ANNEXURE - 4

REF : Bond 1234/abcd

APPLICATION FOR THE FIRST BOND EXTENSION PERIOD

To,
The Principle Commissioner of Customs,

New Customs House, Balard Estate,

CST Road, Near Mumbai Port Trust
Mumbai - 400099

Sir,

Bond No. and And Date : 2017-0012 DATED: 13.04.2013

Bonder's Name : Harsh Enterprises

1. Place of Warehouse : Medicon Bhavan, Sahar Airport, Vile Parle (East) , Mumbai -
400099
2. Date of Expiry of License, if private Bonded W/H : 13.06.2017
3. Initial Bond period up to : 13.12.2017
4. If any extension granted in past : NO
5. Date up to which extension requested : 14.05.2020
6. Date up to which extension granted :
(Information to be filled up by Department)
7. Reason for extension : Goods are still in working condition and within expiry period
8: Bill of Entry No. : Y5000003770
9: Condition of Goods : Working
10. Whether kept in open Bonded W/H : Yes
11. Date of Presentation : 28.06.2017
12.Whether A.U. Industrial (Non-Industrial) : NA
13. If not, A.U. state Category : Not Applicable

Quantity of Quantity of goods Amount of

Ass. Value SAP Material
Sr.No. Description of Goods goods originally lying in Warehouse as Custom Duty in
in Rs. Number
warehoused on this day Rs.
1 FILE,BOX 10.000 EA 5.000EA 102.14 29.00 1017460
2 BOOK,FLIGHT REPORT,A 320 10.000 EA 10.000EA 102.14 29.00 1017637
 SIGNATURE OF THE APPLICANT
FORWARDING MEMORANDUM OF THE SUPDT.OF CUSTOMS (IN CHARGE OF WAREHOUSE) the above goods packages
was examined and they have been found in the condition fit for further storage for a period of 1051 Days .Accordingly the
extension is recommended.