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BANK CERTIFICATE OF EXPORT AND REALISATION

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..... s as given in the customs authenticated Shipping Bill and the Commercial Invoice/Packaging List Bill of Lading /PP Receipt/ Airways Bill Destination of goods Country name Bill amount CIF/C&F/FOB (In foreign exchange No. Date No. Date No. Date [1] [2] [3] [4] [5] [6] [7] [8] [9] Freight amount as per Bill of lading/Freight memo Insurance amount as per insurance Company's bill/Receipt Commission/Discount paid/payable Whether the export is in freely convertible currency* or in Indian Rupees FOB value/FOB value actually realised in free Foreign Exchange/Rupees Date of realisation of export proceeds GRI/PP/SDF form No. No. date & category of applicable Licence/Authorisation [10] [11] [12] [13] [14] [15] [16 .....

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..... lowing documents:- (i) Bill of Lading/PP receipt/Airways Bill (ii) Insurance policy/Cover/Insurance Receipt. 2. FOB actually realized and date of realization of export proceeds are to be given in all cases except where consignment has been sent against confirmed irrevocable letter of credit or exports made against the Government of India/EXIM Bank Line of Credit or exports made under Deferred Payment/Suppliers Line of Credit Contract backed by ECGC Cover. An endorsement to that effect needs to be endorsed in BRC. 3. We have also verified that the date of Export is _________. (Applicable only in respect of Exports by air.) 4. This is to certify that we have certified the amount of the Commission paid/payable, as declared above, by the e .....

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..... Commercial Invoice / Packing List Bill of Lading /PP Receipt/ Airways Bill Destination of goods Country name Bill amount CIF/C&F/FOB (In foreign exchange No. Date No. Date No. Date [1] [2] [3] [4] [5] [6] [7] [8] [9] Freight amount as per Bill of lading/ Freight memo Insurance amount as per insurance Company's bill/ Receipt Commission/ Discount paid/ payable Whether the export is in freely convertible currency or in Indian Rupees FOB value/FOB value actually realised in free Foreign Exchange/Rupees Date of realisation of export proceeds GRI/PP/ SDF form No. No. date & category of applicable Authorisation [10] [11] [12] [13] [14] [15] [16] [17] We further declare that the aforesaid particulars are co .....

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..... of Credit Contract backed by ECGC Cover. An endorsement to that effect needs to be endorsed in BRC. 3. We have also verified that the date of Export is _________. (Applicable only in respect of Exports by air.) 4. This is to certify that we have certified the amount of the Commission paid/payable, as declared above, by the exporter i.e. ____________________________________________(in figures and words) with G.R. Forms and found to be correct. [Signature of the Banker(s)] Full address of the Banker(s) Branch and City Official Stamp Note: 1. Bank can issue a consolidated certificate (consignment-wise) for more than one consignment. 2. FOB actually realised and date of realisation of export proceeds are to be given in all cases except .....

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