BILL OF EXPORT FOR DUTY FREE GOODS Original [Exporter [invoice No. & Date __ | BE No. & Date [AR7ARAA No. & Date (Q/Cert No. & Date Import-Export Code No. [Consignee RBI Code No. Export Trade Control lif export under: [Deferred Credit [ } Joint Ventures [ } [Rupee Credit [] Others [ ] RBI's Approval /Cir. No. & Date ‘Type of shipment (Outright Sale TI Consignment Export [ ] Others (Specify) ] Custom House LIC No. Agent Lorry Ne 7Goods] Originating Nature of Contract CIF [] /CFR [ ]/FOB[] [Others (Specify) u fExchange Rate U/S14 [Currency of JofCA [Marks & Nos. No. & Kind of Pkgs. Statistical Code & Container Nos. "Description of Goods (Quantity | Value FOB "Total FOB Value in words [Analysis of Export Value ‘Currency Amount |Full export value OR where not ascertainable, the value which FOB value exporter expects to receive on Freight the sale of goods. Insurance Rate| ‘Commission Discount Other [Deductions Declaration: |1/We declare that all particulars given herein are true and correct, 1/We also attach the declaration(s) under clause No.( Public Notice No. none» dated, Signature of Export/CHA & DateBILL OF EXPORT FOR DUTY FREE GOODS Original DOCUMENTS SUBMITTED 1. Invoice }2. Packing List 3. GRForm 4. AR-4/AR4A Form 5. ETC Licence 6. Indent 7. Acceptance of Contract 8. Letter of Credit QC Certificate Any other (Specify)BILL OF EXPORT FOR DUTY FREE GOODS Original Exporter finvoice No. & Date__[BENo. & Date [ARS7ARA No. & Date [(Q/Cert No. & Date __ | Import-Export Code No. Consignee [RBICodeNo.——=« Export Trade Control | If export under: Deferred Credit { ] Joint Ventures [ ] [Custom House LIC No. Rupee Credit [] Others [] Agent RBI's Approval /Cir. No. & Date "Type of shipment Torry No. /Goods | Originating JOutright Sale TI Train & Wagon [From [Consignment Export [ ] No. JOthers (Specify) [| Nature of Contract: CIF [] /CFR []/FOB [] Others (Specify) Exchange Rate U/5 14 [Currency of of CA, {Invoice [Marks & Nos. No. & Kind of Pkgs. Statistical Code & ‘Quantity | Value FOB Container Nos. Description of Goods. Net Weight (Gross Weight ‘Total FOB Value in words (Analysis of Export Value Currency Amount |Full export value OR where not ascertainable, the value which FOB value lexporter expects to receive on Freight the sale of goods. Insurance Rate| Commission Currency. Discount Amount Other Deductions Declaration: 1/We declare that all particulars given herein are true and correct 1/We also attach the declaration(s) under clause No.(s).. Public Notice No. .- dated... Signature of Export/CHA & Date ee