INVOICE Exporter/Consignor Invoice No.
& Date Exporters Ref
Buyers Order No. & Date Other Reference (s) Buyer (if other than consignee)
Importer/Consignee Country Of Origin INDIA Pre-Carriage By COURIER Vessel / Flight No. Place of Receipt By Carrier Port of Loading MUMBAI Final Destination No. & Kind Of Pkgs Description of QTY RATE AMOUNT Country of Final Destination
Terms of Delivery and Payment
Port of Discharge Marks & Nos Goods Container No.
This shipment being sent to the destination is not for sale. No commercial Value Involved. No Foreign Exchange. The value declared is purely truly for Customs Purpose only. Approval Purpose. Amount Chargeable (Rs. in words) We hereby declare that the Value declared is True & Correct Value of the goods. Total
Signature
For SIGNED