Ceramtec Gmbh 0321nsmi0007125 Eur 8548

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Form Regular Bill Of entry (CBE-XIV)

[See Regulation 5] Courier Bill of Entry-XIV for Home Consumption


ORIGINAL COPY

Current Status of the CBE : OOC ISSUED on 01-05-2024 01:16


CBEXIV Number : CBEXIV_BOM_2024-2025_2704_10339
DETAILS OF AUTHORIZED COURIER
Courier Registration Num- AABCD3611QACBOM Name of the Authorized DHL Express India Private
ber: Courier: Limited
Address of Authorized 8th Floor 801- A Silver Utopia Cardinal Gracias Road Chakala Andheri East Cardin-
Courier : al Gracias Road,N/A,Mumbai,400099,Maharashtra
PARTICULARS OF THE CUSTOMS HOUSE AGENT
Name: Licence Number
Address:
PARTICULARS OF THE IMPORTER
Import export Code : 0700014721 Import Export Branch 3
Code:
Name: BIORAD MEDISYS PRIVATE Address: SUS VILLAGE TAL .
LIMITED MUSHI,PASHAN-SUS
ROAD
48,PUNE,Maharashtra,India,
411021
Category Of Importer : OTHERS Type Of Importer : ""
In Case Of other Importer : OTHERS
Authorised Dealer Code Of 6390848 Class Code : ""
Bank :
BOE Number : CBEX- BOE Date : 27/04/2024
IV_BOM_2024-2025_2704_1
0339
Category Of BOE : Home Consumption Type Of BOE : Normal
Whether Import Using e-
Commerce :
KYC Document: GSTIN (Normal) KYC ID: 27AABCB5041J1ZU
State Code: 27
PARTICULARS OF HIGH SEA SELLER
High Sea Sale : NO
IE Code Of HSS : "" IE Branch Code Of HSS : ""
Name : Address :
Use of the first proviso un- NO
der Section 46(1),Customs
Act,1962 :
SPECIAL REQUESTS
Request For First Check : No Request For Urgent Clear- No
ance against Temporary
Documentation :
Request for Extension of No
Time limit as per Section
48,Customs Act,1962 :
Reason in case Extension ""
of Time limit is Requested :

Country of Origin : GERMANY Country of Consignment : GERMANY


Page 1 of 16
IGM DETAILS
Airlines Flight No. Airport Of Arrival Date Of Arrival
British Airways BA 0199 BOM 26/04/2024
IMPORT GENERAL MANIFEST DETAILS
Import General Manifest 2490969 Date of Entry Inward : 26/04/2024
(IGM) Number :
Master Airway Bill (MAWB) 12590464360 Date Of MAWB : 26/04/2024
Number :
House Airway Bill (HAWB) 7727994864 Date of HAWB : 24/04/2024
Number :
Marks and Numbers : 7727994864,12590464360 Number of Packages : 1
Type of Packages : PKG Interest Amount : 0
Unit of Measure for Gross KGS Gross Weight : 24.75
Weight :
ADDITIONAL INFORMATION FOR CLEARANCE OF GOODS AT INLAND CONTAINER DEPOTS (ICDs)
Name of Gateway Port :
Gateway IGM Number : Date of Entry Inwards of
Gateway Port :

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 :

Import Under Multiple In- NO


voices :
IF IMPORTS ARE AFFECTED UNDER MULTIPLE INVOICES
Number of Invoices: 1
Total Freight : 27685.35
Total Insurance : 541.5
DETAILS OF INVOICE(S)

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 :

Nature of Transaction : OTHERS If Others : NA


Terms of Payment : OTHERS If Others : NA
Conditions or Restrictions,
if any, Attached to Sale :

Method of Valuation : Rule4 Terms of Invoice : FOB


Invoice Value : 44200 Currency : EUR
FREIGHT, INSURANCE AND OTHER CHARGES
Type of Charge Rate Amount Currency
Freight : 0.6902 305.07 EUR
Insurance : 0.0135 5.97 EUR
Loading, Unloading and
Handling Charges as per
Rule 9(2)(b) of the Customs
Valuation Rules,1988 :
Other Charges Related to
the Carriage of Goods (e.g.,
Daughter, Vessel Expense,
transit/trans-shipment
charges) :
COST AND SERVICE NOT INCLUDED IN THE INVOICE VALUE AND OTHER MISCELLANEOUS CHARGES
Type of Charge Rate Amount Currency
Brokerage and Commis-
sion :
Cost of Containers :
Cost of Packing :
Dismantling, Transport and
Handling in the Country of
Export or any Other Coun-
try :
Cost of Goods and Ser-
vices Supplied by Buyer :
Documentation :
Country of Origin Certific-
ate :
Royalty and License Fees :
Value of Proceeds which
Accrue to Seller :
Cost of Warranty of Ser-
vice, if any, Provided by the
Seller or on Behalf of the
Seller :
Other Costs or Payments, if
any, to Satisfy the Obliga-
tion of the Seller :
Other Charges and Pay- 19.1357 8458 EUR
ments, if any :
DISCOUNT (If Applicable)
Discount Amount: Discount Currency:
ADDITIONAL CHARGES, IF ANY, FOR PURCHASE ON HIGH SEAS (Rate or Amount)

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

(Declaration to be signed by an Importer) (With Customs House Agent / Courier)


1. I / We declare that the contents of
invoice number 5640025560 dated 24/04/2024 of M/s CERAMTEC GMBH
and of other documents relating to the goods covered by the said invoice (s) and presented herewith 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

4. I / We am / are not connected with the suppliers / manufacturers as -


(a) Agent / Distributor / Indentor / Branch / Subsidiary / Concessionaire, and
(b) Collaborator entitled to the use of the trade mark, patent or design,
(c) Otherwise than as ordinary importers or buyers

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)
Page 15 of 16
(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

4. I / We am / are not connected with the suppliers / manufacturers as -


(a) Agent / Distributor / Indentor / Branch / Subsidiary / Concessionaire, and
(b) Collaborator entitled to the use of the trade mark, patent or design,
(c) Otherwise than as ordinary importers or buyers

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

Page 16 of 16

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