APPENDIX -23A

FORMAT OF CERTIFICATE OF CHARTERED ACCOUNTANT/COST AND WORKS ACCOUNTANT FOR SERVICE PROVIDERS

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I/We hereby confirm that I/We have examined the prescribed registers and also the relevant records of M/S_______________________________ for the period ________ and hereby certify that:

M/s _________________________________ (full name and address of the applicant) have earned the following foreign exchange from direct and indirect sources in the prescribed licensing year:

The following documents/records have been furnished by the applicant for services provided against Direct/Indirect foreign exchange and have been examined and verified by me/us.

In respect of direct foreign exchange earnings, we have verified the certified statements from the Banker/ Chartered Accountant of Foreign Exchange Earnings. In respect of indirect forex earnings duly certified by Chartered Accountant such as amount received from Travel agents/Tour Operators, Foreign Airlines for stay of Crew and Catering, UN organizations and Diplomatic Missions and Encashment Certificate from authorized dealers and others in terms of DGFT Policy circular no.60/97-2002 dated 24.12.1998.

1. The financial information given in the above statement is in agreement with the relevant register and records; the same has been incorporated in the books of accounts maintained by the Service provider; and is also true and correct.

2. It has been ensured that the information furnished is true and correct in all respect; no part of it is false or misleading and no relevant information has been concealed or withheld;

3. Neither I, nor any of my partners/director is a partner, director, or an employee of the above-named entity or its associated concerns;

4. I/We fully understand that any statement made in this certificate, if proved incorrect or false, will render me/us liable for any penal or other consequences as may be prescribed in law or otherwise warranted.

(Signature and Stamp/ Seal of the Signatory)

(Chartered Accountant/ Cost & Works Accountant)

	Name of the Signatory :
Place:	Address :
Date:	Membership No. :

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