Port Code SB No SB Date
INDIAN CUSTOMS EDI SYSTEM INRXLB 6195974 21-DEC-23
CENTRAL BOARD OF INDIRECT TAXES AND CUSTOMS IEC/Br AXIPP3760H 0
DEPARTMENT OF REVENUE - MINISTRY OF FINANCE GSTIN/TYPE 24AXIPP3760H1ZC GSN
GOVERNMENT OF INDIA CB CODE AABFU8653JCH005
TYPE INV ITEM CONT
Nos 1 2 0
LCS RAXAUL, DIST: EAST CHAPARAN, BIHAR PKG 1 G.WT KGS 20 * SB21211220231715
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
LAND N N N N N N N N Y
A
12.PORT OF LOADING INRXLB (Raxaul) 13.COUNTRY OF FINALDESTINATION NEPAL
14.STATE OF ORIGIN Gujarat 15.PORT OF FINAL DESTINATION NPBRG (Birgunj)
16.PORT OF DISCHARGENPBRG (Birgunj) 17.COUNTRY OF DISCHARGE NEPAL
1.EXPORTER'S NAME & ADDRESS 7.CONSIGNEE NAME & ADDRESS
UTSAV MARINE SERVICES JAGDAMBA ENTERPRISE PVT LTD
B DECLARAN
OPP GOVT HOSPITAL NEW SHREEJI BIRGUNJ-32
DETAILS
ALANG SOSIYA CHORNI PARSA
BHAVNAGAR 2.Type Private NP
3. AD CODE: 01001YA 8. GSTIN / TYPE 24AXIPP3760H1ZC GSN
4.RBI WAIVER NO.& DT 9.FOREX BANK A/C NO. 37XXXXXX550
5.CB NAME ULTRA COMMERCIAL & CO. 10.DBK BANK A/C NO.
6.AEO
1.FOB VALUE
PY D
2.FREIGHT 3.INSURANC 4.DISCOU 5.COM
11. IFSC NO.
1.DBK CLAIM 2. IGST AMT 3.CESS AMT
SUMMA
E MANIFEST C.VALU
EX.PR.
50000 0 0 0 0 0
D.
6.DEDUCTIONS 7.P/C
E 8.DUTY 9.CESS 4.IGST VALUE 5.RODTEP AMT 6.ROSCTL AMT
0 0 0 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
CO SS
DETAILS
F.INVOICE
1 TI/55 50000 INR
4. CIN NO. 5. CIN DT. 6. CIN SITE ID SUMMARY
SE
1.CONTAINER 2.SEAL 3.DATE 4.S No 1SR.NO 2.CHALLAN NO 3.PAYMT DT 4.AMOUNT
CHALLAN DETAILS
G. EQUIPMENT
DETAILS
H
AS
1.SEAL TYPE 2.NATURE OF CARGO 3.NO. OF PACKETS 4.NO. OF CONTAINERS 5.LOOSE PACKETS
I. ANNEX
DETAILS
WAREHOUSE SEALED PACKAGED 1 0 1
6.MARKS & NUMBERS AS PER INVOICE
1.EVENT 2.DATE 3.TIME 4.LEO NO.
J.PROCESS
5.Submission 21-DEC-23 11:53 6.LEO Date.
DETAILS
5.Assessment 21-DEC-23 17:02 8.BRC Realisation Date
7.Examination
9.LEO
Signature Not Verified
Digitally signed by DS CENTRAL BOARD
OF INDIRECT TAXES AND CUSTOMS 05
Date: 2023.12.21 17:16:42 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
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Page 1 Of 6
Port Code SB No SB Date
INDIAN CUSTOMS EDI SYSTEM INRXLB 6195974 21-DEC-23
CENTRAL BOARD OF INDIRECT TAXES AND CUSTOMS IEC/Br AXIPP3760H 0
DEPARTMENT OF REVENUE - MINISTRY OF FINANCE GSTIN/TYPE 24AXIPP3760H1ZC GSN
GOVERNMENT OF INDIA CB CODE AABFU8653JCH005
TYPE INV ITEM CONT
Nos 1 2 0
LCS RAXAUL, DIST: EAST CHAPARAN, BIHAR PKG 1 G.WT KGS 20 * SB21211220231715
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 TI/55 08/12/2023 01001YA FOB
1.EXPORTER'S NAME & ADDRESS 2.BUYER'S NAME & ADDRESS
PY
UTSAV MARINE SERVICES JAGDAMBA ENTERPRISE PVT LTD
OPP GOVT HOSPITAL NEW SHREEJI BIRGUNJ-32
B. TRANSACTION
ALANG SOSIYA CHORNI PARSA
PARTIES
364081
3.THIRD PARTY NAME & ADDRESS 4.BUYER AEO STATUS
CO
1.INVOICE VALUE 2.FOB VALUE 3FREIGHT 4.INSURANCE5DISCOUNT6.COMMISON 7.DEDUCT 8.P/C 9.EXCHANGE RATE
C.VAL
DTLS
50000 50000 0 0 0 0 0 1 INR INR 1
INR INR INR INR
1.ItemSNo 2.HS CD 3.DESCRIPTION 4.QUANTITY 5.UQC 6.RATE 7.VALUE(F/C)
1 84879000 MAIN STARTING VLAVE FOR 32LN 1 NOS 35000 35000
2 84879000 OIL FILTER MMPX303 OPRATION TOOL (1S 10 NOS 1500 15000
ED
SS
SE
D. ITEM DETAILS
AS
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
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Page 2 Of 6
Port Code SB No SB Date
INDIAN CUSTOMS EDI SYSTEM INRXLB 6195974 21-DEC-23
CENTRAL BOARD OF INDIRECT TAXES AND CUSTOMS IEC/Br AXIPP3760H 0
DEPARTMENT OF REVENUE - MINISTRY OF FINANCE GSTIN/TYPE 24AXIPP3760H1ZC GSN
GOVERNMENT OF INDIA CB CODE AABFU8653JCH005
TYPE INV ITEM CONT
Nos 1 2 0
LCS RAXAUL, DIST: EAST CHAPARAN, BIHAR PKG 1 G.WT KGS 20 * SB21211220231715
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 84879000 MAIN STARTING VLAVE FOR 1 NOS 35000 35000 35000 35000
32LN
11.DUTYAMT 12.CESS RT 13CESAMT 14.DBKCLMD 15.IGSTSTAT 16. IGST VALUE 17. IGST AMOUNT 18SCHCOD
PY
N LUT 98
19. SCHEME DESCRIPTION 20. SQC MSR 21. SQC UQC 22. STATE OF ORIGIN 23. DISTRICT OF ORIGIN
Free Shipping Bill involving India KGS Gujarat BHAVNAGAR
24. PT Abroad 25.COMP CESS 26.END USE 27.FTA BENEFIT AVAILED 28. REWARD BENEFIT 29. THIRD PARTY ITEM
FTA0NL 0 INR GNX200 Y No N
CO
1INVSN 2ITEMSN 3.HS CD 4.DESCRIPTION 5.QUANTITY 6UQC 7.RATE 8VALUE(F/C) 9.FOB (INR) 10.PMV
1 2 84879000 OIL FILTER MMPX303 10 NOS 1500 15000 15000 1500
OPRATION TOOL (1S
11.DUTYAMT 12.CESS RT 13CESAMT 14.DBKCLMD 15.IGSTSTAT 16. IGST VALUE 17. IGST AMOUNT 18SCHCOD
N LUT 98
19. SCHEME DESCRIPTION 20. SQC MSR 21. SQC UQC 22. STATE OF ORIGIN 23. DISTRICT OF ORIGIN
Free Shipping Bill involving India KGS Gujarat BHAVNAGAR
24. PT Abroad 25.COMP CESS 26.END USE 27.FTA BENEFIT AVAILED 28. REWARD BENEFIT 29. THIRD PARTY ITEM
FTA0NL 0 INR GNX200 Y No N
ED
INVOICE (1/1)
SS
SE
AS
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
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Page 3 Of 6
Port Code SB No SB Date
INDIAN CUSTOMS EDI SYSTEM INRXLB 6195974 21-DEC-23
CENTRAL BOARD OF INDIRECT TAXES AND CUSTOMS IEC/Br AXIPP3760H 0
DEPARTMENT OF REVENUE - MINISTRY OF FINANCE GSTIN/TYPE 24AXIPP3760H1ZC GSN
GOVERNMENT OF INDIA CB CODE AABFU8653JCH005
TYPE INV ITEM CONT
Nos 1 2 0
LCS RAXAUL, DIST: EAST CHAPARAN, BIHAR PKG 1 G.WT KGS 20 * SB21211220231715
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
B. AA / DFIA LICENCE DETAILS
PY
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
CO
1.BE NO 2.BE DATE 3.PORT CODE 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 CHR SQC KGS
1 1 DTY RDT RODTEPN KGS
1 1 ORC STO 24
1 1 ORC DOO 443
1 1 ORC EPT FTA0NL
OTHER ADDITIONAL INFORMATION
ED
1 1 DTY GCESS 0 INR
1 2 CHR SQC KGS
1 2 ORC STO 24
1 2 ORC DOO 443
1 2 ORC EPT FTA0NL
1 2 DTY GCESS 0 INR
SS
1 2 DTY RDT RODTEPN 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
SE
1.INVSN2.ITMSNO 3.CONTROL TYPE 4.LOCATION 5.ST DT 6.END DT 7.RES CD 8.RES TEXT
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
AS
1 0 380000 ULTRARAXAUL 2023122000100406 00 00 20-DEC-23
H.INVOICE DETAILS
1.SNO 2.INVOICE NO 3.INVOICE AMOUNT 4.CURRENCY
1 TI/55 50000 INR
I.CONTAINER DETAILS
1.SNO 2.CONTAINER 3.SEAL 4.DATE
J.AR4 DETAILS
1.INVSN 2.ITMSN 3.AR4 NUMBER 4.AR4 DATE 5.COMMISSIONERATE 6.DIVISION 7.RANGE
K. THIRD PARTY DETAILS
1.INVSN 2.ITMSN 3.IEC 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
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
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Page 4 Of 6
Port Code SB No SB Date
INDIAN CUSTOMS EDI SYSTEM INRXLB 6195974 21-DEC-23
CENTRAL BOARD OF INDIRECT TAXES AND CUSTOMS IEC/Br AXIPP3760H 0
DEPARTMENT OF REVENUE - MINISTRY OF FINANCE GSTIN/TYPE 24AXIPP3760H1ZC GSN
GOVERNMENT OF INDIA CB CODE AABFU8653JCH005
TYPE INV ITEM CONT
Nos 1 2 0
LCS RAXAUL, DIST: EAST CHAPARAN, BIHAR PKG 1 G.WT KGS 20 * SB21211220231715
PART - IV - EXPORT SCHEME DETAILS
M. RODTEP DETAILS
1.INVSN2.ITMSN 3. QUANTITY 4. UQC 5. NO. OF UNITS 6. VALUE
N. REEXPORT DETAILS
PY
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
CO
OTHER ADDITIONAL INFORMATION
ED
SS
SE
AS
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
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Page 5 Of 6
Port Code SB No SB Date
INDIAN CUSTOMS EDI SYSTEM INRXLB 6195974 21-DEC-23
CENTRAL BOARD OF INDIRECT TAXES AND CUSTOMS IEC/Br AXIPP3760H 0
DEPARTMENT OF REVENUE - MINISTRY OF FINANCE GSTIN/TYPE 24AXIPP3760H1ZC GSN
GOVERNMENT OF INDIA CB CODE AABFU8653JCH005
TYPE INV ITEM CONT
Nos 1 2 0
LCS RAXAUL, DIST: EAST CHAPARAN, BIHAR PKG 1 G.WT KGS 20 * SB21211220231715
PART - V - DECLARATIONS
PY
CO
A. DECLARATION STATEMENT
D
SE
S ES
AS
B. AUTHORIZED
SIGNATORY
DATE AUTHORIZED SIGNATORY CHA NAME :AABFU8653JCH005
PLACE
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Page 6 Of 6
