KYC Format (Blank)
KYC Format (Blank)
To
The Office of Dy. Commissioner Customs
JNPT / Mumbai / Mulund CFS / Air cargo Complex/ Courier Cell
Maharashtra
We hereby authorize M/s. ___________________ (CHA NO. ________), (address). Operating over
there CHA Licence No. ___________________ to clear our any of Import / Export consignment on our
behalf from Bombay sea (INBOM1) / JNPT(INNSA1) / Air Cargo Complex(INBOM4)/Mulund
CFS(INMUL6)/Mumbai etc.
We also hereby declare that all our shipments, including our present consignment under clearance
through our office, are our legitimate import / export and without any express violation of rule and
procedures under Custom Act 1962, Foreign Exchange Regulation Act (FERA). Foreign exchange
Management Act (FEMA) & the Foreign Trade (Development and Regulation) Act, 1992 etc.
We also further declare that our shipment/s dies/do not contain any contraband or prohibited article/s.
we shall also hold ourselves responsible for any discrepancy / Mis-declaration found in our documents
or goods for which we are seeking clearance through M/s. ___________________. Holding CHA
Licence No. ____________
In case of any legal discrepancy arising from our shipment in present as well as future, we shall hold
ourselves responsible and M/s. ______________________, Mumbai shall be in no way responsible
including any less charges, short levy, dues of customs, port, shipping companies, transporters, Octroi
etc. This Letter of Authority is issued in terms of Notification No.21/2004 Dt. 23.2.2004 which is also
otherwise briefly known as CHARL, 2018.
We also enclose self-certified photocopies of IEC, Invoice, Packing List Bills of Lading, Marine
Insurance, etc towards our request for clearance of consignment through you. We also further declare
that we shall remain present for any hearing which custom authority may grant from time to time.