FORM O-8A
[See rule 18 of Schedule III]
Statement of valuation of jewellery

SI. No.	Description of item	Gross weight	Net weight of precious metal	Description and weight of precious or semi-precious stones	Value of each precious or semi-precious stone and decided value of such stones	Total value of the item of jewellery
(1)	(2)	(3)	(4)	(5)	(6)	(7)

I hereby declare that the information furnished above is true and correct to the best of my knoweldge 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 items of jewellery have been valued by a registered valuer, a copy of the report of such valuer may be enclosed.