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Bank Certificate of export and realization (BRC)in appendix 22A and DEPB application form revised

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..... I II respectively. This issues in Public interest. Sd/- (R.S. GUJRAL) Director General of Foreign Trade Annexure I ANF4G DEPB application [Please see guidelines (given at the end) before filling the application] 1. IEC Number 2. Applicant Details i. Name ii. Address 3. RCMC Details i. RCMC Number ii. Date of Issue iii. Issuing Authority iv. Valid upto Product(s) for which registered 4. Type of Exporter (please tick) ( ) i. Merchant Exporter ii. Manufacturer Exporter iii. Service Provider iv. Others (please specify) v. Merchant cum Manufacturer 5. Application .....

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..... (in Rs) (in %) (in Rs) (15) (16) (17) (18)= (14)/(16) (23) = (21) * {1 [(22)/100]} (20) (21)=(16)* (19)* (20)/100 (22) (23) = (21) * {1 [(22)/100]} Note: In case there is no value cap on the product, the capped value would be equal to the FOB value per unit of measurement (U/M) as at Column (18) of the table above. Else it would be the minimum of Columns (17) and (18). DECLARATION /UNDERTAKING 1. I/We hereby declare that the particulars and the statements made in this application are true and correct to the best of my/our knowledge and belief and nothing has been concealed or held there from. If found incorrect or false, it will render me/us liable fo .....

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..... ng beyond the prescribed period as laid down by RBI or such extended period for which RBI permission has been obtained. 7. I hereby certify that I am authorised to verify and sign this declaration as per Paragraph 9.9 of the FTP. Signature of the Applicant Place: Name Date: Designation Official Address Telephone(s) Residential Address Email Address GUIDELINES FOR APPLICANTS [Please see paragraph 4.43 of HBP v1] 1. Two copies of the application must be submitted unless otherwise mentioned. In case application is filed through digital signature, no hard copy is required. 2. Each individual page of the applica .....

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..... e made from the Foreign Currency Account of SEZ unit. Annexure II APPENDIX 22A BANK CERTIFICATE OF EXPORT AND REALISATION FORM NO.1 To ________________________________ (Name and address of Regional Authority) We __________________ (Name and address of the Exporters) hereby declare that we have forwarded a documentary export Bill to _____________ (Name and address of the bank i.e., Branch and City) for collection/negotiation/purchase as per particulars given hereunder Invoice Export promotion copy of Shipping Bill duly authenticated by the Customs Description of goods as given in the customs authenticated Shipping Bill and the Commercial Invoice/ Packing List Bill of Lading/PP Receipt/ Airw .....

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..... ss : . Full Residential address : . BANK's CERTIFICATE Authorised Foreign Exchange Dealer Code No. allotted to the Bank by RBI_________________________________ Ref.No. ____________________________ Date ______________________________ Place______________________________ 1. This is to certify that we have verified the relevant Export Invoices, Customs attested E.P. Copy of the Shipping Bill and other relevant documents of M/s. _____________________________. We further certify that the particulars given in Co. 1 to 17 have been verified and found to be correct. We have also verified the F.O.B. value mentioned in Co1. 14 above with reference to following documents: - ( .....

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