APPENDIX - 22
BANK CERTIFICATE OF EXPORT AND REALISATION
NOTE: PLEASE SEE CHAPTER 4 AND 5 OF THE POLICY AND CHAPTER 4 AND 5 OF THIS HANDBOOK.
FORM NO. 1
To ______________________________________(Name and address of Licensing 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 | 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 |
| [10] | [11] | [12] | [13] | [14] | [15] | [16]
| [17] |
| | | | | |
| | |
We further declare that the aforesaid particulars are correct. (Copies of invoices relevant to these exports and Customs attested EP. Copy of relevant Shipping Bill is attached for verification by the bank).
| | Signature of the
exporter | : .................... |
| | Name in block
letters | : .................... |
| Place: | | | : .................... |
| | Designation | : .................... |
| | Full official
address | : .................... |
Official
Seal/stamp | | 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 Col.14 above with reference to following documents :-
(i) Bill of Lading/PP receipt/Airways Bill
(ii) Insurance policy/Cover/Insurance Receipt.
2. We have also verified that the date of the connected mate receipt as indicated in the relevant Shipping Bill is______________________ (date to be given).
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 Bankers)
Full address of the Bankers
_______________________________________
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 where consignment has been sent against conformed irrevocable letter of credit.
3. This shall be required wherever specifically prescribed in the Policy/ procedure.