Statement of particulars of export bills outstanding beyond the prescribed period/due date of realisation as at 30th June/31st December

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..... prescribed period/ due date of realisation as at 30 th June/ 31 st December Part I Outstanding export bills other than those on deferred payment terms Sr. No. Bill No. and date Name Address Of exporter Exporter s Code No./ IE Code No. Date of export .....

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..... Currency And Amount Currency And Amount Cash exports Exports on consignment basis Undrawn balances 12. 13. 14. 15. 16. 17. 18. ______________________________ .....

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..... 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. Value of goods covered under deferred payment terms(including interestI Total Amount of deferred instalments (including interest) already received .....

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..... _________________________________ Total _____________________________________________________________________ Part III : Summary Part I Part II 'Cash' exports Export on consignment basis Undrawn balances Total Exports on deferred .....

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..... _____ Stamp (Signature of Authorised Official) Name: ______________________ .....

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