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BANK CERTIFICATE OF EXPORT AND REALISATION

APPENDIX 22A - Old_Provisions - Appendix - DGFT - APPENDIX 22A - APPENDIX 22 A (Please see para 2.26 and 4A.8 of HBP v.1) To ______________________________________(Name and address of Regional Authority) We _____________________________________ (Name and address of the Exporters) hereby declare that we have forwarded a documentary export Bill to _____________________________ (Name and address of the bank i.e., Branch and City) for collection/negotiation/purchase as per particulars given hereunde .....

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mission/Discount paid/payable Whether the export is in freely convertible currency* or in Indian Rupees FOB value/FOB value actually realised in free Foreign Exchange/Rupees Date of realisation of export proceeds GRI/PP/SDF form No. No. date & category of applicable Licence/Authorisation [10] [11] [12] [13] [14] [15] [16] [17] * Note: In case of Export Proceeds Realisation through Freely Convertible Vostro Account, as stated in paragraph 2.40 of FTP, 2009-14, the Authorised Dealer Banks shal .....

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..................................... Full official address : ........................................... Official Seal/stamp Full Residential address : ........................................... BANK's CERTIFICATE Authorised Foreign Exchange Dealer Code No. allotted to the Bank by RBI ______________________________ Ref.No. ___________________________ Date _____________________________ Place ____________________________ 1. This is to certify that we have verified the relevant Export Invoice .....

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n all cases except where consignment has been sent against confirmed irrevocable letter of credit or exports made against the Government of India/EXIM Bank Line of Credit or exports made under Deferred Payment/Suppliers Line of Credit Contract backed by ECGC Cover. An endorsement to that effect needs to be endorsed in BRC. 3. We have also verified that the date of Export is _________. (Applicable only in respect of Exports by air.) 4. This is to certify that we have certified the amount of the C .....

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gainst conformed irrevocable letter of credit. 3. This shall be required wherever specifically prescribed in the Policy/procedure. 4. Banks referred in this Appendix shall also include other authorized dealers who have been permitted by RBI to issue BRC. Applicant should be required to furnish a copy of RBI permission circular/letter to this effect. - Notes:- 1. Substituted vide DGFT Public Notice No. 9/(Re: 2010)/2009-2014, Dated 07/09/2010, before it was read as:- APPENDIX 22 A FORM NO. 1 To__ .....

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P Receipt/ Airways Bill Destination of goods Country name Bill amount CIF/C&F/FOB (In foreign exchange No. Date No. Date No. Date [1] [2] [3] [4] [5] [6] [7] [8] [9] Freight amount as per Bill of lading/ Freight memo Insurance amount as per insurance Company's bill/ Receipt Commission/ Discount paid/ payable Whether the export is in freely convertible currency or in Indian Rupees FOB value/FOB value actually realised in free Foreign Exchange/Rupees Date of realisation of export proceeds .....

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............. Date: Designation : ........................................... Full official address : ........................................... Official Seal/stamp Full Residential address : ........................................... BANK's CERTIFICATE Authorised Foreign Exchange Dealer Code No. allotted to the Bank by RBI Ref.No. Date Place 1. This is to certify that we have verified the relevant Export Invoices, Customs attested E.P. Copy of the Shipping Bill and other relevant document .....

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