SHIPPING BILL FOR EXPORT OF GOODS OF DUTIABLE GOODS

Original
Exporter Invoice No. & Date SB No. & Date

AR4/AR4A No. & Date

Import - Export Code No.

Consignee Q/Cert. No. & Date

P.B. Sec. Regn. No.

IF export under:
Export Trade Control
Deferred Credit:
Customs House Agent LIC No.
Joint Ventures

Rupee Credit Others

RBI's Approval/ Clr. No. & Date

Pre Carriage By Place of Receipt by Pre-Carrier Type of Shipment

Outright Sale
Vessel/ Flight No. Rotation No.
Consignment Export
Others (Specify)

Port of Loading
Nature of Contract
CIF / CFR /FOB
Others (Specify)

Port of Discharge Country of Destination

Exchange Rate U/S 14 of CA Currency of Invoice

Sno Marks & Nos. No. & Kind of Pkgs. Statistical Code & Description of Goods Quantity Value FOB
Container Nos.

Net Weight
Gross Weight

Total FOB Value in Words

Analysis of Export Value Currency Amount Full export value OR where not ascertainable
the value which exporter expects to receive
FOB Value on the sale of goods
Freight Currency
Insurance Rate Amount
Commission DEPB Rate Rate List.Sr.No.
Discount Sion Sno. Product Group
Other Deductions DEPB No. Dated

Sl. Export Tariff No. Assessable Value under DUTY CESS Total Duty & Duty payment particulars
No. Sec.14 of CA Cess
Rate Amount Rate Amount

Total Duty/Cess Amount in

words : Rupees Collection Stamp
Declaration
I / We declare that all particulars given herein are true and correct.

I/We also attach the declaration(s) under clause No(s).

Public Notice No. dated Signature of Exporter/CHA & Date

 Original
Documents Submitted
1.Invoice
2.Packing List

3.GR Form

4.AR-4/AR-4A Form

5.ETC Licence
6.Indent

7.Acceptance of Contract
8. Letter of Credit
9. QC Certificate

10. Port Trust Document

11. Any others (Specify)

 SHIPPING BILL FOR EXPORT OF GOODS OF DUTIABLE GOODS
Duplicate
Exporter Invoice No. & Date SB No. & Date

AR4/AR4A No. & Date

Import - Export Code No.

Consignee Q/Cert. No. & Date

P.B. Sec. Regn. No.

IF export under:
Export Trade Control
Deferred Credit:
Customs House Agent LIC No.
Joint Ventures

Rupee Credit Others

RBI's Approval/ Clr. No. & Date

Pre Carriage By Place of Receipt by Pre-Carrier Type of Shipment

Outright Sale
Vessel/ Flight No. Rotation No.
Consignment Export
Others (Specify)

Port of Loading
Nature of Contract
CIF / CFR /FOB
Others (Specify)

Port of Discharge Country of Destination

Exchange Rate U/S 14 of CA Currency of Invoice

Sno Marks & Nos. No. & Kind of Pkgs. Statistical Code & Description of Goods Quantity Value FOB
Container Nos.

Net Weight
Gross Weight

Total FOB Value in Words

Analysis of Export Value Currency Amount Full export value OR where not ascertainable
the value which exporter expects to receive
FOB Value on the sale of goods
Freight Currency
Insurance Rate Amount
Commission DEPB Rate Rate List.Sr.No.
Discount Sion Sno. Product Group
Other Deductions DEPB No. Dated

Sl. Export Tariff No. Assessable Value under DUTY CESS Total Duty & Duty payment particulars
No. Sec.14 of CA Cess
Rate Amount Rate Amount

Total Duty/Cess Amount in

words : Rupees Collection Stamp
Declaration
I / We declare that all particulars given herein are true and correct.

I/We also attach the declaration(s) under clause No(s).

Public Notice No. dated Signature of Exporter/CHA & Date

 Duplicate
Documents Submitted
1.Invoice
2.Packing List

3.GR Form

4.AR-4/AR-4A Form

5.ETC Licence
6.Indent

7.Acceptance of Contract
8. Letter of Credit
9. QC Certificate
10. Port Trust Document

11. Any others(Specify)

'LET EXPORT' 'ALLOWED FOR SHIPMENT'

Signature of Officer of Customs Signature of Officer of Customs

Vessel's name may be altered after check with original Fee Rs.

Entry for

Fresh on may be granted to

for the portion shutout or not shipped

Received

Handed over to C.H.A /Party Signature of Asstt. Commissioner of Customs Cashier

Contents Received on Board Date of Shipment

Date
Signature of Master of Vessel Signature of Officer of Customs

Examination Order and Report

 SHIPPING BILL FOR EXPORT OF GOODS OF DUTIABLE GOODS
Triplicate(Export Promotion Copy)
Exporter Invoice No. & Date SB No. & Date

AR4/AR4A No. & Date

Import - Export Code No.

Consignee Q/Cert. No. & Date

P.B. Sec. Regn. No.

IF export under:
Export Trade Control
Deferred Credit:
Customs House Agent LIC No.
Joint Ventures

Rupee Credit Others

RBI's Approval/ Clr. No. & Date

Pre Carriage By Place of Receipt by Pre-Carrier Type of Shipment

Outright Sale
Vessel/ Flight No. Rotation No.
Consignment Export
Others (Specify)

Port of Loading
Nature of Contract
CIF / CFR /FOB
Others (Specify)

Port of Discharge Country of Destination

Exchange Rate U/S 14 of CA Currency of Invoice

Sno Marks & Nos. No. & Kind of Pkgs. Statistical Code & Description of Goods Quantity Value FOB
Container Nos.

Net Weight
Gross Weight

Total FOB Value in Words

Analysis of Export Value Currency Amount Full export value OR where not ascertainable
the value which exporter expects to receive
FOB Value on the sale of goods
Freight Currency
Insurance Rate Amount
Commission DEPB Rate Rate List.Sr.No.
Discount Sion Sno. Product Group
Other Deductions DEPB No. Dated

Sl. Export Tariff No. Assessable Value under DUTY CESS Total Duty & Duty payment particulars
No. Sec.14 of CA Cess
Rate Amount Rate Amount

Total Duty/Cess Amount in

words : Rupees Collection Stamp
Declaration
I / We declare that all particulars given herein are true and correct.

I/We also attach the declaration(s) under clause No(s).

Public Notice No. dated Signature of Exporter/CHA & Date

 Export Promotion Copy

Triplicate

Verified Mate's Receipt No.

of

Issued by

For Cases/Bales/Packages/Containers

Shipped per

Which sailed on

From

Under Preventive Supervision.

Signature of Officer of Customs

OR

Shipment declared on this Shipping Bill has been air freighted on

Flight No. Dated

AWB No. EGM No.

Under Preventive Supervision in full/part(Specify quantity air freighted)

Signature of Officer of Customs