CERTIFICATE FOR OFFSETTING OF EXPORT PROCEEDS

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..... ( ) i. Import Payables ii. Equity Investment iii. Loan Repayment iv. Dividend Repayment v. Others (Provide details) 5. Export Details Invoice .....

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..... this application are true and correct to the best of my/our knowledge and belief and nothing has been concealed or held therefrom. 2. I/We full understand that any information furnished in the application if proved incorrect or false will render me/us liable for any penal action or other consequences as may be prescribed in law or otherwise warranted. 3. I/We undertake to abide by the provis .....

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..... ficial Address: ........................ Tele.No.: ........................ Residential Address: ........................ Place: Date : ANNEXURE TO APPENDIX 22 D CERTIFICATE OF CHARTERED ACCOUNTANT/COST AND WORKS ACCOUNTANT (Note: This certificate is to be submitted in lieu of the Bank Certificate of Exports and Realisation) (i) The following documents/records h .....

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..... that any statement made in this certificate, if proved incorrect or false, will render me/us liable for any penal or other consequences as may be prescribed in law or otherwise warranted. (Signature and Stamp/Seal of the Signatory) (Chartered Accountant/Cost Works Accountant) Name of the Signatory : Place: .....

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