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Particulars of (A) on carriage, agency commission, etc. charges to be remitted abroad and (B) Payments on oceanfreight/slot-hire charges made to shipping companies in India in respect of export cargoes

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MTR

[Paragraph8B.3]

 

Particulars of (A) on carriage, agency commission, etc. charges to be remittedabroad and (B) Payments on oceanfreight/slot-hire charges made to shipping companies in India in respect of export cargo(es) for the period from to

 

Name & address of the MTO

 

 

 

Address

 

 

 

Registration No.

 

Validity of Registration upto

 

 

PartA: On carriage, agency commission, etc., charges to be remitted.

Sr

MTD@

Freight

Sr.No. of the

Name of the

Name of the

No.

No.

Date

Pre-paid

To collect

container

Transhipment

Agent

 

 

 

 

 

 

Port

 

1.

2.

3.

4.

5.

6.

7.

8.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TOTAL:

 

 

 

 

 

Port of

Place of

On carriage

Agency

Other

Total

discharge and

delivery

By Mode

Charges in

commission

charges

(12+13+14)

name of agent

 

*

foreign

 

 

 

appointed

 

 

currency

 

 

 

 

 

 

 

 

 

 

9.

10.

11.

12.

13.

14.

15.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PartB: Particulars of ocean freight/slot-hire payments

Sr.

Name of the shipping

Name of the

Name of the

Voyage No.

Date of

No.

company

agent in India

vessel

 

sailing

1.

2.

3.

4.

5.

6.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Sr.No. of the containers

Name of the Hub Port/

Ocean freight/ slot-hire paid

FCL

LCL

transhipment port

Date

Amount (Rs.)

7.

8.

9.

10.

11.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

We hereby certify that the information contained in this statement is true and correct in every respect and gives complete information of export containers handled by us and remittances effected.

 

 

Place:

 

 

 

 

 

 

 

 

 

 

 

Date:

 

 

Stamp

 

(Signature of Authorised Official)

 

 

 

 

 

 

 

 

 

We certify having allowed the remittance of

 

on

 

 

 

(item 15 of Part A)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(Signature of Authorised Official)

 

 

Name

 

 

 

Designation

 

 

 

@

Adseriatim (all MTOs issued during the month)

*

Ocean, rail, road, Inland waterways etc.

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