Port Code SB No SB Date

INDIAN CUSTOMS EDI SYSTEM INMUN1 8734839 29-MAR-24

CENTRAL BOARD OF INDIRECT TAXES AND CUSTOMS IEC/Br 2415904716 0
DEPARTMENT OF REVENUE - MINISTRY OF FINANCE GSTIN/TYPE 24AAWCS2467E1Z1 GSN
GOVERNMENT OF INDIA CB CODE AALCS4908DCH014
TYPE INV ITEM CONT
Nos 1 5 1
MUNDRA SEZ PORT, MUNDRA, GUJARAT PKG 20 G.WT KGS 17228.95 * SB22300320241626

PART - I - SHIPPING BILL SUMMARY

1.MODE 2.ASSESS 3.EXMN 4.JOBBING 5.MEIS 6.DBK 7.RODTP 8.LICENCE 9.DFRC 10.RE-EXP 11.LUT
STATUS

SEA N Y N Y Y Y N N N
A

12.PORT OF LOADING INMUN1 (Mundra) 13.COUNTRY OF FINALDESTINATION UNITED STATES

14.STATE OF ORIGIN Gujarat 15.PORT OF FINAL DESTINATION USNOR (Norfolk)

PY
16.PORT OF DISCHARGEUSNOR (Norfolk) 17.COUNTRY OF DISCHARGE UNITED STATES
1.EXPORTER'S NAME & ADDRESS 7.CONSIGNEE NAME & ADDRESS
SHAKTI FORGE INDUSTRIES PRIVATE LIMITED TO THE ORDER OF
B DECLARAN

PLOT NO G-1068, NR.FM-PBW BEARING, CLEVELAND OH 44143,

DETAILS

GIDC LODHIKA, KALAWAD ROAD, METODA USA

CO
RAJKOT 2.Type Private US
3. AD CODE: 0180662 8. GSTIN / TYPE 24AAWCS2467E1Z1 GSN
4.RBI WAIVER NO.& DT 9.FOREX BANK A/C NO. 48XXXXX569
5.CB NAME SSS SAI SHIPPING SERVICES PVT. LTD. 10.DBK BANK A/C NO. 48XXXXX559
6.AEO 11. IFSC NO. KKBK0002792
1.FOB VALUE 2.FREIGHT 3.INSURANC 4.DISCOU 5.COM 1.DBK CLAIM 2. IGST AMT 3.CESS AMT
SUMMA
E MANIFEST C.VALU

EX.PR.
10087146.58 393978 7800 0 0 151307 1888003.92

D.
6.DEDUCTIONS 7.P/C 8.DUTY 9.CESS 4.IGST VALUE 5.RODTEP AMT 6.ROSCTL AMT
RT
0 0 10488910.7 60523 0
1.MAWB NO. 2.MAWB DT 3.HAWB NO. 4.HAWB DT N.O.C. 1.SNO 2.INV NO. 3. INV AMT. 4.CURRENC
DETAILS

F.INVOICE
1 SFIPL/23-24/200 127524.91 USD
4. CIN NO. 5. CIN DT. 6. CIN SITE ID SUMMARY
24PCEG03301107820600 30-MAR-24 INMUN1
PO

1.CONTAINER 2.SEAL 3.DATE 4.S No 1SR.NO 2.CHALLAN NO 3.PAYMT DT 4.AMOUNT

CHALLAN DETAILS

HLXU1332193 HLG8877940 29-MAR-24 1

G. EQUIPMENT
DETAILS

EX

H
T

1.SEAL TYPE 2.NATURE OF CARGO 3.NO. OF PACKETS 4.NO. OF CONTAINERS 5.LOOSE PACKETS
I. ANNEX
DETAILS

SELF SEALED CONTAINERISED 20 1 0

LE

6.MARKS & NUMBERS AS PER INVOICE & WE UNDERTAKE TO ABIDE BY FOREIGN EXCHANGE MANAGEMENT ACT, 1999, AS
AMENDED FROM TIME TO TIME,INCLUDING REALIZATION/REPATRIATION OF FOREIGN EXCHANGE TO
FROM INDIA. WE INTEND TO CLAIM BENEFIT UNDER RODTEP SCHEME AS APPLICABLE.

1.EVENT 2.DATE 3.TIME 4.LEO NO. 19/365

J.PROCESS

5.Submission 29-MAR-24 15:37 6.LEO Date. 30-MAR-24

DETAILS

5.Assessment 8.BRC Realisation Date 31-DEC-24

7.Examination 30-MAR-24 16:20
9.LEO 30-MAR-24 16:26

Signature Not Verified

Digitally signed by DS DIRECTORATE GENERAL
OF SYSTEMS AND DATA MANAGEMENT 01
Date: 2024.03.30 16:31:37 IST
Reason: CUSTOMS
Location: INDIA

Glossary
A: ASSESS - Assessed, EXMN - Examined, MEIS - Merchantise Export Incentive Scheme, DBK - Drawback, ROSL - Rebate of State Levies,
DEEC - Duty Exemption Entitlement Certificate, DFRC - Duty Free Replenishment Certificate,LUT - Letter of Under Taking. B: CB - Customs Broker
AD Authoized Dealer , AEO - Authorized Economic Operator, UCR - Unique Customs Reference C: DISCOU - Discount, COM - Commission,
P/C Packing Charges,D: EX. PR.- Export Promotions E: MAWB / HAWB - Master / House Airway Bill Number J:BRC- Bank Realisation Certificate

Scan QR Code using ICETRAK Mobile App for authentication.

Visit ICEGATE portal to verify latest version*.
Page 1 Of 7
 Port Code SB No SB Date
INDIAN CUSTOMS EDI SYSTEM INMUN1 8734839 29-MAR-24
CENTRAL BOARD OF INDIRECT TAXES AND CUSTOMS IEC/Br 2415904716 0
DEPARTMENT OF REVENUE - MINISTRY OF FINANCE GSTIN/TYPE 24AAWCS2467E1Z1 GSN
GOVERNMENT OF INDIA CB CODE AALCS4908DCH014
TYPE INV ITEM CONT
Nos 1 5 1
MUNDRA SEZ PORT, MUNDRA, GUJARAT PKG 20 G.WT KGS 17228.95 * SB22300320241626

PART - II - INVOICE DETAILS

1.S.No 2.INVOICE No. & Dt. 3.P.O.No. & Dt. 4.LoC No. & Dt 5.Contract No.&Dt 6.AD code 7.INVTERM
REF
A.

1 SFIPL/23-24/200 29/03/2024 0180662 CIF

1.EXPORTER'S NAME & ADDRESS 2.BUYER'S NAME & ADDRESS
SHAKTI FORGE INDUSTRIES PRIVATE LIMITED TO THE ORDER OF

Y
PLOT NO G-1068, NR.FM-PBW BEARING, CLEVELAND WAREHOUSE,
B. TRANSACTION

GIDC LODHIKA, KALAWAD ROAD, METODA USA

PARTIES

360021

OP
3.THIRD PARTY NAME & ADDRESS 4.BUYER AEO STATUS

1.INVOICE VALUE

TC
2.FOB VALUE 3FREIGHT 4.INSURANCE5DISCOUNT6.COMMISON 7.DEDUCT 8.P/C 9.EXCHANGE RATE
C.VAL
DTLS

127524.91 122640.08 4790 94.83 0 0 0 1 USD INR 82.25

USD USD USD USD
1.ItemSNo 2.HS CD 3.DESCRIPTION 4.QUANTITY 5.UQC 6.RATE 7.VALUE(F/C)
1 73079290 CARBON STEEL PIPE FITTINGS (NON GALVANIS 3148 NOS 6.95899 21906.9
ED PIPE FITTINGS) ATTACHED ANNEXURE- SFI
OR
PL - 200 CS THREADED ELBOWS & TEES
2 73079290 CARBON STEEL PIPE FITTINGS (NON GALVANIS 9339 NOS 2.21008 20639.94
ED PIPE FITTINGS) ATTACHED ANNEXURE- SFI
PL - 200 CS THREADED COUPLINGS
3 73079990 CARBON STEEL PIPE FITTINGS (NON GALVANIS 22219 NOS 2.11376 46965.63
ED PIPE FITTINGS) ATTACHED ANNEXURE- SFI
PL - 200 CS OTHER FITTINGS
4 73072200 CARBON STEEL PIPE FITTINGS (NON GALVANIS 825 NOS 6.25 5156.25
XP

ED PIPE FITTINGS) ATTACHED ANNEXURE- SFI

PL - 200 SS THREADED ELBOWS & TEES
5 73079990 CARBON STEEL PIPE FITTINGS (NON GALVANIS 7605 NOS 4.32034 32856.19
ED PIPE FITTINGS) ATTACHED ANNEXURE- SFI
PL - 200 SS OTHER FITTINGS
TE
D. ITEM DETAILS

LE

Glossary
A: Ref - Reference P.O. - Purchase Order, LoC - Letter of Credit, AD - Authorised Dealer C: VAL DTLS - Valuation Details
FOB - Freight On Board, DEDUCT - Deduction , P/C - Packing Charge D: HS CD - Harmonized System Code, UQC - Unit Quantity Code

Scan QR Code using ICETRAK Mobile App for authentication.

Visit ICEGATE portal to verify latest version*.
Page 2 Of 7
 Port Code SB No SB Date
INDIAN CUSTOMS EDI SYSTEM INMUN1 8734839 29-MAR-24
CENTRAL BOARD OF INDIRECT TAXES AND CUSTOMS IEC/Br 2415904716 0
DEPARTMENT OF REVENUE - MINISTRY OF FINANCE GSTIN/TYPE 24AAWCS2467E1Z1 GSN
GOVERNMENT OF INDIA CB CODE AALCS4908DCH014
TYPE INV ITEM CONT
Nos 1 5 1
MUNDRA SEZ PORT, MUNDRA, GUJARAT PKG 20 G.WT KGS 17228.95 * SB22300320241626

PART - III - ITEM DETAILS

1INVSN 2ITEMSN 3.HS CD 4.DESCRIPTION 5.QUANTITY 6UQC 7.RATE 8VALUE(F/C) 9.FOB (INR) 10.PMV
1 1 73079290 CARBON STEEL PIPE FITTINGS 3148 NOS 6.95899 21906.9 1732823.5 629.61
(NON GALVANIS ED PIPE
FITTINGS) ATTACHED
ANNEXURE- SFI PL - 200 CS
THREADED ELBOWS & TEES

PY
11.DUTYAMT 12.CESS RT 13CESAMT 14.DBKCLMD 15.IGSTSTAT 16. IGST VALUE 17. IGST AMOUNT 18SCHCOD
Y P 1801842.53 324331.65 19
19. SCHEME DESCRIPTION 20. SQC MSR 21. SQC UQC 22. STATE OF ORIGIN 23. DISTRICT OF ORIGIN
Drawback 3611.85 KGS Gujarat RAJKOT
24. PT Abroad 25.COMP CESS 26.END USE 27.FTA BENEFIT AVAILED 28. REWARD BENEFIT 29. THIRD PARTY ITEM

CO
NCPTI 0 INR GNX200 Y Yes N

1INVSN 2ITEMSN 3.HS CD 4.DESCRIPTION 5.QUANTITY 6UQC 7.RATE 8VALUE(F/C) 9.FOB (INR) 10.PMV
1 2 73079290 CARBON STEEL PIPE FITTINGS 9339 NOS 2.21008 20639.94 1632607.7 199.96
(NON GALVANIS ED PIPE
FITTINGS) ATTACHED
ANNEXURE- SFI PL - 200 CS
RT
THREADED COUPLINGS
11.DUTYAMT 12.CESS RT 13CESAMT 14.DBKCLMD 15.IGSTSTAT 16. IGST VALUE 17. IGST AMOUNT 18SCHCOD
Y P 1697631.78 305573.72 19
19. SCHEME DESCRIPTION 20. SQC MSR 21. SQC UQC 22. STATE OF ORIGIN 23. DISTRICT OF ORIGIN
Drawback 3364.53 KGS Gujarat RAJKOT
PO

24. PT Abroad 25.COMP CESS 26.END USE 27.FTA BENEFIT AVAILED 28. REWARD BENEFIT 29. THIRD PARTY ITEM
NCPTI 0 INR GNX200 Y Yes N
INVOICE (1/1)

1INVSN 2ITEMSN 3.HS CD 4.DESCRIPTION 5.QUANTITY 6UQC 7.RATE 8VALUE(F/C) 9.FOB (INR) 10.PMV
1 3 73079990 CARBON STEEL PIPE FITTINGS 22219 NOS 2.11376 46965.63 3714953.86 191.24
(NON GALVANIS ED PIPE
EX

FITTINGS) ATTACHED
ANNEXURE- SFI PL - 200 CS
OTHER FITTINGS
11.DUTYAMT 12.CESS RT 13CESAMT 14.DBKCLMD 15.IGSTSTAT 16. IGST VALUE 17. IGST AMOUNT 18SCHCOD
Y P 3862916.49 695324.97 19
19. SCHEME DESCRIPTION 20. SQC MSR 21. SQC UQC 22. STATE OF ORIGIN 23. DISTRICT OF ORIGIN
Drawback 6516.55 KGS Gujarat RAJKOT
T

24. PT Abroad 25.COMP CESS 26.END USE 27.FTA BENEFIT AVAILED 28. REWARD BENEFIT 29. THIRD PARTY ITEM
NCPTI 0 INR GNX200 Y Yes N
LE

1INVSN 2ITEMSN 3.HS CD 4.DESCRIPTION 5.QUANTITY 6UQC 7.RATE 8VALUE(F/C) 9.FOB (INR) 10.PMV
1 4 73072200 CARBON STEEL PIPE FITTINGS 825 NOS 6.25 5156.25 407856.62 565.47
(NON GALVANIS ED PIPE
FITTINGS) ATTACHED
ANNEXURE- SFI PL - 200 SS
THREADED ELBOWS & TEES
11.DUTYAMT 12.CESS RT 13CESAMT 14.DBKCLMD 15.IGSTSTAT 16. IGST VALUE 17. IGST AMOUNT 18SCHCOD
Y P 424101.56 76338.28 19
19. SCHEME DESCRIPTION 20. SQC MSR 21. SQC UQC 22. STATE OF ORIGIN 23. DISTRICT OF ORIGIN
Drawback 399.3 KGS Gujarat RAJKOT
24. PT Abroad 25.COMP CESS 26.END USE 27.FTA BENEFIT AVAILED 28. REWARD BENEFIT 29. THIRD PARTY ITEM
NCPTI 0 INR GNX200 Y Yes N

GLOSSARY
FOB - Freight On Board, HS CD Harmonized System Code, UQC - Unit Quantity Code, PMV - Present Market Value, CESAM - Cess Amount
IGSTSTA - IGST Payment Status, VAL - IGST Value, PAID - IGST Amount Paid, SCHCOD - Scheme Code, SQC MSR - Standard Quantity
Measurement, comp - compensatory, PT Abroad - Preferential treatment Availed Abroad

Scan QR Code using ICETRAK Mobile App for authentication.

Visit ICEGATE portal to verify latest version*.
Page 3 Of 7
 Port Code SB No SB Date
INDIAN CUSTOMS EDI SYSTEM INMUN1 8734839 29-MAR-24
CENTRAL BOARD OF INDIRECT TAXES AND CUSTOMS IEC/Br 2415904716 0
DEPARTMENT OF REVENUE - MINISTRY OF FINANCE GSTIN/TYPE 24AAWCS2467E1Z1 GSN
GOVERNMENT OF INDIA CB CODE AALCS4908DCH014
TYPE INV ITEM CONT
Nos 1 5 1
MUNDRA SEZ PORT, MUNDRA, GUJARAT PKG 20 G.WT KGS 17228.95 * SB22300320241626

PART - III - ITEM DETAILS

1INVSN 2ITEMSN 3.HS CD 4.DESCRIPTION 5.QUANTITY 6UQC 7.RATE 8VALUE(F/C) 9.FOB (INR) 10.PMV
1 5 73079990 CARBON STEEL PIPE FITTINGS 7605 NOS 4.32034 32856.19 2598905.91 390.88
(NON GALVANIS ED PIPE
FITTINGS) ATTACHED
ANNEXURE- SFI PL - 200 SS
OTHER FITTINGS

PY
11.DUTYAMT 12.CESS RT 13CESAMT 14.DBKCLMD 15.IGSTSTAT 16. IGST VALUE 17. IGST AMOUNT 18SCHCOD
Y P 2702418.34 486435.3 19
19. SCHEME DESCRIPTION 20. SQC MSR 21. SQC UQC 22. STATE OF ORIGIN 23. DISTRICT OF ORIGIN
Drawback 2044.59 KGS Gujarat RAJKOT
24. PT Abroad 25.COMP CESS 26.END USE 27.FTA BENEFIT AVAILED 28. REWARD BENEFIT 29. THIRD PARTY ITEM

CO
NCPTI 0 INR GNX200 Y Yes N
RT
PO
INVOICE (1/1)

T EX
LE

Scan QR Code using ICETRAK Mobile App for authentication.

Visit ICEGATE portal to verify latest version*.
Page 4 Of 7
 Port Code SB No SB Date
INDIAN CUSTOMS EDI SYSTEM INMUN1 8734839 29-MAR-24
CENTRAL BOARD OF INDIRECT TAXES AND CUSTOMS IEC/Br 2415904716 0
DEPARTMENT OF REVENUE - MINISTRY OF FINANCE GSTIN/TYPE 24AAWCS2467E1Z1 GSN
GOVERNMENT OF INDIA CB CODE AALCS4908DCH014
TYPE INV ITEM CONT
Nos 1 5 1
MUNDRA SEZ PORT, MUNDRA, GUJARAT PKG 20 G.WT KGS 17228.95 * SB22300320241626

PART - IV - EXPORT SCHEME DETAILS

A. DRAWBACK & ROSL CLAIM

1.INV SNO 2.ITEM SNO 3.DBK SNO. 4.QTY/WT 5.VALUE 6.RATE 7.DBK AMT 8.STALEV 9.CENLEV 10.ROSCTL AMT
1 1 730799B 3148 1732823.5 1.5 25992.35 0 0 0
1 2 730799B 9339 1632607.7 1.5 24489.12 0 0 0
1 3 730799B 22219 3714953.86 1.5 55724.31 0 0 0
1 4 730799B 825 407856.62 1.5 6117.85 0 0 0

Y
1 5 730799B 7605 2598905.91 1.5 38983.59 0 0 0
B. AA / DFIA LICENCE DETAILS

OP
1.INV SNO 2.ITEM SNO 3.LICENCE NO 4.DESCN OF EXPORT ITEM 5.EXP SNO 6.EXPQTY 7.UQC 8.FOB VALUE
9.SION 10.DESCN OF IMPORT ITEM 11IMP SNO 12IMPQT 13.UQC 14.INDIG / IMP

C. JOBBING DETAILS
1.BE NO 2.BE DATE 3.PORT CODE
TC 4.DESCN OF IMPORTED GOODS 5.QTY IMP 6.QTY USED

D. SINGLE WINDOW DECLARATION

1.INVSN 2.ITMSN 3.INFO 4.QUALIFIER 5.INFO CD 6.INFO TEXT 7.INFO MSR 8.UQC
1 1 DTY RDT RODTEPY 3611.85 KGS
OTHER ADDITIONAL INFORMATION

1 1 CHR SQC 3611.85 KGS

OR

1 1 DTY GCESS 0 INR

1 1 ORC EPT NCPTI
1 1 ORC DOO 457
1 1 ORC STO 24
1 2 DTY RDT RODTEPY 3364.53 KGS
1 2 CHR SQC 3364.53 KGS
XP

1 2 DTY GCESS 0 INR

1 2 ORC EPT NCPTI
1 2 ORC DOO 457
1 2 ORC STO 24
1 3 ORC STO 24
1 3 ORC DOO 457
TE

1 3 ORC EPT NCPTI

1 3 DTY GCESS 0 INR
1 3 CHR SQC 6516.55 KGS
1 3 DTY RDT RODTEPY 6516.55 KGS
1 4 ORC DOO 457
1 4 DTY GCESS 0 INR
1 4 ORC EPT NCPTI
LE

1 4 DTY RDT RODTEPY 399.3 KGS

1 4 ORC STO 24
1 4 CHR SQC 399.3 KGS
1 5 ORC DOO 457
1 5 ORC EPT NCPTI
1 5 ORC STO 24
1 5 DTY RDT RODTEPY 2044.59 KGS
1 5 DTY GCESS 0 INR
1 5 CHR SQC 2044.59 KGS
E. SINGLE WINDOW DECLARATION - CONSTITUENTS
1.INVSN2.ITMSNO 3.C SNO 4.NAME 5.CODE 6.PERCENTAGE 7.YIELD PCT 8.ING

F. SINGLE WINDOW DECLARATION - CONTROL

1.INVSN2.ITMSNO 3.CONTROL TYPE 4.LOCATION 5.ST DT 6.END DT 7.RES CD 8.RES TEXT

Glossary
INVSN - Invoice Serial Number ITMSN - Item Serial Number A: DBK - Drawback, ROSL - Rebate of State Levies, B: DFIA - Duty Free Import
Authorization, EXP - Export , IMP - Import , UQC-Unit Quanity CodeFOB - Freight On Board D: INFO - Information CD - Code MSR - Measuremen
E: ING - Ingredient F : RES CD - Result Code, RES TXT - Result Text ST DT -Start Date G: IRN - Image Reference Number CD - Code PLA - Pla

Scan QR Code using ICETRAK Mobile App for authentication.

Visit ICEGATE portal to verify latest version*.
Page 5 Of 7
 Port Code SB No SB Date
INDIAN CUSTOMS EDI SYSTEM INMUN1 8734839 29-MAR-24
CENTRAL BOARD OF INDIRECT TAXES AND CUSTOMS IEC/Br 2415904716 0
DEPARTMENT OF REVENUE - MINISTRY OF FINANCE GSTIN/TYPE 24AAWCS2467E1Z1 GSN
GOVERNMENT OF INDIA CB CODE AALCS4908DCH014
TYPE INV ITEM CONT
Nos 1 5 1
MUNDRA SEZ PORT, MUNDRA, GUJARAT PKG 20 G.WT KGS 17228.95 * SB22300320241626

PART - IV - EXPORT SCHEME DETAILS

G.SUPPORTING DOCUMENTS
1.INVSN2.ITMSNO 3 DOCTYPCD 4. ICEGATE ID 5. IRN 6.PARTY CD 7.ISSUE PLA 8.ISS DT 9.EXP DT
1 0 331000 SSSMUNDRA 2024032900030080 00 . 29-MAR-24
H.INVOICE DETAILS
1.SNO 2.INVOICE NO 3.INVOICE AMOUNT 4.CURRENCY

Y
1 SFIPL/23-24/200 127524.91 USD
I.CONTAINER DETAILS

OP
1.SNO 2.CONTAINER 3.SEAL 4.DATE
1 HLXU1332193 HLG8877940 29-MAR-24
J.AR4 DETAILS
1.INVSN 2.ITMSN 3.AR4 NUMBER 4.AR4 DATE 5.COMMISSIONERATE 6.DIVISION 7.RANGE

1.INVSN 2.ITMSN 3.IEC

TC K. THIRD PARTY DETAILS
4. EXPORTER NAME 5. ADDRESS 6.GSTN ID AND TYPE

L. ITEM MANUFACTURER/PRODUCER/GROWER DETAILS

1.INVSN2.ITMSN 3.TYPE 4.MANUFACT CD 5.SOURCE STATE 6.TRANS CY 7.ADDRESS
OTHER ADDITIONAL INFORMATION

OR

M. RODTEP DETAILS
1.INVSN2.ITMSN 3. QUANTITY 4. UQC 5. NO. OF UNITS 6. VALUE
1 1 3611.85 KGS 1 10397
1 2 3364.53 KGS 1 9796
1 3 6516.55 KGS 1 22290
XP

1 4 399.3 KGS 1 2447

1 5 2044.59 KGS 1 15593
N. REEXPORT DETAILS
1.INVS 2.ITMSN 3.BE SITE ID 4.BE NUMBER5.BE DATE6.BE INV SNO 7.BE ITEM S 8. BE QTY 9. BE UQC
TE
LE

Glossary
INVSN - Invoice Serial Number ITMSN - Item Serial Number A: DBK - Drawback, ROSL - Rebate of State Levies, B: DFIA - Duty Free Import
Authorization, EXP - Export , IMP - Import , UQC-Unit Quanity CodeFOB - Freight On Board D: INFO - Information CD - Code MSR - Measuremen
E: ING - Ingredient F : RES CD - Result Code, RES TXT - Result Text ST DT -Start Date G: IRN - Image Reference Number CD - Code PLA - Pla

Scan QR Code using ICETRAK Mobile App for authentication.

Visit ICEGATE portal to verify latest version*.
Page 6 Of 7
 Port Code SB No SB Date
INDIAN CUSTOMS EDI SYSTEM INMUN1 8734839 29-MAR-24
CENTRAL BOARD OF INDIRECT TAXES AND CUSTOMS IEC/Br 2415904716 0
DEPARTMENT OF REVENUE - MINISTRY OF FINANCE GSTIN/TYPE 24AAWCS2467E1Z1 GSN
GOVERNMENT OF INDIA CB CODE AALCS4908DCH014
TYPE INV ITEM CONT
Nos 1 5 1
MUNDRA SEZ PORT, MUNDRA, GUJARAT PKG 20 G.WT KGS 17228.95 * SB22300320241626

PART - V - DECLARATIONS

Y
OP
TC
A. DECLARATION STATEMENT

OR
XP
TE
LE
B. AUTHORIZED
SIGNATORY

DATE AUTHORIZED SIGNATORY CHA NAME :AALCS4908DCH014

PLACE

Scan QR Code using ICETRAK Mobile App for authentication.

Visit ICEGATE portal to verify latest version*.
Page 7 Of 7