Importers Name & Address
Bill of Lading/Airwaybill No. Delivery Sheet No.
Customs Assigned Number
Supplier's Name and Address
Import Licence/Permit No.
Shipping Line
Clearing & Forwarding Agent
Country Of Origin
Accepted Value
Buyer if not Importer
Country Of Final Destination
Disposal Code
Road
Sea
Rail
Amount In words
Amount In Digits
Date Of Report
Rotation
Port Of Loading
Port Of Discharge
Port Account No.
Vessel/Aircraft/Vehicle
Marks and No's
Total No. and Kind of package in words
Description of Goods
Weight(Kg)
Cube(M3)
Sea Fright Including Surcharges