Declaration Form For Export of Goods: Annexure - A
Declaration Form For Export of Goods: Annexure - A
Declaration Form For Export of Goods: Annexure - A
Signature
3 Exporter Address
6 Consignee Name
Consignee Address
7
8 Consignee Country
9 Port of Destination
Country of Final
10
Destination
State of Origin of
11
Exported Goods
12 EPZ/ICD Code
13 Authorized Dealer(AD)
1
Code
Annexure C
16 Yes No
Parameters
Sample
a Factory Stuffed (Y/N) : b
Accompanied(Y/N):
c Nature of Cargo:
No. of Loose
E Total No. of Packages:: f
Packets: :
g No. of Containers:
j Unit of Measurement :
1 2 3 4 5
2
l. Packing Details
From To
m Rotation Number:
n Rotation Date :
Note : Columns ‘m’ & ‘n’ are valid only for Sea Customs Locations.
3
Invoice Details
18 Invoice number Date
Nature of Payment [LC] Letter of Credit [DP] Direct Payment
21 Contract Number
Whether Consignee No
22 Yes
and Buyer Same
If NO, Name &
23 Address of Buyer
Commission
Other Deductions
Freight
Insurance
4
27 Exchange Rate Details for non-standard Currency
1 2 3 4 5 6 7
5
28. Item Wise Details (To be provided for each invoice separately)
Whether Third
Present Scheme Party Export
Item RITC Accessories, Accoun- Category, if
Item No. of Accounting Code
Description of Goods Quantity NFEI
Rate Units Unit For Rate Market (Y/N)
Sr. No. Code if any ting Unit Exports
Value
1 2 3 4 5 6 7 8 9 10 11 12 13
6
Note :
Column 12 : whether third part export : Need to be provided for Scheme Codes involving DBK and DEPB only. For the scheme code involving DEEC, EPCG, Job Work, DFRC
etc. system would determine the third party export automatically.
7
29. Drawback Particulars
1 2 3 4 5 6
1 2 3 4 5 6 7 8
9
31. DFRC Licenses Particulars
1 2 3 4 5 6 7 8 9
10
32 Post - export DEPB Particulars
1 2 3 4 5 6 7 8 9 10
In invoice
1 2 3 4 5 6 7 8 9 10 11
11
34. Annexure C1 Particulars (Applicable to EOU/EPZ)
1 2 3 4 5 6 7 8 9 10 11
12
35. Re-Export Particulars
Serial Re – Export
Number
Particulars
3 BE Number
4 BE Date
5 Invoice No. of BE
Of BE
7 Port Code
8 Item Description
As per BE Invoice
9 Quantity Imported
10 Unit of Measurement
14 Quantity Exported
13
15 Technical Details
16 Other Identifying
Parameters
Obligation (Y/N)
18 Export Obligation
Notification No.
21 Commissioner
Permission(Y/N)
24 Whether MODVAT
Availed (Y/N)
25 Whether MODVAT
Reversed (Y/N)
14
36. Cess Particulars
Invoice Serial Number Item Serial Number Cess Applicable If Cess Applicable Cess Quantity
1 2 3 4 5
Invoice Number Item Serial Number Certificate Number Certificate Date Central Excise Assessee Valid Upto
Office Code Code
1 2 3 4 5 6 7
15
38. Third Party Exports
Invoice Number Item Serial Number IE Code Name of the Manufacturer Branch Serial Address
Number
1 2 3 4 5 6
Note:
If the third party is also a regular exporter, IE Code and branch serial number as registered with DGFT has to be provided. Otherwise, name
and address of the manufacturer is to be declared.
16
39. AR4 Particulars
1 2 3 4 5 6 7 8
Document Document Invoice Item Agency Code Agency Name Document Name
Type Descriptio Number Number
n
(Q/I/L/C/O)
1 2 3 4 5 6 7
17
41. Quota Allocation Particulars
Invoice Serial Number Item Serial Number Agency Allocation Serial Number Expiry Date
1 2 3 4 5
18
DECLARATION
1. GR Declaration
2. DEEC Declaration
3. Invoice
4. Quota/Inspection Certificates
5. Others(Specify)
Designation Designation
ID Card Number
Dated : ______________________________
Signature___________________________
INSTRUCTIONS
19
2. Photocopies of the invoices has to be attached separately with
declaration form for data entry.
ANNEXURE B
FORM SDF
a)* the value as contracted with the buyer is same as the full export
value declared in the above shipping bill
b)* the full export value of the goods is not ascertainable at the time of
export and that the value declared is that which I/We, having
regard to the prevailing market conditions, expect to receive
on the sale of goods in the overseas market.
2. I/We undertake that I/We will deliver to bank named herein ……………………... the foreign
exchange representing the full export value of the goods on or before _______@ ………………… in
the manner prescribed in Rule 9 of the Foreign Exchange Regulation Rules, 1974.
3. I/We further declare that I/We am/are resident in India and I/We have a place of
business in India.
Date……………..
……………..
(Signature of Exporter)
20
Name………………
@ State appropriate date of delivery which must be the due date for payment of within six
months from the data of shipment, whichever is earlier, but for exports to warehouses
established outside India with permission of the Reserve Bank, the date of delivery must be
within fifteen months.
ANNEXURE-C
---------------------------
7. Marks&No.s
9. Gross weight
1.
2.
21
13. Details of AR4, if any:
Goods arrived, verified the number of packages and numbers thereon and found to be as
declared.
ANNEXURE C1
OFFICE OF THE SUPERINTENDENT OF CENTRAL EXCISE
RANGE... DIVISION...............................
........................................................... ............................
COMMISSIONERATE........................................................
.....................................................
C.No. Date Shipping Bill No. Date
4. Factory address
22
7. Name & destination of the supervising officer Appraiserr/superintendent
10. (a) Is the description of the goods, the quality and their as per the particulars furnished in
the export invoice?
(b) Whether sample is drawn for being forwarded to port of export?
(c) if yes, the no.of seal of package containing the sample
Annexure D
1 2 3 4 5 6 7 8
23
31. DFRC Licenses Particulars
1 2 3 4 5 6 7 8
24
32 Post - Export DEPB Particulars
1 2 3 4 5 6 7 8 9 10
25
ANNEXURE-E
To
_________________________
Sir,
a) M/s ______________ (Name of the Exporter) having importer and exporter code
number _______________ (IEC Code no. issued by DGFT) is having an account (A/c No.
_________ Name of A/c ___________) in this branch of the bank and
b) The branch Code of this branch is ______________
Authorised Signatory
26
(Name and Designation)
Bank Stamp
ANNEXURE – F
| I. E. C. No.________
+-----------------------------------------------------------------
Bank Address:-------------------------------------------------
+----------------------------------------------------------------------
27
APPENDIX-1 Scheme Codes
3 Advance License.
6 DEPB-Post Export.
7 DEPB-Pre Export.
8 Replenishment License.
10 Bulk License
13 CCP.
16 Export License.
19 Drawback (DBK).
25 DFIA
28
42 Drawback and DFRC
29
APPENDIX-2 Unit Measurement Codes
BOX BOX M
BTL BOTTLES M
BUN BUNCHES M
CUBIC
CCM CENTIMETER V
CMS CENTIMETER L
DOZ DOZEN M
DRM DRUM M
FTS FEET L
GMS GRAMS W
GRS GROSS M
KLR KILOLITER V
KME KILOMETERS L
LBS POUNDS W
LTR LITERS V
MTR METER L
PAC PACKS M
QTL QUINTAL W
SET SETS M
GREAT BRITAIN
TON TON W
UNT UNITS M
UGS US GALLONS V
BKL BUCKLES M
THD THOUSANDS M
TBS TABLETS M
TUB TUBES M
PRS PAIRS M
ROL ROLLS M
YDS YARDS L
ODD ODDS
TOL TOLA
HKS HANKS
BOU BOU M
DECAMETER
SDM SQUARE
VLS Vials M
BGS BAGS
CTN CARTON M
INC INCHES L
SHT SHEETS
BAG BAG
LOT LOTS
PCS Pieces
KGS Kilograms W
NOS Numbers W
APPENDIX-3 Currency Codes
CURR_CD CURR_DESC CNTRY_CD
AFA AFGAHANI AF
USD US DOLLAR AS
CZK KORUNA CZ
NMK KYAT MM
NETHERLAND ANTILLIAN
ANG GUILDER AN
PGK KINA PG
RUR ROUBLE RU
WST TALA WS
STD DOBRA ST
SLL LEONE SL
ZAR RAND ZA
SZL LILANGENI SZ
TOP PARANGA TO
UAH HRYVNIA UA
UYU PESO UY
VUV VATU VU
ZRN ZAIRE ZR
ZMK KWACHA ZM
EUR EURO EU
CNTRY
CODE CNTRY NAME
AD ANDORRA
AF AFGHANISTAN
AG ANTIGUA
AI ANGUILLA
AL ALBANIA
AM ARMENIA
AN NETHERLANDS ANTILLES
AO ANGOLA
AQ ANTARTICA
AR ARGENTINA
AS AMERICAN SAMOA
AT AUSTRIA
AU AUSTRALIA
AW ARUBA
AZ AZARBAIJAN
BB BARBADOS
BD BANGLADESH
BE BELGIUM
BF BURKINA FASO
BG BULGARIA
BH BAHRAIN
BI BURUNDI
BJ BENIN
BM BERMUDA
BN BRUNEI
BO BOLIVIA
BR BRAZIL
BS BAHAMAS
BT BHUTAN
BV BOUVET ISLAND
BW BOTSWANA
BY BELARUS
BZ BELIZE
CA CANADA
CG CONGO
CH SWITZERLAND
CI COTE D IVOIRE
CK COOK ISLANDS
CL CHILE
CM CAMEROON
CN CHINA
CO COLOMBIA
CR COSTA RICA
CU CUBA
CX CHRISTMAS ISLANDS
CY CYPRUS
CZ CZECH REPUBLIC
DE GERMANY
DJ DJIBOUTI
DK DENMARK
DM DOMINICA
DO DOMINICAN REPULIC
DZ ALGERIA
EC ECUADOR
EE ESTONIA
EG EGYPT
EH WESTERN SAHARA
ER ERITREA
ES SPAIN
ET ETHIOPIA
FI FINLAND
FJ FIJI
FK FALKLANDS ISLANDS
FM MICRONESIA
FO FAEROE ISLANDS
FR FRANCE
GA GABON
GB UNITED KINGDOM
GD GRENADA
GE GEORGIA
GF FRENCH GUYANA
GH GHANA
GI GIBRALTAR
GL GREENLAND
GM GAMBIA
GN GUINEA
GP GUADELOUPE
GQ EQUATORIAL GUINEA
GR GREECE
GT GAUTEMALA
GU GUAM
GW GUINEA BISSAU
GY GUYANA
HK HONG KONG
HN HONDURAS
HR CROATIA
HT HAITI
HU HUNGARY
ID INDONESIA
IE IRELAND
IL ISRAEL
IN INDIA
IQ IRAQ
IR IRAN
IS ICELAND
IT ITALY
JM JAMAICA
JO JORDAN
JP JAPAN
KE KENYA
KG KYRGHYSTAN
KH CAMBODIA
KI KIRIBATI
KM COMOROS
KN ST KITTS-NEVIS-ANGUILLA
KR KOREA,REPUBLIC OF
KW KUWAIT
KY CAYMAN ISLANDS
KZ KAZAKISTAN
LB LEBANON
LC ST LUCIA
LI LIECHTENSTEIN
LK SRI LANKA
LR LIBERIA
LS LESOTHO
LT LITHUANIA
LU LUXEMBOURG
LV LATVIA
MA MOROCCO
MC MONACO
MD MOLDOVA,REPUBLIC OF
MG MADAGASCAR
MH MARSHALL ISLANDS
MACEDONIA,THE FORMER YUGOSLAV REPUBLIC
MK OF
ML MALI
MM MYANMAR
MN MONGOLIA
MO MACAO ISLANDS
MQ MARTINIQUE
MR MAURITANIA
MS MONTSERRAT
MT MALTA
MU MAURITIUS
MV MALDIVES
MW MALAWI
MX MEXICO
MY MALAYSIA
MZ MOZAMBIQUE
NA NAMBIA
NC NEW CALEDONIA
NE NIGER
NF NORFOLK ISLAND
NG NIGERIA
NI NICARAGUA
NL NETHERLANDS
NO NORWAY
NP NEPAL
NR NAURU
NU NIUE ISLAND
NZ NEW ZEALAND
OM OMAN
PA PANAMA
PE PERU
PF FRENCH POLYNESIA
PH PHILIPPINES
PK PAKISTAN
PL POLAND
PN PITCAIRN ISLANDS
PR PUERTO RICO
PT PORTUGAL
PW PALAU
PY PARAGUAY
QA QATAR
RE REUNION
RO ROMANIA
RU RUSSIA
RW RWANDA
SA SAUDI ARABIA
SB SOLOMON ISLANDS
SC SEYCHELLES
SD SUDAN
SE SWEDEN
SG SINGAPORE
SI SLOVENIA
SK SLOVAK REPUBLIC
SL SIERRA LEONA
SM SAN MARINO
SN SENEGAL
SO SOMAALIA
SR SURINAM
ST SAO TOME AND PRINCIPE
SV EL SALVADOR
SY SYRIA
SZ SWAZILAND
TD CHAD
TG TOGO
TH THAILAND
TJ TAJIKISTAN
TK TOKELAU ISLAND
TM TURKMENISTAN
TN TUNISIA
TO TONGA
TP EAST TIMOR
TR TURKEY
TV TUVALU
TW TAIWAN
TZ TANZANIA
UA UKRAINE
UG UGANDA
US UNITED STATES
UY URUGAY
UZ UZBEKISTAN
VC ST VINCENT
VE VENEZUELA
VI US VIRGIN ISLANDS
VN VIETNAM, DEMOCRATIC REP. OF
VU VANUATU
WS SAMOA
YE YEMEN, DEMOCRATIC
YU YUGOSLAVIA
ZA SOUTH AFRICA
ZM ZAMBIA
ZR ZAIRE