SPG 1

(Paragraph 8 B.18)

Earnings/disbursements at foreign and Indian ports and net repatriations to India for the quarter ended
31st March/ 30th June/30th September/31st December, 19__________
Name and address of the Indian shipping company_____________________________

I - Earnings and Disbursements at Foreign Ports

(All amounts in round unit of equivalent US Dollars)

EARNINGS	Amount	DISBURSEMENTS	Amount
Opening Balance		Disbursements/Expenditure: Port dues/freight taxes Stevedoring Agency fees Commission Bunker Victualling & provisions Drydocking/Repairs Purchase of spares Stores Other disbursements (State details)
Earnings : Freight Chareter line Passage fare Demurrage Net earnings from charter of foreign vessels Other receipts (state details)		Transfers Remittance/s to India (Bank certificates to be enclosed) Remittance/s to other agents(indicating name of port and agent) Transfers to bank account/s in same country Remittance/s to bank accounts in other countries(Details of bank account and date of transfer to be furnished.)
Transfers : Remittance/s from India Remittances from other agents (indicating name of port and agent) Transfers from bank account/s in same country Transfers from bank accounts in other country (Details of bank accounts and date of transfer to be furnished)		Closing Balance :
Total earnings(A+B+C)		Total disbursements (A+B+C)

II - Earnings and Disbursements at Indian ports (in 000s rupees)
Earnings	Rs.	Disbursements	Rs.
Freight Charter hire Passage fare Other receipts		Agency fee Commission Other payments
Total :		Total :

III - Loan Repayments
	Foreign Currency (equivalent US Dollars)	Indian Currency
Towards principal amount paid from funds held abroad Towards principal amount by remittances from India Towards interest/commitment charges paid from funds held abroad Towards interest/commitment charges paid by remittances from India
Total repayments

IV - Remittances/Repatriations from/to India
Funds remitted from India other than for acquisition of vessels, loan repayments and interest/commitment charges. Funds repatriated to India.

     We certify that the above information contained in this statement is true and correct in every respect to the best of our knowledge and belief and it gives complete information of our earnings and disbursements.

Place:..............................	Stamp	_____________________________________
Date :..............................		Signature of authorised official
		Name:............................................
		Designation:....................................

NOTES:

1. All earnings and disbursements pertaining to the vessels of the shipping company including those given on charter (time or voyage) as well as foreign vessels chartered by the shipping company should be included in this statement.
   
   
2. This statement should be submitted within 30 days from the close of the quarter to which it relates.
   
   
3. A list of vessels employed by them on overseas routes during the period should be attahced.

(Note:- see
1. A.P.(Dir Sr.)Cir. No.17/2001-RB, dt.15/12/2001)