ANNEXURE – 1
15 (a) Whether any of the items is
leviable-to additional duty under section 3 of CTA, 1975 with
reference to the retail sale price declared on the articles :
--------- (Y / N) (b)
I / Yes furnish the following particulars: -
CLAIM OF ASSESMENT
21
UNDER SECTION 48
: (Y/N) IF YES, REASONS FOR DELAY 22 NATURE OF
TRANSACTION
: (SALE/CONSIGNMENT
/HIRE/GIFT/OTHERS) 23 TERMS OF
PAYMENT
: (LC/FOC/DP/SD/OTHERS) 24
CONDITIONS ATTACHED WITH SALES (IF ANY) 25 ARE BUYER AND SELLER
RELATED Y/N ------------------------------
IF YES (I) RELATIONSHIP
----------------------------------------------------
(II) BASIS OF DECLARED VALUE
-------------------------------
(III) VALUATION METHOD APPLICABLE ---------------------- 26 TO INDICATE
PACKING LIST INFORMATION ON THE INVOICE
I.E BOX NUMBER AGAINST EACH LINE ITEM
I enclose herewith the copies of following Import documents
(1)
INVOICE (2) PACKING LIST (3)
OTHER (SPECIEY) NOTE: Where the invoice contains more than one unit of
item and more than one description of items
UNIT PRICE of each item shall be
mandatory. DECLARATIONS : I
certify that aforesaid declaration, the documents and the information
contained there in true and correct. Date:
Signature
Name IC CARD NO. ISSUED BY PALICY SECTION NEW CUSTOM HOUSE |