To be signed by an importer
* Customs House Agents
1. I/We declare that the contents of Invoice No.(s)
________________________ dated ____________________of M/s
_____________________________________________________ and the other
documents relating to the goods covered by the said invoice (s) presented
herewith are true and correct in every respect.
Without Customs House Agents
I/We declare that contents of this Bill of Entry for goods imported against Bill of Lading No _________________ dated _________________are in accordance with the Invoice No____________________ dated ______________ and other documents presented herewith. I/We also declare that contents of the above mentioned invoice(s) and other documents are true and correct in every respect.
I/We declare that I/We have not received and do not know of any other
documents or information showing a different price value including local
payments whether as commission or, otherwise, quantity or description of
the said goods and that if at any time hereafter. I/We discover any
information showing a different state of a fact. I/We immediately
make the same known to the Collector of Customs.
3. I/We 3. I/We declare that the goods covered by
the Bill of Entry have been imported on an outright purchase consignment
4. I/We am/are not connected with the suppliers manufacturers as
(b) collaborator entitled to the use of trade mark, patent or design and
(c) otherwise that an ordinary importers or buyers.
5. I/We 5. I/We declare that a method
of invoicing has not changed since the date on which my/our books of
accounts and or arranged with the supplier were examined previously by
Signature of importer with rubber stamp