Bill of Entry for Home Consumption Form 22

[Refer Bill of Entry Regulations, 1976]

Licence No.

Port Code
S = Sea
A = Air
L = Land

Prior Entry Stamp

Import Dept. S. No. and Date

Customs House Agent Code

Importer Code and BIN

Importer's Name Whether Government or Private

Vessel's Name

Rotation No. and Date

Line Number

Port of Shipment

Country of Origin and Code

Country of Consignment (if different) and Code

Bill of Lading Date

PACKAGES

QUANTITY

GOODS.

CUSTOMS DUTY

ADDITIONAL DUTY

No. and Des-crip-tion

Marks and Number

Serial No.

Unit Code

Weight/Volume Number etc

Description

---------
(Gives details of each class separately and <EXIM_SCHEME_CODE>, where applicable)

Customs Tariff head-ing

-------
Exem-ption Notifi-cation No. and year

Nature of duty Code

Asse-ssable Value under Sec. 14 of Customs Act, 1962

(Rs.)

RATE

Basic

--------

(Rs.)

AMO-UNT
Basic

(Rs.)

C.E.T. Item

--------
Exemp-tion Notifi-cation No. and year

MRP per unit, if any

Amount of abatement, if any

Value for the purpose of Section 3 of Customs Tariff Act, 1975
(Col. 9 + Col.11 where the provisions sub-section 92) of Sec. 4A of the Central Excise Act, 1994, does not apply

(Rs.)

Where the provisions of sub-section (2) of Sec. 4A of the Central Excise Act, 1994 apply

RATE

Basic

--------

(Rs.)

AMOUNT

Basic

(Rs.)

TOTAL DUTY
Column 11+Col. 15

(Rs.)

(1)

(2)

(3)

(4)

(5)

(6)

(7)

(8)

(9)

(10)

(11)

(12)

(12A)

(12B)

(13)

(13A)

(14)

(15)

(16)

Gross Weight TOTAL NUMBER oF PACKAGES (IN WORDS) --------------------------
Import Clerk

TOTAL AMOUNT OF DUTY (IN WORDS)
RUPEES ----------------------- TOTAL
(By pin-point typewriter)

Sl.No

Invoice Value (Foreign Currency) FOB/C&F/C&I/CIF

Freight

Insu-rance

Currency Code

Ex-change Rate

Loading/Local Agency Commi-ssion

Miscella-neous Charges

Total Value (In Rupees)

Landing Char-ges

Assess-able Value (In Rupees)

(Declaration to be signed by the Custom House Agent)

1.       I/We declare that the contents of this Bill of Entry for goods imported against Bill of Lading No. dated .. are in accordance with the Invoice No dated . And other documents presented herewith.

2.       I/We declare that I/We have not received any other document or information showing a different price, value, quantity or description of the said goods and that if at any documents from the importer showing a different state of facts, I/We will immediately make the same known to the Commissioner of Customs.

N.B.- where a declaration in this form is made by the Custom House Agent a declaration in the prescribed form shall be furnished by the importers of the goods covered by this Bill of Entry.

1

2

3

4

5

Total

I.T.C. Licence or C.C.P. No. and date/Part and S.No./OGL NO. Exemption No. and value debited to Licence/CCP. (In case of Letter of Authority, Name of Person to whom issued, No. and Date).

Debit P.D. A/c. No.

Stamp of collection/FREE No. and Date

Licence(s) Registered

Licence(s) Audited

-------------19 -----

Signature of the Custom
House Agent

With Customs * House Agent

Without Custom* House Agent

DECLARATION

(To be signed by an Importer)

1. I/We declare that the contents of invoice(s) No.(s) dated . of House Agent M/s ..and of other documents relating to the goods covered by the said invoice(s) and presented herewith are true and correct in every respect.

OR

I/We declare that the contents of this Bill of Entry for goods imported against Bill of Lading No dated are in accordance with the invoice No dated and other documents presented herewith. I/We also declare that the contents of the above mentioned invoice(s) and documents are true and correct in every respect.

2. I/We declare that I/we have not received and do not know of any other documents of information showing a different price, value (including local payments, whether as commission or otherwise), quantity or description of the said goods and that if at any time hereafter I/we discover any information showing a different state of facts, I/we will immediately make the same known to the Commissioner of Customs.

3. I/We declare that goods covered by the bill of entry have been imported on outright purchase/consignment account.

4. I/We am/are not connected with the suppliers/manufacturers as:-

(a) Agent/distributor/indentor/Branch/subsidiary / concessionaire, and

(b) Collaborator entitled to the use of the trade mark, patent or design,

(c) Otherwise than as ordinary importers or buyers.

5. I/We declare that the method of invoicing has not changed since the date on which my/our books of accounts and/or agreement with the suppliers were examined previously by the Customs House(s).

Signature of Importer

*Strike out whichever is inapplicable.

Documents presented with bill of entry.

Date of receipt in:

Check here additional documents required

1. Invoice

Appraising group Central Exchange Unit.

2. Packing List

Daily list Revenue Posting

3. Bank Draft

Trade return I.A.D.

4. Insurance Memo/Policy

C.R.A.D. M.C.D. Key Register

5. Bill of Lading or Delivery Order

M.C.D. Manifest Posting

6. Import Licence/Custom Clearance Permit

(On duplicate copy only)
Passed out of Customs charge

7. Certificate of Origin

8.

Proper Officer

9.

10.

(Actual designation to be
indicated)