in repair) :
DETAILS RELATING TO DUTY EXEMPTION BASED ON EXIM SCHEMES AND LICENSE NUMBERS
Additional Duty Exemption NO
Requested:
Notification Number : N/A Serial Number in Notifica- N/A
tion :
License Registration Num- N/A License Registration Date : N/A
ber:
Debit Value (Rs.): N/A
Unit of Measure for Quant- N/A Debit Quantity : N/A
ity to be Debited :
Item Serial Number in Li- N/A
cense:
Assessable Value: 184882.32
Details Of Item - 3
Case for Re-import : NO Import Against License : NO
Serial Number in Invoice : ""
(i) Whether it is an E-
Page 7 of 16
Commerce re-import con-
signment containing jew-
ellery falling under CTH
7113 or CTH 7117 (Yes/No):
(ii) If yes, Item-wise spe-
cification corresponding to
column (i) :
(B.1) General Specifications (2)
(i) Item S.No.[of Invoice NO. (ii) SKU NO:
given in the field details of
Invoices(s)] :
(iii) Type of Jewellery :
Purity : Whether studded or set
with precious/semiprecious
stones :
Wt.(in gm): If yes, :
(a) Diamond
(a) Cut : (b) Color :
(c) Clarity : (d) Carat :
(e) No.of.Stones :
(b) If other precious or semiprecious stone
(a) Name of the stone : (b) Whether Natural or Syn-
thetic :
(c) No. of Stones: (d) Country of origin :
DETAILED DESCRIPTION OF ITEM
Item Description : 38.39.7175.675.00 BIOLOX DELTA BH 32 12/14 M (BALL HEAD MIXED OXIDE
CERAMICS FOR HIP)
General Description :
Currency for Unit Price : EUR Unit Price : 170
Unit of Measure : NOS Quantity : 10
Rate Of Exchange : 90.75
Accessories, if any : N/A
Name of Manufacturer : CERAMTEC GMBH Brand : ""
Model : N/A Grade : N/A
Specification : N/A End Use of Item: N/A
Country of Origin : GERMANY
DETAILS IN CASE OF PREVIOUS IMPORTS :
Bill of Entry Number : N/A Date : N/A
Currency : N/A Unit Value : N/A
Customs House : N/A
CLASSIFICATION DETAILS :
RITC : 90213100
CTSH : 90213100 CETSH : 90213100
Currency for RSP : "" Retail Sales Price Per Unit : N/A
EXIM Scheme Code, if any : N/A Para No./Year of EXIM N/A
Policy :
DETAILS OF SPECIAL VALUATION BRANCH (SVB) LOADING WHEREVER APPLICABLE (AT ITEM LEVEL)
Are the Buyer and Seller N If the Buyer and Seller are N
Related? : Related, has the Relation-
ship been Examined Earlier
by the SVB :
IF EXAMINED EARLIER BY THE SVB,
SVB Reference Number: N SVB Date : N/A
Indication for Provisional / N
Final :
Page 8 of 16
NOTIFICATION USED FOR THE ITEM (CUSTOM/EXCISE, TARIFF/NON-TARIFF)
Sr.No. Notification Number Serial Number of Notifica-
tion
1 001/2017 I255A
2 001/2017 56
3 011/2021 17
DUTY DETAILS
Sr.No. Duty Head Ad Valorem Specific Rate Duty Forgone Duty Amount
1 BCD 7.5 0 0 13866
2 AIDC 0 0 0 0
3 HLTH 5 0 0 9244
4 SW Srchrg 10 0 0 2311
5 IGST 5 0 0 10515
6 CMPNSTRY 0 0 0 0
SHIPPING BILL DETAILS IN CASE OF RE-IMPORT
Shipping Bill Number : N/A Shipping Bill Date : N/A
Port of Export : N/A Invoice Number of Ship- N/A
ping Bill :
Item Serial Number in Ship- N/A
ping Bill :
A. Details of Consignment exported
(A.1) S.No of the Jewellery (A.2) FOB value of the cor-
Item in the CSB-V : responding Jewellery Item :
(A.3) Reason for re-import :
PAYMENTS MADE FOR EXPORT ON A PRO-RATA BASIS (IN RUPEES)
Freight : N/A Insurance : N/A
Total Repair Cost N/A
(including cost of materials
used in repair) :
DETAILS RELATING TO DUTY EXEMPTION BASED ON EXIM SCHEMES AND LICENSE NUMBERS
Additional Duty Exemption NO
Requested:
Notification Number : N/A Serial Number in Notifica- N/A
tion :
License Registration Num- N/A License Registration Date : N/A
ber:
Debit Value (Rs.): N/A
Unit of Measure for Quant- N/A Debit Quantity : N/A
ity to be Debited :
Item Serial Number in Li- N/A
cense:
Assessable Value: 184882.32
Details Of Item - 4
Case for Re-import : NO Import Against License : NO
Serial Number in Invoice : ""
(i) Whether it is an E-
Commerce re-import con-
signment containing jew-
ellery falling under CTH
7113 or CTH 7117 (Yes/No):
(ii) If yes, Item-wise spe-
cification corresponding to
column (i) :
(B.1) General Specifications (2)
(i) Item S.No.[of Invoice NO. (ii) SKU NO:
Page 9 of 16
given in the field details of
Invoices(s)] :
(iii) Type of Jewellery :
Purity : Whether studded or set
with precious/semiprecious
stones :
Wt.(in gm): If yes, :
(a) Diamond
(a) Cut : (b) Color :
(c) Clarity : (d) Carat :
(e) No.of.Stones :
(b) If other precious or semiprecious stone
(a) Name of the stone : (b) Whether Natural or Syn-
thetic :
(c) No. of Stones: (d) Country of origin :
DETAILED DESCRIPTION OF ITEM
Item Description : 38.39.7175 .665.00 BIOLOX DELTA BH 32 12/14 S (BALL HEAD MIXED OXIDE
CERAMICS FOR HIP)
General Description :
Currency for Unit Price : EUR Unit Price : 170
Unit of Measure : NOS Quantity : 50
Rate Of Exchange : 90.75
Accessories, if any : N/A
Name of Manufacturer : CERAMTEC GMBH Brand : ""
Model : N/A Grade : N/A
Specification : N/A End Use of Item: N/A
Country of Origin : GERMANY
DETAILS IN CASE OF PREVIOUS IMPORTS :
Bill of Entry Number : N/A Date : N/A
Currency : N/A Unit Value : N/A
Customs House : N/A
CLASSIFICATION DETAILS :
RITC : 90213100
CTSH : 90213100 CETSH : 90213100
Currency for RSP : "" Retail Sales Price Per Unit : N/A
EXIM Scheme Code, if any : N/A Para No./Year of EXIM N/A
Policy :
DETAILS OF SPECIAL VALUATION BRANCH (SVB) LOADING WHEREVER APPLICABLE (AT ITEM LEVEL)
Are the Buyer and Seller N If the Buyer and Seller are N
Related? : Related, has the Relation-
ship been Examined Earlier
by the SVB :
IF EXAMINED EARLIER BY THE SVB,
SVB Reference Number: N SVB Date : N/A
Indication for Provisional / N
Final :
NOTIFICATION USED FOR THE ITEM (CUSTOM/EXCISE, TARIFF/NON-TARIFF)
Sr.No. Notification Number Serial Number of Notifica-
tion
1 001/2017 I255A
2 001/2017 56
3 011/2021 17
DUTY DETAILS
Sr.No. Duty Head Ad Valorem Specific Rate Duty Forgone Duty Amount
Page 10 of 16
1 BCD 7.5 0 0 69331
2 AIDC 0 0 0 0
3 HLTH 5 0 0 46221
4 SW Srchrg 10 0 0 11555
5 IGST 5 0 0 52576
6 CMPNSTRY 0 0 0 0
SHIPPING BILL DETAILS IN CASE OF RE-IMPORT
Shipping Bill Number : N/A Shipping Bill Date : N/A
Port of Export : N/A Invoice Number of Ship- N/A
ping Bill :
Item Serial Number in Ship- N/A
ping Bill :
A. Details of Consignment exported
(A.1) S.No of the Jewellery (A.2) FOB value of the cor-
Item in the CSB-V : responding Jewellery Item :
(A.3) Reason for re-import :
PAYMENTS MADE FOR EXPORT ON A PRO-RATA BASIS (IN RUPEES)
Freight : N/A Insurance : N/A
Total Repair Cost N/A
(including cost of materials
used in repair) :
DETAILS RELATING TO DUTY EXEMPTION BASED ON EXIM SCHEMES AND LICENSE NUMBERS
Additional Duty Exemption NO
Requested:
Notification Number : N/A Serial Number in Notifica- N/A
tion :
License Registration Num- N/A License Registration Date : N/A
ber:
Debit Value (Rs.): N/A
Unit of Measure for Quant- N/A Debit Quantity : N/A
ity to be Debited :
Item Serial Number in Li- N/A
cense:
Assessable Value: 924411.61
Details Of Item - 5
Case for Re-import : NO Import Against License : NO
Serial Number in Invoice : ""
(i) Whether it is an E-
Commerce re-import con-
signment containing jew-
ellery falling under CTH
7113 or CTH 7117 (Yes/No):
(ii) If yes, Item-wise spe-
cification corresponding to
column (i) :
(B.1) General Specifications (2)
(i) Item S.No.[of Invoice NO. (ii) SKU NO:
given in the field details of
Invoices(s)] :
(iii) Type of Jewellery :
Purity : Whether studded or set
with precious/semiprecious
stones :
Wt.(in gm): If yes, :
(a) Diamond
(a) Cut : (b) Color :
Page 11 of 16
(c) Clarity : (d) Carat :
(e) No.of.Stones :
(b) If other precious or semiprecious stone
(a) Name of the stone : (b) Whether Natural or Syn-
thetic :
(c) No. of Stones: (d) Country of origin :
DETAILED DESCRIPTION OF ITEM
Item Description : 38.39.7179.285.00 BIOLOX DELTA BH 36 12/14 M (BALL HEAD MIXED OXIDE
CERAMICS FOR HIP)
General Description :
Currency for Unit Price : EUR Unit Price : 170
Unit of Measure : NOS Quantity : 40
Rate Of Exchange : 90.75
Accessories, if any : N/A
Name of Manufacturer : CERAMTEC GMBH Brand : ""
Model : N/A Grade : N/A
Specification : N/A End Use of Item: N/A
Country of Origin : GERMANY
DETAILS IN CASE OF PREVIOUS IMPORTS :
Bill of Entry Number : N/A Date : N/A
Currency : N/A Unit Value : N/A
Customs House : N/A
CLASSIFICATION DETAILS :
RITC : 90213100
CTSH : 90213100 CETSH : 90213100
Currency for RSP : "" Retail Sales Price Per Unit : N/A
EXIM Scheme Code, if any : N/A Para No./Year of EXIM N/A
Policy :
DETAILS OF SPECIAL VALUATION BRANCH (SVB) LOADING WHEREVER APPLICABLE (AT ITEM LEVEL)
Are the Buyer and Seller N If the Buyer and Seller are N
Related? : Related, has the Relation-
ship been Examined Earlier
by the SVB :
IF EXAMINED EARLIER BY THE SVB,
SVB Reference Number: N SVB Date : N/A
Indication for Provisional / N
Final :
NOTIFICATION USED FOR THE ITEM (CUSTOM/EXCISE, TARIFF/NON-TARIFF)
Sr.No. Notification Number Serial Number of Notifica-
tion
1 001/2017 I255A
2 001/2017 56
3 011/2021 17
DUTY DETAILS
Sr.No. Duty Head Ad Valorem Specific Rate Duty Forgone Duty Amount
1 BCD 7.5 0 0 55465
2 AIDC 0 0 0 0
3 HLTH 5 0 0 36976
4 SW Srchrg 10 0 0 9244
5 IGST 5 0 0 42061
6 CMPNSTRY 0 0 0 0
SHIPPING BILL DETAILS IN CASE OF RE-IMPORT
Shipping Bill Number : N/A Shipping Bill Date : N/A
Port of Export : N/A Invoice Number of Ship- N/A
Page 12 of 16
ping Bill :
Item Serial Number in Ship- N/A
ping Bill :
A. Details of Consignment exported
(A.1) S.No of the Jewellery (A.2) FOB value of the cor-
Item in the CSB-V : responding Jewellery Item :
(A.3) Reason for re-import :
PAYMENTS MADE FOR EXPORT ON A PRO-RATA BASIS (IN RUPEES)
Freight : N/A Insurance : N/A
Total Repair Cost N/A
(including cost of materials
used in repair) :
DETAILS RELATING TO DUTY EXEMPTION BASED ON EXIM SCHEMES AND LICENSE NUMBERS
Additional Duty Exemption NO
Requested:
Notification Number : N/A Serial Number in Notifica- N/A
tion :
License Registration Num- N/A License Registration Date : N/A
ber:
Debit Value (Rs.): N/A
Unit of Measure for Quant- N/A Debit Quantity : N/A
ity to be Debited :
Item Serial Number in Li- N/A
cense:
Assessable Value: 739529.29
Details Of Item - 6
Case for Re-import : NO Import Against License : NO
Serial Number in Invoice : ""
(i) Whether it is an E-
Commerce re-import con-
signment containing jew-
ellery falling under CTH
7113 or CTH 7117 (Yes/No):
(ii) If yes, Item-wise spe-
cification corresponding to
column (i) :
(B.1) General Specifications (2)
(i) Item S.No.[of Invoice NO. (ii) SKU NO:
given in the field details of
Invoices(s)] :
(iii) Type of Jewellery :
Purity : Whether studded or set
with precious/semiprecious
stones :
Wt.(in gm): If yes, :
(a) Diamond
(a) Cut : (b) Color :
(c) Clarity : (d) Carat :
(e) No.of.Stones :
(b) If other precious or semiprecious stone
(a) Name of the stone : (b) Whether Natural or Syn-
thetic :
(c) No. of Stones: (d) Country of origin :
DETAILED DESCRIPTION OF ITEM
Item Description : 38.39.7179.275. BIOLOX DELTA BH 36 12/14 S (BALL HEAD MIXED OXIDE
CERAMICS FOR HIP)
Page 13 of 16
General Description :
Currency for Unit Price : EUR Unit Price : 170
Unit of Measure : NOS Quantity : 130
Rate Of Exchange : 90.75
Accessories, if any : N/A
Name of Manufacturer : CERAMTEC GMBH Brand : ""
Model : N/A Grade : N/A
Specification : N/A End Use of Item: N/A
Country of Origin : GERMANY
DETAILS IN CASE OF PREVIOUS IMPORTS :
Bill of Entry Number : N/A Date : N/A
Currency : N/A Unit Value : N/A
Customs House : N/A
CLASSIFICATION DETAILS :
RITC : 90213100
CTSH : 90213100 CETSH : 90213100
Currency for RSP : "" Retail Sales Price Per Unit : N/A
EXIM Scheme Code, if any : N/A Para No./Year of EXIM N/A
Policy :
DETAILS OF SPECIAL VALUATION BRANCH (SVB) LOADING WHEREVER APPLICABLE (AT ITEM LEVEL)
Are the Buyer and Seller N If the Buyer and Seller are N
Related? : Related, has the Relation-
ship been Examined Earlier
by the SVB :
IF EXAMINED EARLIER BY THE SVB,
SVB Reference Number: N SVB Date : N/A
Indication for Provisional / N
Final :
NOTIFICATION USED FOR THE ITEM (CUSTOM/EXCISE, TARIFF/NON-TARIFF)
Sr.No. Notification Number Serial Number of Notifica-
tion
1 001/2017 I255A
2 001/2017 56
3 011/2021 17
DUTY DETAILS
Sr.No. Duty Head Ad Valorem Specific Rate Duty Forgone Duty Amount
1 BCD 7.5 0 0 180260
2 AIDC 0 0 0 0
3 HLTH 5 0 0 120174
4 SW Srchrg 10 0 0 30043
5 IGST 5 0 0 136697
6 CMPNSTRY 0 0 0 0
SHIPPING BILL DETAILS IN CASE OF RE-IMPORT
Shipping Bill Number : N/A Shipping Bill Date : N/A
Port of Export : N/A Invoice Number of Ship- N/A
ping Bill :
Item Serial Number in Ship- N/A
ping Bill :
A. Details of Consignment exported
(A.1) S.No of the Jewellery (A.2) FOB value of the cor-
Item in the CSB-V : responding Jewellery Item :
(A.3) Reason for re-import :
PAYMENTS MADE FOR EXPORT ON A PRO-RATA BASIS (IN RUPEES)
Freight : N/A Insurance : N/A
Total Repair Cost N/A
Page 14 of 16
(including cost of materials
used in repair) :
DETAILS RELATING TO DUTY EXEMPTION BASED ON EXIM SCHEMES AND LICENSE NUMBERS
Additional Duty Exemption NO
Requested:
Notification Number : N/A Serial Number in Notifica- N/A
tion :
License Registration Num- N/A License Registration Date : N/A
ber:
Debit Value (Rs.): N/A
Unit of Measure for Quant- N/A Debit Quantity : N/A
ity to be Debited :
Item Serial Number in Li- N/A
cense:
Assessable Value: 2403470.19
PAYMENT DETAILS
Sr.No. TR-6 Challan Number Total Amount Challan Date
1 3004030652 934347 30/04/2024
DECLARATION (FOR THE COURIER BILL OF ENTRY-XIV FOR HOME CONSUMPTION)
Declaration
(Declaration to be signed by the Courier / Customs House Agent)
1. I / We declare that the contents of this Bill of Entry for goods imported against Airway Bill Number 7727994864 dated
24/04/2024 are in accordance with the
invoice number 5640025560 dated 24/04/2024
and other documents presented herewith
2. I / We declare that I / we have not received any other documents or information showing a different price, value, quantity or
description of the said goods and that if at any time hereafter I / we receive any documents from the importer showing a dif-
ferent state
of facts, I /we will immediately make the same known to the Commissioner of Customs
2. I / We declare that I / we have not received and do not know of any other documents or information showing a different
price, value
(including local payments, whether as commission or otherwise), quantity or description of the said goods and that if at any
time
hereafter I / we discover any information showing a different state of facts, I /we will immediately make the same known to the
Commissioner of Customs
3. I / We declare that the goods covered by the bill of entry have been imported on outright purchase / consignment account
5. I / We declare that the method of invoicing has not changed since the date on which my / our books of accounts and / or
agreement
with the suppliers were examined previously by the Customs House (s)
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(Declaration to be signed by an Importer) (Without Customs House Agent / Courier)
1. I / We declare that the contents of this Bill of Entry for goods imported against Airway Bill number 7727994864 dated
24/04/2024 are in accordance with the
invoice number 5640025560 dated 24/04/2024
and other documents presented herewith. I / We also declare that the contents of the above mentioned
invoice(s) and documents are true and correct in every respect
2. I / We declare that I / we have not received and do not know of any other documents or information showing a different
price, value
(including local payments, whether as commission or otherwise), quantity or description of the said goods and that if at any
time
hereafter I / we discover any information showing a different state of facts, I /we will immediately make the same known to the
Commissioner of Customs
3. I / We declare that the goods covered by the bill of entry have been imported on outright purchase / consignment account
5. I / We declare that the method of invoicing has not changed since the date on which my / our books of accounts and / or
agreement
with the suppliers were examined previously by the Customs House (s)
Port : BOM port
Note: This is an electronic copy, therefore physical signature is not required
CopyRight Information 2023-2024
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