Schedule 11 (Related to Sub-rule (2) of Rule 20)

Schedule 11
(Related to Sub-rule (2) of Rule 20)

Form of Certificate for the import of goods
Government of Nepal
………. Customs Office
TO WHOM IT MAY CONCERN
This is to certify that the goods mentioned below have been duly
imported into Nepal through this customs office.
Importer’s Name and Address:
Importer’s PAN Number :
Supplier’s Name and address:
Description of Goods:
Invoice Number and Date:
Net Value:
Total Invoice Amount:
Customs Declaration form (Pragyapan Patra ) Registration Number
Date of Importation:
Official Seal Customs Officer’s Signature
Name:
Date