[Paragraph 9B.1(i)]

Statement showing remittances availed of out of EEFC accounts for opening of offices/posting of representatives abroad

Name and address

of the company/firm

Export realisation during the preceding 2 half years ended on 30th June/31st
December 19......

(Rs. in lakhs)

Nature of establishment

Details of first remittance

Remarks

Trading/liaison office or representative

Place and country of location

Initial expenses

Recurring expenses

(1)

(2)

(3)

(4)

(5)

Place:

Signature of the authorised official

Date :

Name:

Designation:

(To be completed by the Authorised Dealers)

Certified that remittances as indicated in columns 3 and 4 above have been made on

............................. out of EEFC Account No .............................. of the company/firm.

Signature of the authorised official

Name:

Stamp

Designation:

Name & address of

Authorised Dealer