Power of Attorney for Customs Clearance

Sample Template Format for Power of Attorney Form for Customs Clearance / Broker in word/ .doc

The Dy. Commissioner of Customs
Custom House

Dear Sir.

We, Rocket Sales Ltd., Vill. Khapoli, Post & Dist. Navi Mumbai, Pin – 458 745, Maharashtra have honour to inform you that we have authorised any of the following persons :

1)    Mr Anil Jain
2)    Mr Amit Rao

To sign customs documents such as Bill of Entry, Shipping Bills, etc.

To sign manifests, Refund Orders and Draw Back Bills

To receive Money or grant receipt

To executive Bonds or guarantees and

To sign invoice, Packing Lists, GR Forms and all documents relating to purpose of Shipping Consignment.

The specimen signature of (1) Mr Anil Jain and (2) Mr Amit Rao duly attested is appended below.

We undertake to acknowledge the signature as it those of our company for all connection with the aforesaid transactions and to accept any liability incurred under the same transactions and if in fact been signed by our company. We declare that the above (1) Mr Anil Jain and (2) Mr Amit Rao who is authorised by any case under any law.

Specimen signature of

1)    Mr Anil Jain

2)    Mr Amit Jain

Signature attested :


1)   Mr Akhil Yadav
14/1 L T Raod, Nariman Point
Mumbai 458 545

2)   Mr Ajay Singh
14/1 L T Raod, Nariman Point
Mumbai 458 545

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