PROFORMA INVOICE

DATE OF EXPORTATION EXPORT REFERENCE

24/7/2018
SHIPPER/ EXPORTER Gopal Kaushik CONSIGNEE (Complete name & Address)
Abdur Rahman
1124, Sector-14 Faridabad, Haryana - 121007
F30, 1ST FLOOR, DLF COLONY, DILSHAD
EXTENSION, BHOPURA GAZIABAD 201005
V.A.T. NO.:

TEL. NO. 9873233331 TEL NO.: 9005419521/9205513779

ACCOUNT NO.: SSN/EIN NO. :

TRADE REGISTER NO.: IMPORTER IF OTHER THAN CONSIGNEE

COUNTRY OF EXPORT

COUNTRY OF ORIGIN OF GOODS

Country of Ultimate Destination INTERNATION AWB NO.

Mark/No No. of Complete Description of Goods QTY Unit Total Currency

Packages Value Value

1 Orion 3 1000 3000 INR

2 Milk frother 2 500 1000

Total No Total Currency

of Pkgs. Value
VALUE DECLARED FOR CUSTOMS PURPOSE ONLY
1 INR
4000

I DECLARE ALL THE INFORMATION CONTAINED IN THIS INVOICE TO BE TRUE

AND CORRECT.
THE SHIPMENTS ARE NOT FOR SALE AND ONLY FOR VALUEATION PURPOSE THE VALUE
IS DECLARED

24/07/2018
SIGNATURE OF SHIPPER (Name, Title & Signature) DATE

BOMRC 12-16-02 1 OF 1