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CAS (Statement of export shipments made on charges collect basis and repatriation of the funds involved for the month ended .......199)
CAS
[Paragraphs 8B.5(iii)]
Statement of export shipments made on charges collect basis and
repatriation of the funds involved for the month ended .......199
(To be submitted in duplicate)
Name of the freight forwarder: _____________________________________________________
Address & Phone No. ___________________________________________________________
___________________________________________________________
Part A Charges collect shipments sent
Sr. | Name of the | Details of export shipments | Destination | Freight paid | Charges to be | |||
MAWB * | HAWB * | |||||||
(1) | (2) | (3) | (4) | (5) | (6) | (7) | ||
(i) | Shipments of earlier months for which payments were to be received at the beginning of the month | |||||||
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(ii) | Shipments sent during the month | |||||||
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Part B: Repatriation of charges collected
Sr. | Name of the | Details of export shipments | Destina- | Charges | Charges | Date of | BBA’s | |
MAWB * | HAWB * | |||||||
(1) | (2) | (3) | (4) | (5) | (6) | (7) | (8) | (9) |
Notes: (i) Copies of relevant MAWB/MBL & HAWB/HBL should accompany Part A
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Place: | Stamp |
| (Signature of authorised official) |
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| Name: | |
Date: | Designation: | ||
* Strike out whichever is not applicable.
Certificate from the Chartered Accountant
Certified that the particulars furnished above have been verified with reference to the books of account and bank certificate verified for the inward remittance received for the purpose as per column 7 above.
Place: Date: | Signature : Status : Chartered Accountant Registration No.________________________ |