ANNEXURE
ORIGINAL
DUPLICATE
DECLARATION FORM(
See Rule 10 of Customs Valuation Rules, 1988)
DECLARATION1. I/We hereby declare that the information furnished above is true, complete and correct in every respect. I/We also undertake to bring to the notice of proper office any particulars which subsequently came to my/our knowledge which will have a bearing on valuation. Place: Date: Signature
of Importer FOR CUSTOMS HOUSE USE1.
Bill of Entry Number and Date 2.
Valuation Method Applied (See rule 4 to 8) 3.
If declared value not accepted, brief reasons 4.
Reference Number and date of any previous decisions/ruling 5.
Value Assessed A.O Assistant Collector
Note 1.
Declaration form in Duplicate duly signed by the importer should 2.
In case Order-in-Original (Speaking Order) is required,
Importer/CHA are 3.
Requested to apply within 30 days. No request on this account will be
considered after 30 days.
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