Form No. 111 Claim Of Drawback Under Rule 13 2

The claim of drawback under the rule-

To lodge this claim for Drawback of duty of Customs as per the details below together with copies of all the relevant documents :

1. Shipping Bill No. & date

2. Invoice No. & date

3. Bill of Lading or Airway Bill No. & date

4. Description and quantity of goods exported

5. Drawback sub-serial No.

6. F.O.B. value & present market value of goods

7. Calculation of drawback claim (worksheet attached)

8. Indicate whether the claim is as per brand rate

9. Brand rate letter No. & date and its validity period

10. Indicate particulars of Test report & Test bond (wherever necessary)

11. No. of enclosures*

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