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Get IN Form - XXXIX

------------------, the authorized signatory of the above named dealer; do hereby declare that the goods noted below are being imported/received/brought by the aforesaid dealer. 1. Description of goods 2. 3. 4. 5. Weight/Measure Quantity Value in figure Value in words 6. 7. Bill/cash memo/ challan/tax invoice number & date Name and address of seller / consigner 8. TIN I further do hereby declare that the above information is correct and complete to the best of my knowledge and belief. Co.

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