DECLARATION FORM
(See Rule 10 of Customs Valuation Rules 1988)
NOTE : This Declaration shall not be required for goods imported as passenger's Baggage, goods, imported for personal
use upto Value Rs. 10001- samples of no commercial value or where the goods are subject to specific rate of duty.
Importer's Name and address:
2
Supplier's Name and address:
Name and address of the agent, if any:
Description of goods:
Country of origion :
6
7
Port of shipment:
AWBI BL Number and date
IGM Number and date:
Contract number and date:
10
11
Nature of transaction (sale, consignment, hire, gift, etc.)
Invoice number and date:
12
Invoice value:
13
Terms of payment:
14
Currency of payment:
15
Exchange rate:
16
Terms of delivery
17
18
Relationship between buyer and seller [Rule 2(2)]
If related, what is the basis of deClarevalue:
19
Conditions or restriction attached with the sale [RULE 4(2)]
20
Valuation method application (See Rule 4 to 8)
21
Cost and services not included in the invoice value (Rule9)
(a)
Brokerage and Commissions:
(b)
Cost of containers:
(c)
Packing cost:
(d)
Cost of goods and services supplied by the buyer:
(e)
Royalties and licencefees:
(f)
Value of proceeds which accure to seller:
(g)
Freight:
(h)
Insurance:
(i)
Loading, Unloading, handling charges:
U)
Landing charges:
(k)
Other payments, if any:
22.
Assessable value Rs. :
23.
Previous imports of identical 1similar goods, if any:
24.
(a)
Bill of Entry Number and date:
(b)
IGM Number and date:
Any other relevant information (attach separate sheet, if necessary) :
DECLARATION
I/We hereby declare that the information furnished above is true, completed & correct in every respect.
I/We also undertake to bring to the notice of proper officer any particulars which subsequently come to my1
our knowledge which will have a bearing on valuation.
Place:
Date:
Signature of Importer
FOR CUSTOMS HOUSE USE:
1.
2.
3.
4.
5.
Note: 1.
2.
Bill of Entry Number and Date:
Valuation Methods applied (See Rules 4 to 8) :
If declared value not accepted, brief reasons:
Reference number and date of any previous decision / ruling:
Value assessed:
A.a. Assistant Collector. .
Declaration form in duplicate duly signed by the importer should be attached with original Bill of Entry.
In case Order-in-Original (Speaking Order) is required, Importer / CHA are requested to apply within 30
days. No request on this account will be considered after 30 days.