652460117122024INBOM4SB22191220242113
652460117122024INBOM4SB22191220242113
1.MODE 2.ASSESS 3.EXMN 4.JOBBING 5.MEIS 6.DBK 7.RODTP 8.LICENCE 9.DFRC 10.RE-EXP 11.LUT
STATUS
AIR N Y N Y Y Y N N N
A
PY
16.PORT OF DISCHARGEAMS (AMSTERDAM, SCHIPHOL) 17.COUNTRY OF DISCHARGE NETHERLANDS
1.EXPORTER'S NAME & ADDRESS 7.CONSIGNEE NAME & ADDRESS
COMMSCOPE INDIA PRIVATE LIMITED COMMSCOPE EMEA LTD
B DECLARAN
CO
VERNA SALCETE GOA 2.Type Private NL
3. AD CODE: 6430004 8. GSTIN / TYPE 30AABCA8820A1ZI GSN
4.RBI WAIVER NO.& DT 9.FOREX BANK A/C NO. 36XXX018
5.CB NAME TRANSORION LOGISTICS SERVICES PVT10.DBK BANK A/C NO. 36XXX018
6.AEO 11. IFSC NO. BOFA0ND6216
1.FOB VALUE 2.FREIGHT 3.INSURANC 4.DISCOU 5.COM 1.DBK CLAIM 2. IGST AMT 3.CESS AMT
SUMMA
E MANIFEST C.VALU
EX.PR.
477169.51 0 0 0 0 4772 85890.51
D.
6.DEDUCTIONS 7.P/C 8.DUTY 9.CESS 4.IGST VALUE 5.RODTEP AMT 6.ROSCTL AMT
RT
0 0 477169.51 3887 0
1.MAWB NO. 2.MAWB DT 3.HAWB NO. 4.HAWB DT N.O.C. 1.SNO 2.INV NO. 3. INV AMT. 4.CURRENC
DETAILS
EX
H
T
1.SEAL TYPE 2.NATURE OF CARGO 3.NO. OF PACKETS 4.NO. OF CONTAINERS 5.LOOSE PACKETS
I. ANNEX
DETAILS
6.MARKS & NUMBERS WE INTEND TO CLAIM BENEFIT UNDER RODTEP SCHEME, SUPPLY MEANT FOR EXPORT ON PAYMENT
OF IGST UNDER CHAPTER VII,16 3(B) OF THE INTEGRATED GOODS AND SERVICES TAX ACT,2017
1.S.No 2.INVOICE No. & Dt. 3.P.O.No. & Dt. 4.LoC No. & Dt 5.Contract No.&Dt 6.AD code 7.INVTERM
REF
A.
Y
PLOT NO.N2, PHASE IV, ARSENAAL 2 2
B. TRANSACTION
OP
3.THIRD PARTY NAME & ADDRESS 4.BUYER AEO STATUS
1.INVOICE VALUE
TC
2.FOB VALUE 3FREIGHT 4.INSURANCE5DISCOUNT6.COMMISON 7.DEDUCT 8.P/C 9.EXCHANGE RATE
C.VAL
DTLS
LE
Glossary
A: Ref - Reference P.O. - Purchase Order, LoC - Letter of Credit, AD - Authorised Dealer C: VAL DTLS - Valuation Details
FOB - Freight On Board, DEDUCT - Deduction , P/C - Packing Charge D: HS CD - Harmonized System Code, UQC - Unit Quantity Code
1.S.No 2.INVOICE No. & Dt. 3.P.O.No. & Dt. 4.LoC No. & Dt 5.Contract No.&Dt 6.AD code 7.INVTERM
REF
A.
Y
PLOT NO.N2, PHASE IV, ARSENAAL 2 2
B. TRANSACTION
OP
3.THIRD PARTY NAME & ADDRESS 4.BUYER AEO STATUS
1.INVOICE VALUE
TC
2.FOB VALUE 3FREIGHT 4.INSURANCE5DISCOUNT6.COMMISON 7.DEDUCT 8.P/C 9.EXCHANGE RATE
C.VAL
DTLS
LE
1.S.No 2.INVOICE No. & Dt. 3.P.O.No. & Dt. 4.LoC No. & Dt 5.Contract No.&Dt 6.AD code 7.INVTERM
REF
A.
Y
PLOT NO.N2, PHASE IV, ARSENAAL 2 2
B. TRANSACTION
OP
3.THIRD PARTY NAME & ADDRESS 4.BUYER AEO STATUS
1.INVOICE VALUE
TC
2.FOB VALUE 3FREIGHT 4.INSURANCE5DISCOUNT6.COMMISON 7.DEDUCT 8.P/C 9.EXCHANGE RATE
C.VAL
DTLS
LE
1INVSN 2ITEMSN 3.HS CD 4.DESCRIPTION 5.QUANTITY 6UQC 7.RATE 8VALUE(F/C) 9.FOB (INR) 10.PMV
1 1 90011000 (MATERIAL ID:URXQPQPF8- 40 NOS 23.2785 931.14 78122.65 2148.37
MAM008) TELECOMMU
NICATION PRODUCTS-
PC,ULL,LSZH,OM4,MPO8F
MPO8F,8F,2MM (FIBRE PATCH
PY
CORD-MULTIPLE
11.DUTYAMT 12.CESS RT 13CESAMT 14.DBKCLMD 15.IGSTSTAT 16. IGST VALUE 17. IGST AMOUNT 18SCHCOD
Y P 78122.65 14062.08 19
19. SCHEME DESCRIPTION 20. SQC MSR 21. SQC UQC 22. STATE OF ORIGIN 23. DISTRICT OF ORIGIN
Drawback 2.8 KGS Goa SOUTH GOA
CO
24. PT Abroad 25.COMP CESS 26.END USE 27.FTA BENEFIT AVAILED 28. REWARD BENEFIT 29. THIRD PARTY ITEM
NCPTI 0 INR GNX100
RT Y Yes N
PO
INVOICE (1/3)
T EX
LE
GLOSSARY
FOB - Freight On Board, HS CD Harmonized System Code, UQC - Unit Quantity Code, PMV - Present Market Value, CESAM - Cess Amount
IGSTSTA - IGST Payment Status, VAL - IGST Value, PAID - IGST Amount Paid, SCHCOD - Scheme Code, SQC MSR - Standard Quantity
Measurement, comp - compensatory, PT Abroad - Preferential treatment Availed Abroad
1INVSN 2ITEMSN 3.HS CD 4.DESCRIPTION 5.QUANTITY 6UQC 7.RATE 8VALUE(F/C) 9.FOB (INR) 10.PMV
2 1 85447090 (MATERIAL ID:FFWLCSA42- 20 PCS 5.9975 119.95 10063.81 553.51
JXF033) TELECOMMU
NICATION PRODUCTS-
JUMPER,LSZH,TS,1.6MM,
DPLX,LC-STD/SA-APC (FIBRE
PY
PATCH CORD)
11.DUTYAMT 12.CESS RT 13CESAMT 14.DBKCLMD 15.IGSTSTAT 16. IGST VALUE 17. IGST AMOUNT 18SCHCOD
Y P 10063.81 1811.48 19
19. SCHEME DESCRIPTION 20. SQC MSR 21. SQC UQC 22. STATE OF ORIGIN 23. DISTRICT OF ORIGIN
Drawback 201.168 MTR Goa SOUTH GOA
CO
24. PT Abroad 25.COMP CESS 26.END USE 27.FTA BENEFIT AVAILED 28. REWARD BENEFIT 29. THIRD PARTY ITEM
NCPTI 0 INR GNX100
RT Y Yes N
PO
INVOICE (2/3)
T EX
LE
1INVSN 2ITEMSN 3.HS CD 4.DESCRIPTION 5.QUANTITY 6UQC 7.RATE 8VALUE(F/C) 9.FOB (INR) 10.PMV
3 1 85447090 (MATERIAL ID:FFXLCLC42- 1000 NOS 4.63627 4636.27 388983.05 427.88
MXF010) TELECOMMU
NICATION PRODUCTS-
JUMPER,LSZH,LS,1.6MM,
DPLX,LC/LC,AQ,FT010 (FIBRE
PY
PATCH CORD)
11.DUTYAMT 12.CESS RT 13CESAMT 14.DBKCLMD 15.IGSTSTAT 16. IGST VALUE 17. IGST AMOUNT 18SCHCOD
Y P 388983.05 70016.95 19
19. SCHEME DESCRIPTION 20. SQC MSR 21. SQC UQC 22. STATE OF ORIGIN 23. DISTRICT OF ORIGIN
Drawback 3048 MTR Goa SOUTH GOA
CO
24. PT Abroad 25.COMP CESS 26.END USE 27.FTA BENEFIT AVAILED 28. REWARD BENEFIT 29. THIRD PARTY ITEM
NCPTI 0 INR GNX100
RT Y Yes N
PO
INVOICE (3/3)
T EX
LE
Y
1.INV SNO 2.ITEM SNO 3.LICENCE NO 4.DESCN OF EXPORT ITEM 5.EXP SNO 6.EXPQTY 7.UQC 8.FOB VALUE
9.SION 10.DESCN OF IMPORT ITEM 11IMP SNO 12IMPQT 13.UQC 14.INDIG / IMP
OP
C. JOBBING DETAILS
1.BE NO 2.BE DATE 3.PORT CODE 4.DESCN OF IMPORTED GOODS 5.QTY IMP 6.QTY USED
TC
D. SINGLE WINDOW DECLARATION
1.INVSN 2.ITMSN 3.INFO 4.QUALIFIER 5.INFO CD 6.INFO TEXT 7.INFO MSR 8.UQC
1 1 CHR SQC 2.8 KGS
1 1 DTY GCESS 0 INR
1 1 DTY RDT RODTEPY Claimed 2.8 KGS
OTHER ADDITIONAL INFORMATION
G.SUPPORTING DOCUMENTS
1.INVSN2.ITMSNO 3 DOCTYPCD 4. ICEGATE ID 5. IRN 6.PARTY CD 7.ISSUE PLA 8.ISS DT 9.EXP DT
1 0 331000 MERITMAA1 2024121700096564 SOUTH GOA 16-DEC-24
1 0 934000 MERITMAA1 2024121700096563 SOUTH GOA 16-DEC-24
2 0 331000 MERITMAA1 2024121700096966 SOUTH GOA 16-DEC-24
3 0 331000 MERITMAA1 2024121700096967 SOUTH GOA 16-DEC-24
H.INVOICE DETAILS
1.SNO 2.INVOICE NO 3.INVOICE AMOUNT 4.CURRENCY
1 AG0306098129 931.14 USD
2 AG0306098130 119.95 USD
3 AG0306098131 4636.27 USD
I.CONTAINER DETAILS
1.SNO 2.CONTAINER 3.SEAL 4.DATE
Glossary
INVSN - Invoice Serial Number ITMSN - Item Serial Number A: DBK - Drawback, ROSL - Rebate of State Levies, B: DFIA - Duty Free Import
Authorization, EXP - Export , IMP - Import , UQC-Unit Quanity CodeFOB - Freight On Board D: INFO - Information CD - Code MSR - Measuremen
E: ING - Ingredient F : RES CD - Result Code, RES TXT - Result Text ST DT -Start Date G: IRN - Image Reference Number CD - Code PLA - Pla
J.AR4 DETAILS
1.INVSN 2.ITMSN 3.AR4 NUMBER 4.AR4 DATE 5.COMMISSIONERATE 6.DIVISION 7.RANGE
Y
L. ITEM MANUFACTURER/PRODUCER/GROWER DETAILS
OP
1.INVSN2.ITMSN 3.TYPE 4.MANUFACT CD 5.SOURCE STATE 6.TRANS CY 7.ADDRESS
M. RODTEP DETAILS
1.INVSN2.ITMSN 3. QUANTITY 4. UQC 5. NO. OF UNITS 6. VALUE
1 1 2.8 TC KGS 1 1094
2 1 201.168 MTR 1 70
3 1 3048 MTR 1 2723
N. REEXPORT DETAILS
1.INVS 2.ITMSN 3.BE SITE ID 4.BE NUMBER5.BE DATE6.BE INV SNO 7.BE ITEM S 8. BE QTY 9. BE UQC
OTHER ADDITIONAL INFORMATION
OR
XP
TE
LE
Glossary
INVSN - Invoice Serial Number ITMSN - Item Serial Number A: DBK - Drawback, ROSL - Rebate of State Levies, B: DFIA - Duty Free Import
Authorization, EXP - Export , IMP - Import , UQC-Unit Quanity CodeFOB - Freight On Board D: INFO - Information CD - Code MSR - Measuremen
E: ING - Ingredient F : RES CD - Result Code, RES TXT - Result Text ST DT -Start Date G: IRN - Image Reference Number CD - Code PLA - Pla
PART - V - DECLARATIONS
Y
OP
TC
A. DECLARATION STATEMENT
OR
XP
TE
LE
B. AUTHORIZED
SIGNATORY
PLACE