1.

Particulars of exporter

a)

Name and address

b)

Importer-Exporter

Code Number

2.

Name and address of the

Overseas buyer

3.

Particulars of export Contract

a)

Commodity to be exported

b)

Terms of Contract (FOB,

C&F, CIF, etc.)

c)

Quantity

d)

Total Contract Value

4.

Period of credit required

5.

Terms of payment:

a)

Whether the export is

covered by irrevocable

letter of credit; if so

name and address of the

opening bank.

b)

If the letter of credit

has been confirmed by

any bank, name of the

confirming bank.

c)

In case the contract is

not covered by letter

of credit, details of

guarantee if any, offered

by overseas buyer.

 6.

Rate of interest:

i)

The rate of interest,

if charged separately

ii)

Element of interest

included in the price

if interest is not being

charged separately

7.

Exporters past experience

regarding repatriation of

proceeds from the concerned

buyer/country

8.

Whether ECGC have agreed to

provide necessary cover for

the export order in question

9.

Name and address of the bank

in India from whom credit

facilities are proposed to be

obtained.

10.

Whether any commission is

payable in respect of the

export order. If so,

a)

Name and address of the

overseas agent.

b)

Rate at which the

commission is payable

11.

Profitability - A detailed

statement indicating how the

net profit has been arrived

at should be enclosed

12.

Exporters export performance

Year

Value of

Total

Amount

during the previous 3 years

Exports

realisation

outstanding

made

beyond

6 months

Rs.

Rs.

Rs.

13.

Any other information

relevant for consideration of

the application

Place: .................................

........................................................................

Date : .................................

Stamp

(Signature of Applicant/Authorised Official)

Name: ............................................................

Designation: ..................................................

Registration No: ............................................

To be completed by the Exporters bank

1)

Comments regarding the means and standing of the exporter

2)

Health Code allotted

3)

Credit limits enjoyed by exporter with the bank/other banks

4)

Any other comments

Place: .................................

........................................................................

Date : .................................

Stamp

(Signature of Applicant/Authorised Official)

Name: ............................................................

Designation: ..................................................

Name and Address ........................................

of Authorised Dealer .....................................