H S Clearing Agency

Checklist for Shipping Bill

[Custom Stn: AHMEDABAD (AMD) , INAMD4]
Generated On: 29/11/2023 19:32:52 Page 1 of 3

SB No. / Date : 5673667 dt. 29/11/2023 Party Ref. : 23/AE/910

Job No. : EXP/2459/2023 Date : 29/11/2023
CHA No. & Name : AAJFH1842ECH001 H S Clearing Agency
GSTIN : 24AAJFH1842E1ZQ
Exporter Details Consignee
GSTIN: 08AAFCS6813H1Z8 Type : Individual IEC CIRTEX INDUSTRIES LTD
IEC : 1302000349 Branch # : 0 PAN : AAFCS6813H CIRTEX WIRI 97 MCLAUGHLINS ROAD
SAH POLYMERS LIMITED WIRI, AUCKLAND 2104
E-260-261, MEWAR INDUSTRIAL AREA MADRI, , UDAIPUR New Zealand
RAJASTHAN UDAIPUR - 313003

Port of Loading : AHMEDABAD (AMD) (INAMD4) Total Packages : 3 PLT

Port of Destination : Auckland (AKL) Loose Packets :
Gross Weight : 1,376.000 KGS Net Weight : 1,310.000 KGS
Country of Destination : New Zealand (NZ) No. of Containers :
Discharge Country : New Zealand (NZ) Discharge Port : Auckland (AKL)
Master AWB No. & Dt. : House AWB No. & Dt. :
Nature of Cargo : P-PACKAGED CARGO
RBI Waiver No. : RBI Waiver Date :
Marks & No.
''WE INTEND TO CLAIM REWARDS UNDER REMISSION OF DUTIES AND TAXES ON EXPORTED PRODUCTS(RODTEP)''
State of Origin : Rajasthan Exporter Type : MANUFACTURER
A.D. Code : 6380007 INDUSLND BANK Forex Bank A/C No. : 201002148992
DBK(INR) : 2,216.04 RoDTEP Amount (INR) : 1,704.65
STR Amount (INR) : ROSCTL Amount (INR) :
Total FOB Value (INR) : 170,464.50 Total Taxable Amount: : 0.00
Total IGST Amount: : 0.00
Invoice Details
Invoice Value : USD 2,430.00 INR 200,110.50
FOB Value : USD 2,070.00 INR 170,464.50
Invoice No. : SPL/075/2023-24 Invoice Date : 29/11/2023
Unit Price Include : Freight & Insurance
Nature of Contract : CIF Invoice Currency : USD
Exchange Rate : 1 USD = 82.3500 INR
Rate Currency Amount
Insurance : USD 10.00
Freight : USD 350.00
Discount :
Commission :
Other Deduction :
Packing Charges :
Nature of Payment : DA-DELIVERY AGAINST ACCEPTANCE Period of Payment : 0 Days
Buyer Name & Add. : << SAME AS CONSIGNEE >> Contract No. :
Contact Date :

ITEM DETAILS
Invoice No. & Date : SPL/075/2023-24 29/11/2023

Sr. No. RITC Description FOB Value FOB Value Total PMV/ Unit Total PMV
Quantity Sch. Code Unit Price (FC) (INR) Value (FC) Taxable IGST Amount
IGST Payment Status Value
1 39269080 [REWARD ITEM] PP WOVEN FABRICS UNLAMINATED SIZE : 1M X 50M ROLL, COLOUR
: BLACK, TYPE : SILT FENCE GSM : 100 GSM AS PER INVOICE
243.000
NOS 19 10.00000 2070.000000 170,464.50 2430.00 771.65 187,510.94
End Use: GNX200 1 NOS LUT - Export under Bond - Not Paid
243.000 2,070.00 170,464.50 2,430.00 771.65 187,510.94
 H S Clearing Agency
Checklist for Shipping Bill
[Custom Stn: AHMEDABAD (AMD) , INAMD4]
Generated On: 29/11/2023 19:32:52 Page 2 of 3

SB No. / Date : 5673667 dt. 29/11/2023 Party Ref. : 23/AE/910

Job No. : EXP/2459/2023 Date : 29/11/2023
CHA No. & Name : AAJFH1842ECH001 H S Clearing Agency
GSTIN : 24AAJFH1842E1ZQ
Exporter Details Consignee
GSTIN: 08AAFCS6813H1Z8 Type : Individual IEC CIRTEX INDUSTRIES LTD
IEC : 1302000349 Branch # : 0 PAN : AAFCS6813H CIRTEX WIRI 97 MCLAUGHLINS ROAD
SAH POLYMERS LIMITED WIRI, AUCKLAND 2104
E-260-261, MEWAR INDUSTRIAL AREA MADRI, , UDAIPUR New Zealand
RAJASTHAN UDAIPUR - 313003

Sr. No. RITC Description FOB Value FOB Value Total PMV/ Unit Total PMV
Quantity Sch. Code Unit Price (FC) (INR) Value (FC) Taxable IGST Amount
IGST Payment Status Value
Total 0.00 0.00
DRAWBACK DETAILS

Inv. Item DBK Sr. No DBK DBK Rate DBK Qty Unit DBK Amount
Sr. No. Sr.No. (Rate) (Value Cap) (INR)
1 1 392699B 1.30% Per 1 NOS 243.000 NOS 2,216.04
Total DBK (INR) : 2,216.04
RoDTEP DETAILS

Inv. Item RITC RoDTEP RoDTEP Rate RoDTEP Qty Unit RoDTEP Amount
Sr. No. Sr.No. (Rate) (Value Cap) (INR)
1 1 39269080 1.00% Per 1 KGS 1310.000 KGS 1,704.65
Total RoDTEP (INR) : 1,704.65
SINGLE WINDOW - INFO TYPE DETAILS

Inv/Item Type Qualifier Code Text Measures

Sr. No. Unit
1 /1 Origin Criteria State of Origin
(ORC) (STO) RAJASTHAN (08)
1 /1 Origin Criteria District of Origin
(ORC) (DOO) UDAIPUR (117)
1 /1 Item Characteristics Standard UQC 1310.000000
(CHR) (SQC) KGS
1 /1 Origin Criteria
(ORC) (EPT) Perferential Trade Benefit
not claimed at Importing
Country (NCPTI)
1 /1 Duty Compensation Cess
(DTY) (GCESS) INR
1 /1 Duty Remission of Duties RODTEPY - RoDTEP 1310.000000
(DTY) (RDT) Availed KGS
 H S Clearing Agency
Checklist for Shipping Bill
[Custom Stn: AHMEDABAD (AMD) , INAMD4]
Generated On: 29/11/2023 19:32:52 Page 3 of 3

SB No. / Date : 5673667 dt. 29/11/2023 Party Ref. : 23/AE/910

Job No. : EXP/2459/2023 Date : 29/11/2023
CHA No. & Name : AAJFH1842ECH001 H S Clearing Agency
GSTIN : 24AAJFH1842E1ZQ
Exporter Details Consignee
GSTIN: 08AAFCS6813H1Z8 Type : Individual IEC CIRTEX INDUSTRIES LTD
IEC : 1302000349 Branch # : 0 PAN : AAFCS6813H CIRTEX WIRI 97 MCLAUGHLINS ROAD
SAH POLYMERS LIMITED WIRI, AUCKLAND 2104
E-260-261, MEWAR INDUSTRIAL AREA MADRI, , UDAIPUR New Zealand
RAJASTHAN UDAIPUR - 313003

STATEMENT DETAILS

Invoice Item Statement Statement Statement Text

Sr.No Sr.No. Type Code
1 1 DEC RD001 “I/We, in regard to my/our claim under RoDTEP scheme made in this Shipping Bill or
Bill of Export, hereby declare that:
I/ We undertake to abide by the provisions, including conditions, restrictions, exclusions
and time-limits as provided under RoDTEP scheme, and relevant notifications,
regulations, etc., as amended from time to time.
Any claim made in this shipping bill or bill of export is not with respect to any duties or
taxes or levies which are exempted or remitted or credited under any other mechanism
outside RoDTEP.
I/We undertake to preserve and make available relevant documents relating to the
exported goods for the purposes of audit in the manner and for the time period
prescribed in the Customs Audit Regulations, 2018.”
SUPPORTING DOCUMENT

Inv/Item ICEGATE ID Document Type Place of Issue Issuing Party

Sr. No. IRN Document Name Issue Date Beneficiary Party
DRN Upload Date Expiry Date
1 /0 HSCA2018 331000 INDIA SAH POLYMERS LIMITED
2023112900132772 INVOICE PL 29/11/2023 CIRTEX INDUSTRIES LTD
2023112900048357 29/11/2023,06:20:00 PM

DECLARATION
I/We declare that the particulars given herein are true and are correct.

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.

Signature of Exporter/CHA with date

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