Customs Series Form No. 101
FORM OF BILL OF ENTRY TO BE FILED BY A PASSENGER INTENDING TO TAKE DELIVERY OF GOLD OR SILVER FROM A CUSTOMS BONDED WAREHOUSE IN INDIA
(PART- A)
(TO BE COMPLETED BY THE PASSENGER)
1. Name of the Airport :
2. Flight No. and Date :
3. Name of Passenger :
4. Passport No. :
5. Description of goods :
6. Quantity :
I apply for the permission to clear the gold/ silver, as per the particulars given above, from the customs bonded warehouse subject to the provisions of the Customs Act, 1962 (52 of1962).
Place: (Signature of the passenger with date)
(PART- B)
(To be completed by the Air Customs Officer)
7. Customs Tariff Heading No.
8. Rate of Duty
Exemption Notification No.
9. Duty assessed
(a) in words :
(b) in figures:
Verified the particulars from the passport of the passenger. The passenger is eligible to clear the gold/ silver from customs bonded warehouse in terms of Notfn. No......dated....
(Signature of the A.C.O.)
Date: (Counter Signature by ACS)
(PART C)
(To be completed by the Bank Counter receiving customs duty)
10. Duty recovered in convertible foreign currency
equivalent to Indian Rupee
(a) In words :
(b) In figures :
Date: (Signature & seal of the Bank Officer)
(PART-D)
(To be completed by the Customs Officer at the airport)
Passed out of customs charge
Date: (Signature of Air Customs Superintendent)
(PART- E)
(To be completed by the warehouse keeper giving delivery)
11. Description :
12. Marks and Nos. :
13. Quantity delivered :
14. Bond No. :
Place : (Signature of warehouse keeper with seal)
Date :
Received the gold/silver as per
particulars mentioned above
(Signature of the passenger
taking delivery with date)
(PART-F)
(For Audit)
15. Amount of short recovery :
16. Amount of excess recovery :
Date : (Signature of the Audit officer)