Importing from ICDs
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Appraisement Stages Appraisement in Action Examination Process

Exporting from ICD                    
Documentation
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Export Processing
Examination Process
 

Transfer of Residence
Know the Rules
Where to file
Examination Process

Services
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Your Container Status
Why Honesty is the best Policy
Budget 2002

Notifications/Circulars 2002
Public Notices 2002

Know the Organization

Reward to the Informers

Miscellaneous       
Grievance Redressal Guest Book  Downloadable Forms
Disclaimer

DECLARATION FORM FOR EXPORT OF GOODS WITHOUT CLAIM FOR DRAWBACK

To be filled in by the Service Center 

Date of Presentation:                                                                                    Job No.    :

Shipping Bill No.:                                                                                         Date        :

Signature:                                                                                                     Date        :

To be filled in by Exporters/CHAs

07.             Gift parcel

08.             Others

3. CHA Licence No.:                                                                                     Name:

4.(a) IE code No.:   

   (b) Name & Address of Exporter:

   (c) Export Type:                                 (i): [P] Private/[G] Government

             (ii): [R] Merchant/[F] Manufacturer

5. (a) Type of export house (if applicable):

[EH] Export House

[TH] Trading House         

[SH] Star Trading House

[SS] Super Star Trading House

(b) Certificate No.:                                                                                               Validity up to:

6. State of Origin of Export goods:

          (Gujarat / Maharastra / Rajasthan / Delhi / Haryana / Punjab / U.P.  etc.)

7. Consignee Name & Address:

8. Consignee Country:

9. Port of Destination:

10. Final Destination Country:

11. (a) Name & Address of the Bank through which export proceeds are to

  be realised:

        (b) Account No. :

        (c) Authorised Dealer Code :

Invoice Details

12. Invoice Number:                                                                                               Date:

13. (a) Whether Consignee and Buyer are same:           (Yes/No)     

   (b) If No, Buyer’s Name and address:

14. Currency of invoice:

15. Export Contract No.:

16. Nature of Payment:

[LC] Letter of Credit

[DA] Delivery against acceptance

[DP] Direct payment

[AP] Advance payment

[OT] Others

17. Period of payment as per the contract (No. of days):

18. (a) Nature of Contract: [1] FOB [2] CIF [3] C&F [4] C&I

    (b) Whether unit price includes           [F] Freight [I] Insurance

                                                                      [B] Freight & Insurance [N] None

     (c)

 (d) Name & Address of the person to whom the commission is paid/payable:

      19.  Item – wise details.

DEPB Shipping Bills :          

  DEPB Particulars (wherever applicable)

·                                            Only where value cap is based on quantity 

EPCG  Shipping Bills  

 20. QUOTA RELATED INFORMATION

DECLARATION

I/We declare that the particulars given above are true and correct.

I/We enclose the copies of the following documents: -

(To be submitted with the export goods in the Docks)

i.                    SDF form

ii.                  DEEC Declaration

iii.                Invoice

iv.               Quota/Inspection etc. Certificates

v.                 Packing List with Package wise Contents

vi.               Others (specify)

vii.             DEPB Declaration

Note : At the initial stage , obligatory on the part of exporter.

Name of Exporter:                                

Designation:

Signature:

Name of CHA:

Designation:

ID Card No.:

Signature:

Dated:  

Notes:

1. All entries should be made in capital letters, typed or neatly hand written.

2. Photocopy of invoice has to be attached with the declaration form for  Data entry.

3. All entries should be completed in all respects. Otherwise, it may be rejected.