E-Annex Check List

ANS CARGO LOGISTICS , CHA :FHMPS1058ECH001

Scheme Desc :: DrawBack

Job No. : 3310 Job Dt. : 09/03/2020 User Job No : TKD6/1920//

Port of Loadi: ICD, TUGHLAKABAD State(Org : DELHI (07)
EXPORTER DETAILS CONSIGNEE DETAILS
AAXFA7642K Branch Code : 0 AL SHAHEEM AL THAHABI BLDG. MAT. TR
A S G TRADING COMPANY LLC P O BOX 26775 SHARJAH UNITED ARAB EMIRATES
PLOT NO.-82 GROUND FLOOR,POCKET-D,
SECTOR-4, DSIDC BAWANA INDUSTRIA
, DELHI - 110083
Exp. Type : Manufacturer
PAN No. : AAXFA7642K FT00
GSTN Type : GSN GSTN Id : 07AAXFA7642K1ZS
-----------------------------------------
Port of Loading : ICD, TUGHLAKABAD Total Pkgs. : 265 CTN
Port of Dest. : SHARJAH Loose Pckts : 0.00 CTN
Gross Wt. : 4293.000 KGS Net Wt : 4,050.000 KGS
Country Of Dest. : UNITED ARAB EMIRATES No. Of Ctrs. : 0
Master AWB No. : House AWB No. :
Nature of Cargo : RBI Wvr. No. : RBI Wvr. Date :
Forex Bank a/c N. : IFS Code : DBK (INR) : 12,725.83
FOB Value (INR) : 848388.82 Bank a/c No. :
AD Code : 0410003 Marks & Nos. :
Country of Disch. : UNITED ARAB EMIRATES WE INTEND TO CLAIM REWARDS UNDER MERCHANDISE EXPORTS FROM INDIA
SCHEME (MEIS). I/WE UNDERTAKE TO ABIDE BY THE PROVISIONS OF FEMA
Port of Disch. : AESHJ SHARJAH
1999, AS AMENDED FROM TIME TO TIME, INCLUDING REALIZATION OR
Service tax Refund : REPATRIATION OF FOREIGN EXCHANGE TO OR FROM INDIA.
(INR)

INVOICE DETAILS :: Invoice Sr. No.: 1 / 1

Invoice Val : 873,781.32 (INR) 12,043.85 ( USD )

FOB Val : 848,388.82 DBK Val : 12,725.83 INR
Add Freight : F ROSCTL Val : 0.00 INR
Inv. No. : ASG-4262 Inv. Date : 17/03/2020
Nature of Contr : CF Inv Curr. : USD
Exchange Rate : 1 (USD) = 72.55 (INR)
RATE CUR AMOUNT

Freight : 0.00 USD 350.00

Insurance : 0.00 0.00
Commission : 0.00 0.00 Exp Contract No. :
Discount : 0.00 0.00
Payment Prd.(DAYS) : 90
Pack Charge : 0.00 0.00
Buyer's Name & Add. <Same as Consignee>
Oth. Deduc : 0.00 0.00
Nature of Pmt. : DA
Third party Name & Add.: , , , , , ,

AEO Code: AEO Country: AEO Role: Terms Place:

ITEM DETAILS ::
Item No. , RITC Code & Descr
Quantity Unit Rate Per Unit Total Val (FC) FOB(INR) Scheme Reward STR
DBK Sr. No. Custom Rate Dbk Adv DBK Quantity Lice
Excise Rate DBK Rate Spet DBK Type DBK Amount
1 64031990 COMFORT SHOE HIGH ANCLES WITH BLACK GREY LACES WITH GREY LINING PU LEATEHR
WITHPVC RUBBER SOLE 39/53 40/218 41/353 ETC
2,647.00000 PRS 4.55000 Per 1 PRS 12043.85 848388.82 19 Y N
640399B 1.50 1.50 2647.00
0.00 0.00 12725.83

Date of Print : 18/03/2020 Page 1 of 3

PMV Is Rs. 363.11 :: Total PMV is Rs. 961,159.45
Scheme Desc :: DrawBack
End Use GNX100 IGST Pmt Status LUT Accessory Status Tax. Value 0.00 IGST Amt 0.00
Mnf/Pro Code Type Mnf/Pro Code Total Pkg 0.00

Source State Transit Country HAWB No

Total : 848388.82
Total DBK(INR) : 12725.83
Total CESS(INR) : 0.00
Total DEPB(INR) : 0.00
Total Taxable : 0.00
Total IGST : 0.00
DBK DETAILS
Invoice No Item sl no DBK Sl No Cust. Rate DBK Adv. DBK Qty DBK Unit ROSCTL Adv.
Exise Rate DBK Rate Sp. DBK Type DBK Amount ROSCTL Rate Sp.
ROSCTL Amount
1 1 640399B 1.50 1.50 2647.00 0.00
0.00 0.00 12725.83 0.00
0.00

Single Window Info Type

Inv No Item No Info Type Qualifier Info Code Desc Test Msr Unit
1 1 ORC STO 07 Delhi 0.00
1 1 ORC DOO 82 NORTH WEST 0.00
1 1 ORC EPT GSTP GLOBAL SYSTEM OF TRADE PREFERENCES (GSTP) 0.00
1 1 DTY GCESS 0.00 INR
1 1 CHR SQC 2,647.00 PRS

Single Window Supporting Docs

Inv No IRN No Issuing Party Code, Name And Ref. No. Beneficiary Party Code, Name And
Address Address
Item No Type Code Place
For Type Code Desc Iss Date
File Type Exp Date

Re Export

Inv No. Sr No BE No BE Inv No Manual BE Desc Assessd Val Identi Param Item Used Per Used

Duty Paid Com Permission Mod Availed

Item No BE Site BE Date BE Item No Qty Utilised Qty Unit Duty Pay Dt Assessed Val Claim Input Credit Mod Repaid

Date of Print : 18/03/2020 Page 2 of 3

I / We declare that the particulars given herein are true and are correct. I /We undertake to abide by the
provisions of Foreign Exchange Management Act, 1999, as amended from time to time, including
realisation/repatriation of foreign exchange to/from India

Signature of
Exporter / CHA With Date

Date of Print : 18/03/2020 Page 3 of 3