::::: Paramount Couriers :::::
APPENDIX -C1

OFFICE OF THE SUPERINTENDENT OF CENTRAL EXCISE

Range ___________________________ Division ____________________________

Commissionerate _____________________________________________________

C. No.              Date              Shipping Bill No.*         Date

1.Name of EOU :
2.IEC No. (of the EOU) :
3.Factory address :
4.Date of examination :
5.Name and designation of the examining
  Officer-Inspector/EO/PO
:
6.Name & designation of the supervision
  Officer-Appraiser/Superintendent
:
7.(a)Name of Commissionerate/Division/
      Range
:
  (b)Location Code** :
8.Particulars of Export Invoice :
  (a)Export Invoice No. :
  (b)Total No. of packages :
  (c)Name and address of the
      consignee abroad
:
9.(a)Is the description of the goods,
    the Quantity and their value as per
     particulars furnished in the export
     invoice?
:Yes/No
   (b)Whether sample is drawn for being
     forwarded to port of export?
:Yes/No
10.(a)For Non-containerized cargo
      Nos. of packages :Seal Nos
    (b)For Containerized cargo :
      Container No.               Size Seal No.
Signature of
Exporter
Signature of
Examiner/Inspector
Signature of
Appraiser/Superintendent
Name : _____________ Name : _____________ Name : _____________
Designation : _________ Designation : _________ Designation : _________
Stamp: Stamp: Stamp:

Note:

  1. Invoice(s) and any other document accompanying this document should be attested by the office supervising the examination.
  2. * To be filled in by the exporter before filing of this document at the time goods registration in the export shed.
  3. * Revised 6 digit code as assigned by the Directorate of S & I, XXYYZZ

XX Commissionerate
YY Division
ZZ Range

 

 

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