1. I/We declare that the contents of this Bill of Entry for goods Imported against Bill of Lading No________ dated __________are in accordance with the Invoice No_________ dated _________ and other documents presented herewith.
   
2. I/We declare that I/we have not received any other document 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 documents from the importer showing a different state of facts,I/we will immediately make the same know to the commissioner of Customs

N.B.

Where a declaration in this form is made by the Custom House Agent a declaration in the prescribed form shall be furnished by the importers of the good covered by this Bill of Entry.

1. I/We declare that the contents of invoice(s) No.(s)__________ dated________ of M/s______________ and of other documents relating to the goods covered by the said invoice(s) and presented herewith are true and correct in every respect.
   
   

I/We declare that the contents of this Bill of Entry for goods imported against Bill of Lading No________ dated_________ are in accordance with the invoice No________ dated__________ and other documents presented herewith. I/We also declare that the contents of the above mentioned invoice(s) and documents are true and correct in every respect.


2. I/We declare that I/we have not received and do not know of any other documents of information showing a different price, value (including local payments, whether as commission or otherwise), quantity or description of the said goods and that if at any time hereafter I/we discover any information showing a different state of facts, I/we will immediately make the same known to the Commissioner of Customs .
   
   
3. I/We declare that goods covered by the bill of entry have been imported on outright purchase/consignment account.
   
   
4. I/We am/are not connected with the suppliers/manufacturers as:-
   
   (a) Agent/ distributor/indentor/Branch/subsidiary/concessionaire, and (b) Collaborator entitled to the use of the trade mark, patent or design, (c) Otherwise than as ordinary importers or buyers.
   
   
5. I/We declare that the method of invoicing has not changed since the date on which my/our books of accounts and/or agreement with the suppliers were examined previously by the Customs House(s).
   
   

   Signature of Importer___________________

   
   *Strike out whichever is inapplicable.

1.

I/We apply for leave to deposit the goods covered by this Bill of Entry in the............ warehouse being public/ private warehouse appointed/Licensed under the Customs Act, 1962.

2.

I/We declare that the contents of this Bill of Entry for goods imported against Bill of Lading No........ dated.......... are in accordance with the Invoice No........ dated......... and other documents presented herewith.

3.

I/We declare that I/We have not received any other document 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 documents from the importer showing a different state of facts, I/we will immediately make the same known to the Commissioner of Customs.

N.B.-

Where a declaration in this form is made by the Custom House Agent, a declaration in the prescribed form shall be furnished by the importers of the goods covered by this Bill of Entry.

(Date)

1. I/We apply for leave to deposit the goods covered by this Bill of Entry in the ....................warehouse being a public/private warehouse appointed/licensed under the customs Act, 1962.
   
2. I/We declare that the contents of invoice(s) No.(s)...................dated................of M/s..................and of other documents relating to the goods covered by the said invoice (s) and presented herewith are true and correct in every respect
   

2. I/We declare that the contents of this Bill of Entry for goods imported against Bill of Lading No................ dated..................are in accordance with the Incoive No. ............dated...............and other documents presented herewith. I/We also declare that, the contents of the above-mentioned invoices and documents are true and correct in every respect.
   
3. I/We declare that I/we have not received and do not know of any other documents or information showing a different price, value (including local payments, whether as commission or otherwise), quantity or description of the said goods and that if at any time hereafter, I/we descover any information showing a different state of facts, I/we will immediately make the same known to the commissioner of Customs.
   
4. I/We declare that goods covered by the bill of entry have been imported on out-right purchase/consignment account.
   
5. I/We am/are not connected with the suppliers/manufacturers as :-
   (a) Agent/distributor/indentor/Branch/Subsidiary/concessionaire, and
   (b) Collaborator entitled to the use of the trade mark, patent or design,
   (c) Otherwise than as ordinary importers or buyers.
   
   
6. I/We declare that the method of invoicing has not changed since the date on which may/our books of accounts and/ or agreement with the suppliers were examined previsously by the Customs House(s).
   

   Signature of Importer..............................
   Address ...............................................

   
   *Strike out whichever is inapplicable.

1. I/We declare that the particulars given in this Bill of Entry are true.

Date of removal of goods from the
Warehouse
(FOR CUSTOM HOUSE USE)
Documents presented with bill of entry.
Check here additional documents required.

1. Invoice ...........................................
   
   
2. Packing List .....................................
   
   
3. Insurance Memo/Policy.......................
   
   
   
4. Certification of Origin.........................
   
   
5. ....................................................
   
   
6. ....................................................
   
   
7. .....................................................

2. I/We apply for permission to clear the goods from the Customs Bonded Warehouse subject to the provisions of the Customs Act, 1962.
   
   
   Station
   Date .................19
   ____________________
   Signature of Custom
   Importer House Agent
   (On Duplicate copy only)
   Passed out of customs charge
   
   Proper Officer
   (Actual designation to be indicated)