KELSEY STUDIO 0321NSMI0160624 USD 133 38

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Form Courier Bill Of Entry -XIII (CBE-XIII)

[See Regulation 5] Courier Bill Of Entry For Dutiable Goods


ORIGINAL COPY

Current Status of the CBE : OOC ISSUED on 12-10-2023 19:55


Courier Registration Num- AABCF6516AACDEL CBE-XIII Number CBEXIII_DEL_2023-2024_12
ber : 10_13615
Name of the Authorized FEDEX Address of Authorized room no 21, New Courier ter-
Courier: Courier : minal Courier TN/ANEW
DELHIDELHI110058
IGM DETAILS
Airlines Flight No. Airport Of Arrival First Port Of Arrival Date Of Arrival Time Of Arrival
FEDERAL EX- FX 5384 DEL N/A 12/10/2023 17:10
PRESS
Airport of Shipment : CDG Country of Exportation : Spain
HAWB Number : 784908561390 Unique Consignment Num- N/A
ber
Name of Consignor: ES0173 TEDISEL IBERICA, Address of Consignor: CALLE OCCITANIA
S.L. 59-60N/ABADALONAINSpai
n08911
Name of Consignee: BIORAD MEDISYS PRIVATE Address of Consignee: SURVEY N?48/3 48/7, SUS-
LIMITED PASHANROADSUS VIL-
LAGE, TALUKAPUNEM-
HIndia411021
Import Export Code: 0700014721 IEC Branch Code : 02
Special Request: N/A No of Packages: 1
Gross Weight: 0.2 Net Weight: 0.2
Assessable Value: 12038.09 Duty(Rs.): 3298
Invoice Value: 11904.165 Case of CRN: No
KYC Document: GSTIN (Normal) KYC ID: 27AABCB5041J1ZU
State Code: 27 Interest Amount: 0
Government / Non- Non-Government AD Code: 6361523
Government:
Import Using e-Commerce :
DETAILS OF CRN (if present)
Serial No CRN Number
DETAILS OF ITEM
ITEM :
License Type : License Number :
CTSH : 90189029 CETSH : 90189029
Country of Origin : Spain
Description of Goods : SAMPLES SOCKET FOR THE CONNECTION OF TRANSPORTABLE MEDICAL MA-
CHINE
Name of Manufacturer: N/A Address of Manufacturer:
Number of Packages : 1 Marks on Packages
Unit of Measure : UNT Quantity : 5
Invoice Number : 202300371 Invoice Value : 133.38
Unit Price : 26.676 Currency of Unit Price : EUR
Currency of Invoice : EUR Rate of Exchange : 89.25
Invoice Term : CF Landing Charges : 0
Insurance : 133.92 Freight : 0
Discount Amount : 0 Currency of Discount : EUR
Assessable Value : 12038.09 Duty(Rs.): 3298
NOTIFICATION USED FOR THE ITEM
Page 1 of 2
Sr.No. Notification Number Serial Number of Notification
1 011/2021 17
2 050/2017 563A
1 001/2017 II218
2 001/2017 56
CHARGES USED FOR THE ITEM
Sr.No. Charge Type Charge Amount(in rs.)
DUTY DETAILS
Sr.No. Duty Head Ad Valorem Specific Rate Duty Forgon Duty Amount
1 BCD 7.5 0 0 903
2 AIDC 0 0 0 0
3 HLTH 5 0 0 602
4 SW Srchrg 10 0 0 150
5 IGST 12 0 0 1643
6 CMPNSTRY 0 0 0 0
PAYMENT DETAILS
Sr.No. TR-6 Challan Number Total Amount Challan Date
1 1231111210202358051 3298 12/10/2023
DECLARATION
(i). I, We hereby declare that I, we have obtained the authorization from each of the consignees mentioned
above to act as an agent for the clearance of the goods described above.
(ii) I / We hereby 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 docu-
ments from the importer showing a different state of facts I / we will immediately make the same known to the
Commissioner of Customs.
(iii) I / We hereby declare that the contents of this Bill of Entry are true and correct in every respect and are in ac-
cordance with the airway bills, the invoices and other documents attached herewith.
(iv) I / We enclose herewith 1 (number) of airway bills and 2 (number) of invoices for the aforesaid consignments
with this Bill of Entry.
Port : New Courier Terminal 1IGI Airport NewDelhi-110037
Note: This is an electronic copy, therefore physical signature is not required
@CopyRight Information 2022-2023

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