BBI
(Paragraph 8B.6)

Statement showing the particulars of shipments under inward air/sea cargo consolidation during the period from ………………….…. to ………………………..

Name of the overseas consolidator :
Name and address of the Break-bulk agent in India :
Particulars of inbound shipments on prepaid/charges collect basis
(in foreign currency)
*MAWB
MBL
Particulars of HAWB/HBL* Details of charges claimed by the
overseas consolidator
HAWB
HBL
Sr.
No.
No. Date
No. Date
Prepaid Charges
collect
Freight Insurance
premium
Certificate of
origin
charges
Miscellaneous
(to be
Specified)
1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11.
Eligible amount
(8+11) – (9+10)
Breakbulk fees/agency
commission/other charges
Profit share Net amount to be
remitted [12 – (13 or 14)]
12. 13. 14. 15.
The aggregate amount required to be remitted is ……………………………………………. (in foreign currency as
shown in Form A2)
Note: Separate statements should be submitted for air/sea cargo consolidation.
_________________________________
Place: ________________ (Signature of Authorised Official)
STAM
P
Date _________________ Name: ___________________________
Designation: ______________________
* Strike out whichever is not applicable.