Form No.101
- Document type
- Form
- Reference no.
- 00
- Dated
- Category
- Customs Bonds & Forms
Form of Bill of Entry To be Filed By A Passenger Intending to take delivery of Gold or Silver
(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)
(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)
(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)
(To be completed by the Customs Officer at the airport)
Passed out of customs charge
Date: (Signature of Air Customs Superintendent)
(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)
(For Audit)
15. Amount of short recovery : 16. Amount of excess recovery : Date : (Signature of the Audit officer)