Note:
1. Please see paragraph 8.14 and 8.20 the Policy and Paragraph 8.54 and 8.57 of
this Handbook.
2. Please read the general instructions given at Appendix 1 before filling this
application.
3. In addition to this application form, please also submit Appendix-1 A (in
duplicate) alongwith this application.
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FOR OFFICIAL USE
File No. :------------------------- Date :----------------
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Dated ________________________
This is certify that the following are the details of goods actually sold against
invoice No.(s) ______________________ dated________________ in the exhibition
and the foreign exchange repartiated into India and surrendered to the
RBI / authorised dealer.The export has been in accordance with the Export and Import
Policy, 1997-2002.
1. Name of the Indian Exporter
2. Exhibition held on (i) Date :From :.......... To :..............
(ii) Place
3. Organised by whom :
4. Details of Bank Guarantee, if any :
5. Price of gold / silver as per export invoice
| Sl.No | Pieces | Decription | Gross Wt. Gms. | Net Wt. Gms. | Value of Gold/silver as per Rate booking for replenishment | Description/ type of Studding/Diamond/ precious semi-precious/synthetic stones/pearls | Pieces |
| 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 |
| | | | | | | | |
| Wt.In cts. | value of studdings | Actual sale price & date of sale | Making charges | Value i.e. at rate of Gold /silver at 6 | Selling price in foreign currency | FOB Value repatriated | Value addition achieved with respect to value at 13 |
| 9 | 10 | 11 | 12 | 13 | 14 | 15 | 16 |
| | | | | | | | |
Signature :
Name :
Designation :
Name of the Nominated agency :
Place :
Date : Seal :