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Port ofLoading:
Banglore Air Cargo NatureOfContract: cIF O CF Oc1 MFOB
Port of Discharge: |Country of Destination: Exchange Rate U/s 14 of CA: 0.5735Currency of Invoice:
Japan(JP)
S.NO Marks & Nos. No. & Kind of Pkgs. Statistical Code &Description of Goods,& Quantity Value-FOB in INR
Container Nos. EXIM Scheme Code.
85437099
AS ADDRESSED 1.cTN SYSTEM EVALUATION BOARD (SPIDER SET .000000
172050
v20 RTP8A779FOASKBOSP2SA080) PCS
S.NO 2086
Other Deductions
Packing Charges UPY
Deducions from Reaizabie Value
wthout FOBchange
These equiuernts are inporled for project purpose from ouñ customner on loan basis. Now equipments sending back to our customat af
ef compleion projeci. Non cormmercial value Shiprnent and not for sale. Value declared for Customs purpose oniy. Ref. GR WAVIER No.
1034GR21062381 10 80E NO.1000966 OT 22-12-2021.
Deciaration: INVe declare that all particulars given herein are true and correct.
AWe ais0 attach he declarationts) under clause No(s)
Publc Notice No .dated
us SB Form is Digitaliy Signed &Subitted by
We certify that ttie abOVe deciared goGds meant for expart have been DUSHYANTH KUMAR HKon behaif ot SEZ Enily
packed & sealed in my presence
as per slalutory requirernent under SEZ Act 2005 & SEZ Rule 2006
This SB Fom is Assessed 3 Digitally Signed by B
Shridhar, SEZ Authorised Oficer on 03/07/2023.