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used earlier.] —Cost and Freight FOB —Free on Board CHA —Custom House Agent GR Form —Guaranteed Receipt Form ETC Licence —Export Trade Control Licence ... Custom Excise Custom Total Total Amount in words Rupees...................................................... Signature of Exporter/CHA 'LET EXPORT Signature of officer of customs 'ALLOWED FOR SHIPMENT' Signature

Issued at: Valid upto: Name of the Customs House Agent: Type of CHA (Proprietorship/firm/Pvt./Public Ltd./others) Specimen signature of the Custom House

cargo terminal building where offices of Customs, Custodian, clearing and handling agents (CHA's), Banks, etc., are housed; (d) "Chairperson" shall have the meaning assigned

entry only Cargo Declaration Sl. No   Headings Data 1. Importer Code 2. CHA Code 3. Port of Shipment 4. Country of Origin 5. Country ... information contained therein is true and correct. Date : Signature : Name : CHA Stamp