Annexure - F
Costing sheet to be submitted for claim of origin criteria by using imported material for export to Japan
(Separate costing sheet to be submitted for each product)
a.
Name & address of the exporter
:
b.
Name & address of the manufacturer
:
c.
Address where the goods are available
:
d.
Registration no. with Textiles Committee
:
e.
Product description
:
f.
HS code (6 digit level)
:
g.
Net weight of the consignment
:
h.
Ex Factory / FOB Value of the
consignment
:
i.
Value of Indian Material used
:
j.
Value of Imported material used
:
k.
Direct cost of processing + Other
overheads + Profit
:
l.
Details of imported material used
:
S.
No.
Material
HS Code
Country of
Origin
Value of the
material used
Net Weight
of the
material
used
% of the Material
By
Value
By Weight
1
2
3
4
5
Total Percentage of non originating materials:
m.
Origin criteria declared
By value:
By weight:
:
Signature of the authorized signatory
Name & designation