ANNEXURE-21A

INVOICE

ORIGINAL
DUPLICATE
TRIPLICATE
QUADRUPLICATE

Invoice of goods liable to Central Excise Duty in India Transmitted under Central Excise Seal to Nepal or Bhutan
Invoice No. ______________ Date_____________

Range___________Division________Commissionerate___________from__________(factory/warehouse) by_____________ through the Border Post of._______________(Merchants Name) ______________________

Marks and numbers of pack- ages	Marks and numbersof pack- ages	Numbers and descrip- tion of pack- ages	Descrip- tion of good with tariff classi- fication	Net weight, value or quantity	Value (wordsand figures)	Rate of duty	Amount of duty paid or payable (In Words and figures)	Number and date of document under which Central Excise Duty was paid or ispayable	Gross weight of pack- ages	Number and date of railway receipt, ifany
1	2	3	4	5	6	7	8	9	10	11

(1) I/We hereby declare that the above-mentioned particulars are true and correctly stated and that the consignment of goods is intended for export to Nepal/ ______(place) and shall not be diverted en route to any other country.

Signature of exporter or his authorised agent.

Place:

Date:

(2) Certified that the above-mentioned packages have been identified by me and sealed with the Central Excise seal under my supervision.

Signature and designation of the Officer of Central Excise.

Running Serial No.

Date:
(to be given in red ink and encircled by the Border Examiner)
(3) Certified that the above-mentioned consignment has been duly identified by me and has passed the Border Customs Post.

(Running Serial number of the Border Check Post
to be written in red ink prominently encircled)

Signature and designation of the Indian
Officer-in-charge of the Border Customs Pos tat__________.

(4) Certified that the above-mentioned consignment/packages have been duly identified by me and have been received and accounted for in Nepal.

Signature and designation
(with official seal) of Nepalese/Bhutanese Customs Officer.
Check Post ____________

2. This notification shall come into force on 1 st July, 2001.

(Above Annexure 21A has been substituted vide NTF. NO. 45/2001-CE(N.T.), DT. 26/06/2001)

[OLD-
ANNEXURE-21A

INVOICE

ORIGINAL
DUPLICATE
TRIPLICATE
QUADRUPLICATE

Invoice of goods liable to Central Excise Duty in India
Transmitted under Central Excise Seal to Nepal or Bhutan
Invoice No. ______________ Date_____________

Range___________Division________Commissionerate___________from__________(factory/warehouse) by_____________ through the Border Post of._______________(Merchants Name) ______________________

Marks and numbers of pack- ages	Marks and numbersof pack- ages	Numbers and descrip- tion of pack- ages	Descrip- tion of good with tariff classi- fication	Net weight, value or quantity	Value (wordsand figures)	Rate of duty	Amount of duty paid or payable (In Words and figures)	Number and date of document under which Central Excise Duty was paid or ispayable	Gross weight of pack- ages	Number and date of railway receipt, ifany
1	2	3	4	5	6	7	8	9	10	11

(1) I/We hereby declare that the above-mentioned particulars are true and correctly stated and that the consignment of goods is intended for export to Nepal/ ______(place) and shall not be diverted en route to any other country.

Signature of exporter or his authorised agent.

Place:

Date:

(2) Certified that the above-mentioned packages have been identified by me and sealed with the Central Excise seal under my supervision.

Signature and designation of the Officer of Central Excise.

Running Serial No.

Date:
(to be given in red ink and encircled by the Border Examiner)
(3) Certified that the above-mentioned consignment has been duly identified by me and has passed the Border Customs Post.

(Running Serial number of the Border Check Post
to be written in red ink prominently encircled)

Signature and designation of the Indian
Officer-in-charge of the Border Customs Post at__________.

(4) Certified that the above-mentioned consignment/packages have been duly identified by me and have been received and accounted for in Nepal.

Signature and designation
(with official seal) of Nepalese/Bhutanese Customs Officer.
Check Post ____________ ]

Presented by eximkey.com