Professional Documents
Culture Documents
ivoclar.com
Annex-A
Questionnaire to be filled by the importer at the time of filing bill of entry
Importer
M/s IvoclarVivadent Marketing (India) Private Limited
GST 06AACCI5658M1Z5
CIN U74999HR2011PTC087820
1/3
www.ivoclar.com/en_li/imprint Ivoclar Vivadent Marketing
(India) Pvt. Ltd.
503/504 Raheja Plaza
M/s IvoclarVivadent Inc. USA Mumbai 400 053
175 Pineview Dr, Buffalo, NY 14228, USA
India
Please provide a gist and title of all There are no agreements between the buyer and seller.
4.3 agreements between the buyer (importer)
and the seller and/or with their associates
Goods
Yes. The Importer has imported the identical artificial
ceramic teeth in past as well against which SVB Order-in-
Have goods identical to the goods imported Original No. SVB/CUS/75/RK/2014 dated 27.02.2015 has
5 under the present BE, been imported earlier? already been passed. Thereafter, the OIO was also
If yes, please provide details. renewed on 02.11.2017. There has been no price change
since the OIO.
2/3
Other Payments (Costs & Services under Rule 10 of CVR, 2007) Ivoclar Vivadent Marketing
(India) Pvt. Ltd.
Whether the goods imported by the importer
503/504 Raheja Plaza
are sold under a trade mark, design, Mumbai 400 053
6 licensing/royalty agreement or patent owned No. India
or controlled by the seller of the goods or any T +91 22 2673 0302
other person? F +91 22 2673 0301
Whether the product manufactured by the ivoclar.com
importer using the imported goods is sold
6.1 under a trade mark, design, licensing/royalty
agreement or patent owned or controlled by Not Applicable as the importer is engaged in only trading of
the seller of the goods or any other person? the imported goods.
Whether any amount or any part of the
proceeds of any subsequent resale, disposal
6.2
course of the imported goods accrues,
directly or indirectly, to the seller? No
Whether there are any other payments
actually made or to be made as a condition of
6.3 sale of the imported goods, by the buyer to
the seller, or by the buyer to a third party to
satisfy an obligation of the seller? No
Is any amount paid or payable, directly or
indirectly, to or on behalf of the seller of the
imported goods in connection with the
production of the imported goods? (for
6.4
example materials, parts, components, tools,
dies, moulds, engineering, development, art
work, design work, plans or sketches
undertaken elsewhere than in India) No
Are any services rendered by or on behalf of
the importer relatable to the goods imported
6.5
or undertaken on behalf of the seller of
foreign goods? No
Will the price paid or payable by the importer
be settled with the seller at the end of
6.6
defined period by means of debit note /
credit note (post – import price adjustment)? No
Other information
Has the importer or any of its associates
entered into an Advance Pricing Agreement
7
with the Income Tax Authorities or obtained
Advance Ruling? (Please enclose copy). No
Authorized Signatory
Name: Deepak Tiwari
Designation: Director
Date: 29.11.2022
3/3