Factory Stuffing Report Format

ANNEXURE

OFFICE OF THE SUPERINTENDENT OF CENTRAL EXCISE

RANGE ……I………………………………………………... DIVISION……I…………………………………..
COMMISSIONERATE……DELHI - IV…………………………………………………………………………

C.No.     Date 29.06.2007     Shipping Bill No.     Date

EXAMINATION REPORT OF FACTORY SEALED PACKAGES /CONTAINER

1. Name of Exporter :
2. a) IEC No. :
   b) Branch Code :
   c) BIN (PAN .based .. Business Identification Number of the exporter
3. Name of the manufacturer (if different from the exporter) :
4. Factory address :
5. Date of examination :
6. Name & designation of the examining officer- Inspector/EO/PO :
7. Name & designation of the supervising officer- Appraiser/Superintendent :
8. (a) Name of Commissionerate/Division /Range :
   (b) Location Code :
9. Particulars of export Invoice
   1. Export Invoice No. :
   2. Total No. of packages :
   4. Name and address of the consignee abroad :
10. (a) Is the description of the goods, the quantity and their value as per particulars furnished in the export invoice? : Yes/No
    (b) Whether sample is drawn for being Forwarded to Port of export? : Yes /No
    (c) If yes, the number of the seal of the Packages containing the sample : 01
11. Central Excise/Customs Seal Nos . 46

    (a) For Non-containernised cargo   Seal Nos.   No. of packages

    (b) For Containerised Carg

    Container Number (1)	Size (2)	Serial No. (3)	No. of Packages stuffed in container (4)

Note: 1. Invoice(s) and any other document accompanying this document should be attested by the officer supervising the examination.
2. To be filled in by the exporter before filing of this document at the time goods registration in the export shed
3. **Revised 6 digit code as assigned by the Directorate of S&I, XXYYZZ

XX Commissionerate
YY Division
ZZ Range