ORIGINAL

DUPLICATEFOR
FORRECIPIENT
SUPPLIER
DHL EXPRESS (INDIA) PVT. LTD.
Plot No. 137
Bengaluru International Airport, Devanahalli
Bangalore, Karnataka, 560300 INDIA *4571479975*
GSTIN: 29AABCD3611Q1ZE
Toll Free No: 1800-111-345 www.dhl.co.in
INBOUND CHARGES INVOICE
SAI KIRAN KUMAR NALLA
Account Number : DUTYINHYD
SUNRISE TOWERS, 9TH PHASE
KPHB COLONY, KUKATPALLY Invoice Number : BLR089305
HYDERABAD TELANGANA INDIA HWB Number : 4571479975
500072 36, TELANGANA
Date : 09/12/2019
Attn: SAI KIRAN KUMAR NALLA
Contact Number: 08985859232 Payment Due Date : 09/12/2019

Please Reimburse the Total Charges Shown Below To: DHL EXPRESS (INDIA) PVT. LTD.

Shipment Details
Origin: LGB Pieces: 1 Contents: SPEED CONTROLLER FOR ELECTRIC MOTOR
Destination: HYD Weight: 0.50 Assessed Value: Arrival Date: 08/12/2019

Billing Details
GSTIN: RDV4680294 CUSTOMS DUTY (REIMBURSEMENT OF COST) 1,160.45
Place of Supply: 36, TELANGANA IGST (REIMBURSEMENT OF COST) 3,606.68
S W SURCHARGE(REIMBURSEMENT OF COST) 116.05
Total Non-Taxable: 4,883.18
9967-DISBURSEMENT FEE 500.00
Total Taxable: 500.00 IGST@ 18% 90.00

Advance Payment:
Payment Terms
Cash on delivery unless
stated otherwise on the invoice
Subject to Mumbai Jurisdiction Only.
CIN NO: U64120MH2001PTC131743 Please Pay This Amount: INR 5,473.18
PAN is AABCD 3611 Q to be quoted on TDS Certificate
TDS Certificate should state company name as "DHL Express (India) Pvt. Ltd" and registered office address as given below:
8th Floor, Unit 801-A, Silver Utopia, C G Road, Andheri East, Mumbai - 400099, India. For DHL Express (India) Pvt. Ltd.
Digitally signed by Premkumar Badragiri,
Authorised Signatory.
Date: 11-12-2019 00:42:56 +05:30
Remittance Advice

Company Signature / Stamp: Account Number : DUTYINHYD

We enclose cash for INR 5,473.18
Invoice Number : BLR089305
We enclose cheque No. ________________ for INR 5,473.18
HWB Number : 4571479975
We enclose Cheque/Demand Draft No. _______________for INR 5,473.18
Date : 09/12/2019
Note: 1. Cheque will be accepted only up to INR 20,000 from non-account customers
2. Cash will be accepted up to INR 50,000 Total Amount INR : 5,473.18
3 .PAN is compulsory for cash payment above INR 20,000
4.TAN is compulsory in case of TDS deduction

Not all payment options are available to all countries

* 5 4 7 3 . 1 8 * * D U T Y I N H Y D * * B L R 0 8 9 3 0 5 *

1. Detach this payment advice and return it together with your payment
2. Cheque should be crossed and made payable to DHL EXPRESS (INDIA) PVT. LTD.

Customer Endorsement

We acknowledge receipt of the above documentation Account Number : DUTYINHYD

SAI KIRAN KUMAR NALLA Invoice Number : BLR089305

Company Signature / Stamp: HWB Number : 4571479975

Printed Name / Title: Date : 09/12/2019

Total Amount INR : 5,473.18

Page 1 of 1
 ORIGINAL FOR RECIPIENT

DHL EXPRESS (INDIA) PVT. LTD.

Plot No. 137
Bengaluru International Airport, Devanahalli
Bangalore, Karnataka, 560300 INDIA *4571479975*
GSTIN: 29AABCD3611Q1ZE
Toll Free No: 1800-111-345 www.dhl.co.in
INBOUND CHARGES INVOICE
SAI KIRAN KUMAR NALLA
Account Number : DUTYINHYD
SUNRISE TOWERS, 9TH PHASE
KPHB COLONY, KUKATPALLY Invoice Number : BLR089305
HYDERABAD TELANGANA INDIA HWB Number : 4571479975
500072 36, TELANGANA
Date : 09/12/2019
Attn: SAI KIRAN KUMAR NALLA
Contact Number: 08985859232 Payment Due Date : 09/12/2019

Please Reimburse the Total Charges Shown Below To: DHL EXPRESS (INDIA) PVT. LTD.

Shipment Details
Origin: LGB Pieces: 1 Contents: SPEED CONTROLLER FOR ELECTRIC MOTOR
Destination: HYD Weight: 0.50 Assessed Value: Arrival Date: 08/12/2019

Billing Details
GSTIN: RDV4680294 CUSTOMS DUTY (REIMBURSEMENT OF COST) 1,160.45
Place of Supply: 36, TELANGANA IGST (REIMBURSEMENT OF COST) 3,606.68
S W SURCHARGE(REIMBURSEMENT OF COST) 116.05
Total Non-Taxable: 4,883.18
9967-DISBURSEMENT FEE 500.00
Total Taxable: 500.00 IGST@ 18% 90.00

Advance Payment:
Payment Terms
Cash on delivery unless
stated otherwise on the invoice
Subject to Mumbai Jurisdiction Only.
CIN NO: U64120MH2001PTC131743 Please Pay This Amount: INR 5,473.18
PAN is AABCD 3611 Q to be quoted on TDS Certificate
TDS Certificate should state company name as "DHL Express (India) Pvt. Ltd" and registered office address as given below:
8th Floor, Unit 801-A, Silver Utopia, C G Road, Andheri East, Mumbai - 400099, India. For DHL Express (India) Pvt. Ltd.
Digitally signed by Premkumar Badragiri,
Authorised Signatory
Date: 2019-12-10 23:35:28
Remittance Advice

Company Signature / Stamp: Account Number : DUTYINHYD

We enclose cash for INR 5,473.18
Invoice Number : BLR089305
We enclose cheque No. ________________ for INR 5,473.18
HWB Number : 4571479975
We enclose Cheque/Demand Draft No. _______________for INR 5,473.18
Date : 09/12/2019
Note: 1. Cheque will be accepted only up to INR 20,000 from non-account customers
2. Cash will be accepted up to INR 50,000 Total Amount INR : 5,473.18
3 .PAN is compulsory for cash payment above INR 20,000
4.TAN is compulsory in case of TDS deduction

Not all payment options are available to all countries

* 5 4 7 3 . 1 8 * * D U T Y I N H Y D * * B L R 0 8 9 3 0 5 *

1. Detach this payment advice and return it together with your payment
2. Cheque should be crossed and made payable to DHL EXPRESS (INDIA) PVT. LTD.

Customer Endorsement

We acknowledge receipt of the above documentation Account Number : DUTYINHYD

SAI KIRAN KUMAR NALLA Invoice Number : BLR089305

Company Signature / Stamp: HWB Number : 4571479975

Printed Name / Title: Date : 09/12/2019

Total Amount INR : 5,473.18

Page 1 of 1
 Form Courier Bill Of Entry -XIII (CBE-XIII)
[See Regulation 5] Courier Bill Of Entry For Dutiable Goods
ORIGINAL COPY

Current Status of the CBE : OOC ISSUED on 09-12-2019 04:47

Courier Registration Num- AABCD3611QACBLR CBE-XIII Number CBEXIII_BLR_2019-2020_08
ber : 12_10856
Name of the Authorized Ms DHL Express Pvt Address of Authorized Ms DHL Express India Pvt
Courier: Courier : Ltd. Plot No - 137, Cargo
Terminal III Kempegowda In-
ternationalAirport Devanahal-
liN/
ABengaluruKarnataka560300
IGM DETAILS
Airlines Flight No. Airport Of Arrival First Port Of Arrival Date Of Arrival Time Of Arrival
BRITISH AIR- BA 0119 BLR 08/12/2019 04:45
WAYS
Airport of Shipment : LHR Country of Exportation : United States Of America
HAWB Number : 4571479975 Unique Consignment Num- N/A
ber
Name of Consignor: (EIN 47-1634396) Address of Consignor: 2740 CALIFORNIA ST
*CALIFORNIA CATOR-
RANCECAUnited States Of
America90503
Name of Consignee: SAI KIRAN KUMAR NALLA Address of Consignee: SUNRISE TOWERS, 9TH
PHASEKPHB COLONY,
KUKATPALLYHYDERA-
BAD36India500072
Import Export Code: IIHIE0153E IEC Branch Code : 0
Special Request: N/A No of Packages: 1
Gross Weight: 0.2 Net Weight: 0
Assessable Value: 11604.5 Duty(Rs.): 4883.18
Invoice Value: 11475.4 Case of CRN: No
GSTIN Type: Voter Id GSTIN Number: RDV4680294
State Code: 36 Interest Amount: 0
DETAILS OF CRN (if present)
Serial No CRN Number
DETAILS OF ITEM
ITEM :
License Type : License Number :
CTSH : 98049000 CETSH : 98049000
Country of Origin : United States Of America
Description of Goods : SPEED CONTROLLER FOR ELECTRIC MOTOR
Name of Manufacturer: N/A Address of Manufacturer:
Number of Packages : 1 Marks on Packages 1
Unit of Measure : KGS Quantity : 0.2
Invoice Number : Invoice Value : 158.5
Unit Price : 792.5 Currency of Unit Price : USD
Currency of Invoice : USD Rate of Exchange : 72.4
Invoice Term : C/F Landing Charges : 0
Insurance : 129.1 Freight : 0
Discount Amount : 0 Currency of Discount : INR
Assessable Value : 11604.5 Duty(Rs.): 4883.18
NOTIFICATION USED FOR THE ITEM
Page 1 of 2
 Sr.No. Notification Number Serial Number of Notification
1 050/2017 608
1 001/2017 IV227
2 001/2017 56
CHARGES USED FOR THE ITEM
Sr.No. Charge Type Charge Amount(in rs.)
DUTY DETAILS
Sr.No. Duty Head Ad Valorem Specific Rate Duty Forgon Duty Amount
1 BCD 10 0 2901.13 1160.45
2 SW Srchrg 10 0 0 116.05
3 IGST 28 0 0 3606.68
4 CMPNSTRY 0 0 0 0
PAYMENT DETAILS
Sr.No. TR-6 Challan Number Total Amount Challan Date
1 1361110812201957483 4883.18 08/12/2019
DECLARATION
(i). I, We hereby declare that I, we have obtained the authorization from each of the consignees mentioned
above to act as an agent for the clearance of the goods described above.
(ii) I / We hereby declare that I / we have not received any other documents or information showing a different
price, value, quantity or description of the said goods and that if at any time hereafter I / we receive any docu-
ments from the importer showing a different state of facts I / we will immediately make the same known to the
Commissioner of Customs.
(iii) I / We hereby declare that the contents of this Bill of Entry are true and correct in every respect and are in ac-
cordance with the airway bills, the invoices and other documents attached herewith.
(iv) I / We enclose herewith 1 (number) of airway bills and 2 (number) of invoices for the aforesaid consignments
with this Bill of Entry.
Port : New Courier Terminal Airport Bangalore
Note: This is an electronic copy, therefore physical signature is not required
@CopyRight Information 2018-2019

Page 2 of 2
 Form Courier Bill Of Entry -XIII (CBE-XIII)
[See Regulation 5] Courier Bill Of Entry For Dutiable Goods
ORIGINAL COPY

Current Status of the CBE : OOC ISSUED on 09-12-2019 04:47

Courier Registration Num- AABCD3611QACBLR CBE-XIII Number CBEXIII_BLR_2019-2020_08
ber : 12_10856
Name of the Authorized Ms DHL Express Pvt Address of Authorized Ms DHL Express India Pvt
Courier: Courier : Ltd. Plot No - 137, Cargo
Terminal III Kempegowda In-
ternationalAirport Devanahal-
liN/
ABengaluruKarnataka560300
IGM DETAILS
Airlines Flight No. Airport Of Arrival First Port Of Arrival Date Of Arrival Time Of Arrival
BRITISH AIR- BA 0119 BLR 08/12/2019 04:45
WAYS
Airport of Shipment : LHR Country of Exportation : United States Of America
HAWB Number : 4571479975 Unique Consignment Num- N/A
ber
Name of Consignor: (EIN 47-1634396) Address of Consignor: 2740 CALIFORNIA ST
*CALIFORNIA CATOR-
RANCECAUnited States Of
America90503
Name of Consignee: SAI KIRAN KUMAR NALLA Address of Consignee: SUNRISE TOWERS, 9TH
PHASEKPHB COLONY,
KUKATPALLYHYDERA-
BAD36India500072
Import Export Code: IIHIE0153E IEC Branch Code : 0
Special Request: N/A No of Packages: 1
Gross Weight: 0.2 Net Weight: 0
Assessable Value: 11604.5 Duty(Rs.): 4883.18
Invoice Value: 11475.4 Case of CRN: No
GSTIN Type: Voter Id GSTIN Number: RDV4680294
State Code: 36 Interest Amount: 0
DETAILS OF CRN (if present)
Serial No CRN Number
DETAILS OF ITEM
ITEM :
License Type : License Number :
CTSH : 98049000 CETSH : 98049000
Country of Origin : United States Of America
Description of Goods : SPEED CONTROLLER FOR ELECTRIC MOTOR
Name of Manufacturer: N/A Address of Manufacturer:
Number of Packages : 1 Marks on Packages 1
Unit of Measure : KGS Quantity : 0.2
Invoice Number : Invoice Value : 158.5
Unit Price : 792.5 Currency of Unit Price : USD
Currency of Invoice : USD Rate of Exchange : 72.4
Invoice Term : C/F Landing Charges : 0
Insurance : 129.1 Freight : 0
Discount Amount : 0 Currency of Discount : INR
Assessable Value : 11604.5 Duty(Rs.): 4883.18
NOTIFICATION USED FOR THE ITEM
Page 1 of 2
 Sr.No. Notification Number Serial Number of Notification
1 050/2017 608
1 001/2017 IV227
2 001/2017 56
CHARGES USED FOR THE ITEM
Sr.No. Charge Type Charge Amount(in rs.)
DUTY DETAILS
Sr.No. Duty Head Ad Valorem Specific Rate Duty Forgon Duty Amount
1 BCD 10 0 2901.13 1160.45
2 SW Srchrg 10 0 0 116.05
3 IGST 28 0 0 3606.68
4 CMPNSTRY 0 0 0 0
PAYMENT DETAILS
Sr.No. TR-6 Challan Number Total Amount Challan Date
1 1361110812201957483 4883.18 08/12/2019
DECLARATION
(i). I, We hereby declare that I, we have obtained the authorization from each of the consignees mentioned
above to act as an agent for the clearance of the goods described above.
(ii) I / We hereby declare that I / we have not received any other documents or information showing a different
price, value, quantity or description of the said goods and that if at any time hereafter I / we receive any docu-
ments from the importer showing a different state of facts I / we will immediately make the same known to the
Commissioner of Customs.
(iii) I / We hereby declare that the contents of this Bill of Entry are true and correct in every respect and are in ac-
cordance with the airway bills, the invoices and other documents attached herewith.
(iv) I / We enclose herewith 1 (number) of airway bills and 2 (number) of invoices for the aforesaid consignments
with this Bill of Entry.
Port : New Courier Terminal Airport Bangalore
Note: This is an electronic copy, therefore physical signature is not required
@CopyRight Information 2018-2019

Page 2 of 2
*WAYBILL DOC*
Not to be attached to package - Hand to Courier
2019-12-05 /
WPX
Shipper :
Contact:
(EIN 47-1634396) BLUE ROBOTICS INC./+13106203080
BLUE ROBOTICS INC.
2740 CALIFORNIA ST
TORRANCE CA 90503
US
Receiver : Contact:
SAI KIRAN KUMAR NALLA SAI KIRAN KUMAR NALLA
SAI KIRAN KUMAR NALLA 08985859232
SUNRISE TOWERS, 9TH PHASE
KPHB COLONY, KUKATPALLY
HYDERABAD 500072
IN

. US-LGB-LGB IN-HYD-LKMLKEA
Product Details: Features / Services (Service Code)
[P] EXPRESS WORLDWIDE (48) Duties and Taxes Unpaid(DS)
Payer Details
FRT A/C No: 848182050

DUTY SERVICE IND : DTU

Shipment Details
Account No: 848182050
Ref Code: ORDER 138441
Customs Value: 125.00 USD
Shipment Content: SPEED CONTROLLER FOR ELECTRIC MOTOR
Cust Decl Shpt Wgt (UOM) / Dim Wgt (UOM): Pieces

0.4 LB 1
These commodities, technology or software were exported from the United States in accordance with the Export Administration Regulations. Diversion contrary to U.S. law is prohibited.

Name (in Capital Letters) Signature Date (DD.MM.YYYY)

WAYBILL 45 7147 9975

License Plates of pieces in shipment
JD01 4600 0075 6612 9534

- page 1 of 1 -