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PIMPRI CHINCHWAD MUNICIPAL CORPORATION, PIMPRI 411018

SCHEDULE "U"
(Rule 4(1)(2) Standing Order 9(5))
OCTROI EXEMPTION CERTIFICATE

Receipt No. Date & Time :

Importer's Name and Address __________________________________________

________________________________________________________________________

Invoice No. __________________ Date _______________ of imported goods

Description of Imported Goods _________________________________________

________________________________________________________________________

Details of Imported Goods - Weight / Packages / No. / Quantity ________

________________________________________________________________________

Vehicle No. ____________________________________________

Above referred goods being eligible for Octroi Exemption, this

Octroi Exemption Pass is issued.

Received Rs. _______________ (in words) Rs. _____________________

towards Certificate Fee for the Pass.

Octroi Inspector / Clerk


Octroi Naka No. ___________
Pimpri Chinchwad Municipal Corporation
Pimpri 411018

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