FORM O-8A

FORM O-8A

[See rule 18 of schedule III]

Statement of valuation of jewellery

Sl. No.|Description of item|Gross weight|Net weight of precious metal|Description and weight of precious or semi-precious stones|Value of each precious of semi-precious stone and decided value of such stones|Total value of the item of jewellery|

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I hereby declare that the information furnished above is true and correct to the best of my knowledge and belief

Date.:

Place: Signature of the assessee

Notes :

If the space provided above is not sufficient, details may be attached on separate sheets.

If the item of jewellery have been valued by a registered valuer, a copy of the report of such valuer may be enclosed.