SHIPPER'S LET

Shipper Name: MUKTA PHARMACEUTICALS

Consignee Name: BTHH family pharmacy

DHL AIR WAYBILL NUMBER (AWB) :

IE CODE NO (10 DIGIT) :
IEC BRANCH CODE :
PAN NUMBER :
GSTIN NUMBER :
IGST Payment Status (Mandatory to TICK MARK from below option (A, B or C) i
A ) NOT APPLICABLE (Valid Reason to be provided)
B ) LUT- Export Under Bond (Copy of valid LUT Required)
C ) Export Against Payment (in INR on export invoice)
End use code (EU Code)
RoDTEP Benefit to be claimed (Please tick Y / N)
BANK AD CODE # (PART I & II) :
INCOTERMS : F O B / C & F / C & I / C I F :
NATURE OF PAYMENT : D P / D A / A P
FOB VALUE :
FREIGHT (IF ANY) :
INSURANCE (IF ANY) :
COMMISSION (IF ANY) :
DISCOUNT (IF ANY) :
PACKING CHARGES (IF ANY) :
NO. OF PKGS. :
NET WT. :
GROSS WT. :
STATE OF ORIGIN :
DISTRICT OF ORIGIN :
EXPORT UNDER PTA/FTA :
CATEGORY OF SHIPPER (Please tick) : Merchant
If Merchant, manufacturer details to be updated in : Y
Special instructons, if any

TYPE OF SHIPPING BILL (TICK MARK)

A) NFEI (No Foreign Exchange Involved)
B) FREE SHIPPING BILL INVOLVING REMITTANCE
C) EOU SHIPPING BILL
D) DUTY DRAWBACK
E) EPCG SHIPPING BILL
F) ADVANCE LICENCE SHIPPING BILL
G) ROSL (Rebate of State Levies)
H) REPAIR & RETURN
Please TICK & LIST the documents provided to DHL with the shipment :
1. INVOICE (4 COPIES) 5. MSDS
2. PACKING LIST (4 COPIES) 6. PHYTOSANITARY CERT
3. NON-DG DECLARATION 7. VISA/AEPC ENDORSEME
4. LAB ANALYSIS REPORT 8. LETTER TO DC
In forwarding this document, I/We authorize DHL Express (India) Pvt. Ltd. (‘DH

Please indicate API (As per Invoice) if any detail is mentioned in the Invoice.
We hereby confirm that the above details declared are true and correct.
We confirm that our company's IEC & Bank AD Code are registered with EDI System of A
SCOMET Declaration is applicable for chapters 28,29,34,38,70,72-85,87-90
LC (Letter of Credit) Shipments are not handled by DHL
 SHIPPER'S LETTER OF INSTRUCTIONS
HARMACEUTICALS Invoice No.: C02
amily pharmacy Invoice Dat 21/10/2024

w option (A, B or C) in

IGST AMOUNT -
GST Compensation Cess -
Y
(Invoice should mention intent
N to claim RoDTEP benefit
Total and
No. UQC
of line
atitems
line item
in level)

Manufacturer
N If Y, Please provide Manufacturer name:

BELOW DOCUMENTS REQUIRED WITH THE SHIPMENT

Letter stating Reason for Export

ANNEXURE C1
DBK SL NO
 REGN NO. & DT OF EPCG LIC, COPY OF EPCG LIC / REGN COPY
REGN NO. & DT OF ADV LIC, COPY OF LIC / REGN COPY,CONSUMPTION SHEET
NO ADDITIONAL DOCUMENTS REQUIRED.
B/E COPY, IMP INV/PKG LIST/GR WAIVER ON GR FORM,CHARTERED ENGG CERTIFICATE, EXPORT INV/P
e shipment :
MSDS 9. SCOMET DECLARATION
PHYTOSANITARY CERT 10. RoDTEP DECLARATION
VISA/AEPC ENDORSEMENT
LETTER TO DC
India) Pvt. Ltd. (‘DHL’), its group companies and their agents, to act as our agent to clear this Ship

e Invoice.
orrect.
d with EDI System of Air Cargo at the port of clearance
85,87-90
SIGNATURE OF EXPORTER/ STAMP
 C02
1/10/2024

RoDTEP will be claimed for which line item numbers?

 IFICATE, EXPORT INV/PKG LIST, L

ent to clear this Shipment from C

OF EXPORTER/ STAMP
Shipper Name: MUKTA PHARMACE
Consignee Name: BTHH family pha

DHL AIR WAYBILL NUMBER (AWB) :

IE CODE NO (10 DIGIT) :
IEC BRANCH CODE :
PAN NUMBER :
GSTIN NUMBER :
IGST Payment Status (Mandatory to TICK MARK from below option (A, B or C) i
A ) NOT APPLICABLE (Valid Reason to be provided)
B ) LUT- Export Under Bond (Copy of valid LUT Required)
C ) Export Against Payment (in INR on export invoice)
End use code (EU Code)
RoDTEP Benefit to be claimed (Please tick Y / N)
BANK AD CODE # (PART I & II) :
INCOTERMS : F O B / C & F / C & I / C I F :
NATURE OF PAYMENT : D P / D A / A P
FOB VALUE :
FREIGHT (IF ANY) :
INSURANCE (IF ANY) :
COMMISSION (IF ANY) :
DISCOUNT (IF ANY) :
PACKING CHARGES (IF ANY) :
NO. OF PKGS. :
NET WT. :
GROSS WT. :
STATE OF ORIGIN :
DISTRICT OF ORIGIN :
EXPORT UNDER PTA/FTA :
CATEGORY OF SHIPPER (Please tick) : Merchant
If Merchant, manufacturer details to be updated in : Y
Special instructons, if any

TYPE OF SHIPPING BILL (TICK MARK)

A) NFEI (No Foreign Exchange Involved)
B) FREE SHIPPING BILL INVOLVING REMITTANCE YES
C) EOU SHIPPING BILL
D) DUTY DRAWBACK
E) EPCG SHIPPING BILL
F) ADVANCE LICENCE SHIPPING BILL
G) ROSL (Rebate of State Levies)
H) REPAIR & RETURN
Please TICK & LIST the documents provided to DHL with the shipment :
1. INVOICE (4 COPIES) YES 5. MSDS
2. PACKING LIST (4 COPIES) YES 6. PHYTOSANITARY CERT
3. NON-DG DECLARATION YES 7. VISA/AEPC ENDORSEME
4. LAB ANALYSIS REPORT 8. LETTER TO DC
In forwarding this document, I/We authorize DHL Express (India) Pvt. Ltd. (‘DH

Please indicate API (As per Invoice) if any detail is mentioned in the Invoice.
We hereby confirm that the above details declared are true and correct.
We confirm that our company's IEC & Bank AD Code are registered with EDI System of A
SCOMET Declaration is applicable for chapters 28,29,34,38,70,72-85,87-90
LC (Letter of Credit) Shipments are not handled by DHL
 SHIPPER'S LETTER OF INSTRUCTIONS
MUKTA PHARMACEUTICALS Invoice No.:
BTHH family pharmacy Invoice Dat

1408281523
EDVPP7018B
-
EDVPP7018B
24EDVPP7018B1ZD
w option (A, B or C) in

IGST AMOUNT - YES

GST Compensation Cess -
(Invoice should mention intent to claim -
RoDTEP benefit and UQC at line item level) YES N
051000U
C&F
AP
388.28 USD
284 USD
NIL
NIL
NIL
NIL
1
12.102 KG
13.800 KG
SEVERAL STATE
SEVERAL DISTRICT
-
Manufacturer
N 1 If Y, Please provide Manufacturer n

BELOW DOCUMENTS REQUIRED WITH THE SHIPMENT

Letter stating Reason for Export

ANNEXURE C1
DBK SL NO
 REGN NO. & DT OF EPCG LIC, COPY OF EPCG LIC / REGN COPY
REGN NO. & DT OF ADV LIC, COPY OF LIC / REGN COPY,CONSUMPTION SHEET
NO ADDITIONAL DOCUMENTS REQUIRED.
B/E COPY, IMP INV/PKG LIST/GR WAIVER ON GR FORM,CHARTERED ENGG CERTIFICATE, EXPORT INV/P
e shipment :
MSDS
PHYTOSANITARY CERT
VISA/AEPC ENDORSEMENT
LETTER TO DC
India) Pvt. Ltd. (‘DHL’), its group companies and their agents, to act as our agent to clear this Ship

e Invoice.
orrect.
d with EDI System of Air Cargo at the port of clearance
85,87-90
 C02
21/10/2024

1408281523
EDVPP7018B
-
EDVPP7018B
24EDVPP7018B1ZD

YES

- line items in RoDTEP will be claimed for which line item

invoice? 18 numbers? 18
051000U
C&F
AP
388.28 USD
284 USD
NIL
NIL
NIL
NIL
1
12.102 KG
13.800 KG
VERAL STATE
ERAL DISTRICT
-

Y, Please provide Manufacturer name:

N SHEET

NGG CERTIFICATE, EXPORT INV/PKG LIST, LETTER REQUESTING CUSTOMS FOR 100% EXAMINA

9. SCOMET DECLARATION
10. RoDTEP DECLARATION

s our agent to clear this Shipment from Customs and also give our consent to sign, su

SIGNATURE OF EXPORTER/ STAMP