ANNEXURE II -Form for claim of drawback

 

 

The information provided here is part of Online Export Import course


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ANNEXURE II
Form for claim of drawback under Rule 13
Customs Form No:……………
To
The Asstt. Commissioner of Customs
Drawback Department
(Name & Address of the Custom House)
Sub: Drawback claim under Sec. 75 of the Customs Act. 1962
We wish to lodge this claim for Drawback of duty of Customs as per the details below together with copies of all the relevant documents:
1
Shipping Bill No. & date
:
2
Invoice No. & date
:
3
Bill of Lading or Airways Bill No. & date
:
4
Description and quantity of goods exported
:
5
Drawback sub-serial No.
:
6
F.O.B. value & present market value of goods
:
7
Calculation of drawback claim (worksheet attached)
:
8
Indicate whether the claim is as per brand rate
:
9
Brand rate letter No. & date and its validity period
:
10
Indicate particulars of Test report & Test bond (wherever necessary)
:
11
No. of enclosures *
DECLARATION
I ______________________________________ the applicant representing the exporter_____________ ______________ do hereby declare that what is stated above is true to the best of my information and belief, I also declare that no drawback bas been claimed earlier pertaining to and Shipping Bill No. _____________________________ date___________ .
(Signature of the Applicant)
(*Please attach a list of documents enclosed Refer Rule 13 of Customs and Central Excise Duties Drawback Rules, 1995.)

 

 

 

The above information is a part of Export Import Online Tutorial

 

Click below to download this form in pdf format:

 
 

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