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BBI

Document type
Other
Dated

Statement showing the particulars of shipments under inward air/sea cargo consolidation during the period from .........to.........

BBI
(Paragraph 8B.6)

Statement showing the particulars of shipments under
inward air/sea cargo consolidation during the period
from ......................to....................

Name of the overseas consolidator :

Name and address of the Break-bulk agent in India :

Particulars of inbound shipments on prepaid/charges collect basis

(in foreign currency)

Sr.No.*MAWB
MBL
Particulars of HAWB/HBL*Details of charges claimed by the overseas consolidator
No.DateHAWB
HBL
PrepaidCharges
collect
FreightInsurance
premium
Certificate
of origin
charges
Miscellaneous
(to be Specified)
No.



Date



1.2.3.4.5.6.7.8.9.10.11.


Eligible amount
(8+11) – (9+10)
Breakbulk fees/agency
commission/other charges
Profit shareNet amount to be
remitted [12 – (13 or 14)]
12.13.14.15.

The aggregate amount required to be remitted is ……………………………………………. (in foreign currency asshown in Form A2)

Note: Separate statements should be submitted for air/sea cargo consolidation.



Place: ________________

Date: _________________



STAMP

___________________________
(Signature of Authorised Official)


Name: _______________________

Designation: _______________________

* Strike out whichever is not applicable.

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