FORM 14





[SEE RULE 23 (A) OF THE EXPLOSIVE RULES, 1983]



STATEMENT TO BE SUBMITTED TO THE CHIEF CONTROLLER OF EXPLOSIVES BY AN IMPORTER ON DESPATCH OF EXPLOSIVES FROM THE PLACE OR PORT OF LOADING



Importers name and address

Import licence No. granted by Central Government kinds and quantities of explosives permitted to be imported and date of expiry of licence.

Imported licence No. granted by Chief Controller under Explosives Rules and date of expiry of licence.

Name and address of manufacturer of Explosives

Name and address of consignor

Place or port of despatch

Name of ship/Airlines and date of sailing/ Airlift

Place of port or import

Likely date of arrival

Kinds and quantities of explosives on the ship/aircraft

Name and description

Class & Division

Date Manufacture

Name and address of consigner

Place or port of despatch

Name of ship/airline and date of sailing/Airlift

Places or port of import

Likely date of arrival

Batch No.

Quantity

No. of packages

Date ………………

Place……………

Signature of Importer…

(Authorised person in case of company)

Name in full………………………….

Address…………………………….