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FORM OF AFFIDAVIT FOR OBTAINING DUPLICATE COPY OF LICENCES WHICH ARE LOST OR MISPLACED

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..... copy/exchange purpose copy/both the copy of Licence No./Authorisation No.___________dated__________ issued to me/us has been lost/misplaced, without having been registered with any Customs House/after having been registered with _______________ (Customs House) and not utilised at all/utilised partly. The total amount for which the Licence/Authorisation was issued is Rs. (figure and words _________ .....

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