Annexure "B"

( On Non judicial Stamp Paper )

UNDERTAKING

            We _________________________________________________________________________________________________ Hereby undertake that in case of any false declaration in monthly return etc. mishap/damage to the goods, not covered by insurance policy due to mis-declaration in periodical returns or issuance of wrong N.O.C. we will pay all the duty & taxes leviable fine and penalties imposed by the competent authority for violation / infringement of any provisions of Customs Act, 1969 and Rules issued there under.

 

Witnesses:

 

 

  1. Name ___________________________

        NIC No (s) _______________________

        Address _________________________

        ________________________________

 

 

  1. Name ___________________________

        NIC No (s) _______________________

        Address _________________________

        ________________________________

 

 

____________________

Signature

Proprietor / Partner

Managing Director

 

 

  Name ____________________________

  NIC No (s) ________________________

  Registered Address _________________

  _________________________________

 

  Residential Address _________________

  __________________________________

 

 

Note :  The undertaking should be attested by the Oath Commissioner.