APPENDIX - 13A

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CERTIFICATE FOR CLAIMING REPLENISHMENT OF GOLD/SILVER AGAINST JEWELLERY SOLD AT EXHIBITIONS ABROAD

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Note:

1. Please see paragraph 4.4.3 and 4.4.9 the Policy and Paragraph 4.71 of this Handbook.

2. Please read the general instructions given at Appendix-1 before filling this application.

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FOR OFFICIAL USE

File No.:-------------------------

Date:-------------------------

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Dated ................

This is certify that the following are the details of goods actually sold against invoice No.(s)_______________________ dated________________ in the exhibition and the foreign exchange repatriated into India and surrendered to the RBI/ authorised dealer. The export has been in accordance with the Export and Import Policy, 2002-07.

1.	Name of the Indian Exporter	: ........................................
2.	Exhibition held on	: (i) Date :........... From :......... To ........ (ii) Place
3.	Organised by whom	: ........................................
4.	Details of Bank Guarantee, if any	: ........................................... .....................................
5.	Price of gold/silver as per export invoice

S.No.	Pieces	Description	Gross wt.gms	Net wt.gms	Value of gold/ silver as per rate of booking for replenishment	Description/type of studding/diamonds/precious semi-precious/synthetic stones/pearls	Pieces
[1]	[2]	[3]	[4]	[5]	[6]	[7]	[8]

Wt. In cts.	Value of studdings	Actual sale price and date of sale	Making charges	Value i.e at rate of gold/ silver at 6	Selling price in foreign currency	FOB value repatriated	Value addition achieved with respect to value at 13.
[9]	[10]	[11]	[12]	[13]	[14]	[15]	[16]

Signature :.....................
Name :.....................
Designation :.....................
Name of the Nominated agency :.....................
Seal :.....................

Place :
Date :

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