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	
(1)		(1)		(1)		(1)		(1)		(1)		(1)		

							

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 :
1.	If the space provided above is not sufficient, details may be attached on separate sheets.
2.	If the item of jewellery have been valued by a registered valuer, a copy of the report of such valuer may be enclosed.