FORM No. I
General Declaration
[See Regulation 3 of the Import Manifest (Aircraft) Regulations, 1976]
Owner or Operator ...............................................................................
Marks of Nationality and Registration ................................ Flight No .................................
Date............................... Departure from .............................................
(Place and Country)
Arrival at ...................................
(Place and Country)
FLIGHT ROUTING
| *Place | Total Number of crew | Number of Passengers of this stage | Cargo |
| | Departure Place :
Embarking .................... Cargo Manifest attached
Through on same flight ......................
Arrival Place :
Disembarking ....................
Through on same flight ......................
|
* Place of origin, en-route and destination to be indicated.
Declaration of Health
For official use only
|
Persons on board known to be suffering from illness other than air sickness or the effects of accidents, as well as those cases of illness disembarked during the flight ...............
Any other conditions on board which may lead to the spread of disease ..........................
Details of each disinsecting or sanitary treatment (place, date, time, method) during the flight. If no disinsecting has been carried out during the flight give details of most recent standing ........................
| |
Sgd., if required ................
Crew member concerned
I declare that all statements and particulars contained in this General Declaration, and in any supplementary form required to be presented with this General Declaration are complete, exact and true to the best of my knowledge and that all through passengers will continue/have continued on the flight.
Signature ............................
Authorised Agent or Pilot-in-Command
Size of entire document not more than 22 cm x 36 cm (Approx. 8-1/2" x 14").
FORM No. II
Passenger Manifest
[See Regulation 3 of the Import Manifest (Aircraft) Regulations, 1976]
Owner or Operator ............................................................................................................ Marks of
Nationality and Registration............................................Flight No............................. Date.................
Point of embarkation...................... Point of disembarkation .............................
(Place and Country) (Place and Country)
| Surname and initials Passport/Official travel Document details PNR details | For use by owner or operator only | For official use only
|
| |
Prepared by ............................ page....................... of...................... pages
|
Size of entire document not more than 22 cm x 36 cm (Approx. 8-1/2" x 14").
(Form II has been substituted vide CUS NTF NO. 74/2005 (NT) DATE 30/08/2005)
FORM No. III
Cargo Manifest
[See Regulation 3 of the Import Manifest (Aircraft) Regulations, 1976]
Owner or Operator ...................................................................................
Marks of Nationality and Registration........................ Flight No..................... Date....................
Point of Loading.......................................... Point of unloading ..................................
(Place and Country) (Place and Country)
| Air Way Bill Number | Number of packages | Nature of goods | For use by Owner or Operator only | For official use only |
| |
Prepared by ............................ page....................... of...................... pages
|
Size of entire document not more than 22 cm x 36 cm (Approx. 8-1/2" x 14").
FORM No. IV
List of Private Property in the Possession of the Captain and Crew
[See Regulation 3 of the Import Manifest (Aircraft) Regulations, 1976]
FlightNo ..............................
Aircraft departed for ..............
arrived from ........................
| Name of the crew mem- ber | Position held | Currency | Toba- cco prod- ucts | Alco- holic liquors | Wat- ches | Jew- ellery | Any other article, not enume- rated | Sign- ature | Rem- arks |
| | | Indian | Foreign | Trav- ellers" che- ques, etc. | | | S.No., Make, Brand | | | | |
| 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 |
Aircraft imprest cash :
Aircraft cash collection :
Gold, coin and bullion :
Certified that the above declaration
is true to the best of my knowledge.
Signature of Captain of the Aircraft
FORM V
[see regulation 3(2)]
APPLICATION FORM FOR REGISTRATION
1. Name of applicant with detail Permanent Account Number (PAN):-
(In case the applicant is a firm or a company, the name of each of the partners of the firm or the directors of the company as the case may be)
2. Full address of the applicant:-
(In case the applicant is a firm or a company, the full address of each of the partners of the firm or the directors of the company as the case may be)
3. The name(s) and address of the authorized persons:-
(In case the applicant is a firm or a company, the name (s) of its partner or partners or director or directors or duly authorized employees who will actually be engaged in the work of filing import manifest).
4. Educational qualification of each of the persons who will actually be engaged in the filing of import manifest:-
5. The enclosures:-
(a) Copy of contract, or
(b) Memorandum of understanding, or
(c) Agreement entered into with the foreign authorizing agent.
I/We hereby declare that the contents of the above paragraphs are true to the best of my/our knowledge.
Date:-
Place:-
Signature of the applicant(s).
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