XOS

A. D. Code No……………

Statement of particulars of export bills outstanding beyond prescribed period/ due date of realisation as at 30th June/ 31st December

Part I – Outstanding export bills other than those on deferred payment terms

Sr. No.	Bill No. and date	Name & Address Of exporter	Exporter’s Code No. /IE Code No.	Date of export	Duedate of reali-sation	GR/PP/ SOFTEX form no.	Port of Shipment	Shipping bill No. and date	Name & address Of the overseas Buyer	Com-modity
1.	2.	3.	4.	5.	6.	7.	8.	9.	10.	11.

Invoice value	Amount Realised	Amount Outstanding	Rupee equivalent of outstanding amount (To be classified as)			Remarks
Currency and Amount	Currency And Amount	Currency And Amount	Cash exports	Exports on consignment basis	Undrawn balances
12.	13.	14.	15.	16.	17.	18.

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Total

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Part II – Exports on deferred payment terms where instalments (including interest ) are outstanding beyond due date

Sr. No.	Name & address of exporter	Exporter’s Code No./ IE Code No.	No. & date of RBI approval for deferred payment term	Date of export	GR Form No.	Port of Ship-ment	Shipping bill No.and date	Name & address of the overseas buyer	Comm-odity	Invoice value
										Currency & Amount
1.	2.	3.	4.	5.	6.	7.	8.	9.	10.	11.

Value of goods covered under deferred payment terms (including interestI		Total Amount of deferred instalments (including interest) already received		Total Amount of instalments Outstanding (including interest) beyond due date		Rupee equiva-lent of outstan-ding amount	Whether ECGC cover obtained(Yes /No)	No. & dateof bank certificate issued	Remarks
Currency	Amount	Currency	Amount	Currency	Amount
12.		13.		14.		15.	16.	17.	18.

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Total

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Part III :             Summary

Part I                 Part II          

	Cash exports	Export on consignment basis	Undrawn balances	Total	Exports on deferred payment basis
	Rs.	Rs.	Rs.	Rs.	Rs.

Outstandings as on

_______________

(End of previous half-year)
Add: Addition during

the half- year
under report

Less: Deletion during

the half-year

Net position of
outstanding as on
______________
(End of half-year
under report)

          We certify that all export bills i.e. export bills purchased, negotiated and sent for collection, outstanding beyond the prescribed period / due date of realisation of as at the end of half-year under report have been included in this statement.

Place: ___________________ Date : ___________________

Stamp

(Signature of Authorised Official) Name: ______________________ Designation: _________________

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