SHIPPER's LETTER OF INSTRUCTION

Date:
FedEx A/c No. Invoice No. Date IEC No.
AD Code No.
FedEx AWB No. EIN No. PAN No.
Shipper Contract Type (tick one)
Ex-Works C & F (breakup) C I F (breakup)
FOB Cost Cost
Freight Insurance
Freight
Other - Please specify
Currency
Type of Shipping Bill (tick one) Section 74

Commercial exports by courier

Drawback -value =<INR25K(FOB) Other - Please specify
Tel No. Free Shipping Bill NFEI EOU
Email Address Advance Authorisation Re-Export MEIS
Fax No. EPCG Jobbing Repair and Return
Consignee Duty Drawback Details:
Bank Detail

Current A/c No.

Description Of Goods
Tel No.
Email Address
Fax No.
Destination No. of Packages
GSTN details
Net Weight Gross Weight GSTIN No. of the pick-up state GSTIN Type
State Code
Marks and Numbers

Documents Enclosed (tick where applicable) Mandatory if PSD / EP copy delivery address other than IEC Add.
Post shipment document / EP delivery instructions
FedEx AWB (duly complete)
Invoice (5 copies) Contact person ANS EXPRESS SERVICES PVT. LTD. / MR. SANJAY
Packing List (5 copies) Telephone / Mobile 9311635070 / 011 46027220
Buyer Order Street Address 1
GSP Form 110 B, FIRST FLOOR, HUMAYUNPUR, SAFDARJUNG ENCLAVE
Original, Duplicate Visa (with 2 copies) Street Address 2
Export Certificates (with 2 copies)
Photo copy of IEC with PAN No. City NEW DELHI
Bank Certificate PIN number 110029
ARE-1 Form
Any Export Promotion Council Regn. Copy Any other instructions on Post shipment docs / EP delivery
Details of Duty Benefit Claimed
Drawback:
Inv Item No. 1 Bank Name A/c No DBK Sr No DBK Rate
Inv Item No. 2 Bank Name A/c No DBK Sr No DBK Rate
Reward to be claimed: Yes / No
Drawback Item Declaration
DBK 001 DBK 002 DBK 003
DEEC / EPCG Details
Inv Item No REG No Date EPCG / DEEC LIC No. / Date:
(If LIC prior to 2009)
Any Other Documents:
If MEIS box is ticked in type of shippping bill please mention on the Shipping Bill as under:
"We intend to claim rewards under Merchandise Export From India Scheme (MEIS)"
Other Handling Information
GSP REQUIRED? If YES - (It will be prepared by Jeena & Co.) GSP Type: Normal / Tatkal (Same Day) (Please tick any one)
GSP Registration No. Password:
If NO - Please provide the GSP (if applicable). Refer www.eicindia.gov.in. for further inquiry.

We hereby appoint M/s Jeena & Company /Capricorn Logistics Pvt Ltd /FedEx Express Transportation and Supply Chain Services (India) Pvt. Ltd. as our authorized CHA for filling of our
export / import documents in our name & getting our cargo cleared as per the documents and information provided to them by us. We hereby also declare that the information in the
subject invoice is as per our knowledge, true and correct and if during custom examination anything found contradictory / objectionable in the shipment neither CHA nor the carrier
would be held responsible.
I/ We declare that the particulars given herein are true, correct and complete
“I/We undertake to abide by provisions of Foreign Exchange Management Act, 1999, as amended from time to time, including realization / repatriation of foreign exchange to / from India.

Shipper Signature and Stamp

Shipper Name & Designation Contact Details:
MANDATORY REQUIREMENTS FOR BELOW SHIPPING TYPES Note: EVD IS MUST FOR EVERY TYPES OF S/B )
DRAWBACK DEEC / DFIA EPCG RE-EXPORT 100% EOU
Cenvat Form Original Consumption Sheet EPCG Licence Original Bill of Entry ANEX. C1
(with comm, division and range) Copy of Registration Sheet Copy of Reg. Sheet Original Import Invoice ARE 1
Anex 7 (for Leather Items) IEC Copy GR Waiver (Bank NOC)
Net Wt of Items Chartered Engg.Certificate