(नियम ६० को उपनियम (२) सग सम्बन्धित)
पैठारी भएको मालवस्तुको प्रमाणपत्रको ढाचा

GOVERNMENT OF NEPAL
……………………. CUSTOMS OFFICE
TO WHOM IT MAY CONCERN
This is to certify that the goods mentioned below have been duly imported into Nepal
through this customs office.
Importer’s Name and Address :
Importer’s PAN Number :
Supplyer’s Name and Address :
Description of Goods :
Invoice Number & Date:
Nett Value:
Total Invoice Amount:
Customs Declaration Form (Pragyapan Patra) Regd. Number:
Date of Importation:
Official Seal
Customs Officer’s signature
Name:
Date: