Free of Octroi No____________ Date__________ Initials of Registering
Officer
Let
the above articles be removed free of Octroi to the Place of export under
supervision of
I/We do hereby declare that Shri______________________________________________________________________
the Application are truly stated.
( Name and Designation ) Signature
of the Supervising Inspector Date__________________________
__________________________________
(Importer of his Agent
or his duty constitu-
ted attorney) (N.B.
: Please turn over for the reverse side of the form) | ||||||||||||||||||||||||||||||||||