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Form of Self Declaration for obtaining Duplicate Copy of freely transferable Licences / Authorisations which are lost or misplaced (as per para 2.23 and 2.24 of HBP)

Appendix -2M - Old_Provisions - Appendix - DGFT - Appendix -2M - APPENDIX- 2M To The Regional authority I/We hereby solemnly affirm and declare that customs purpose copy/exchange purpose copy/both the copies of Licence No. / Authorisation No.________ .....

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ch the Licence / Authorisation was issued is Rs. (figure and words ____________) and USD (figure in words) ……..the total amount for which the duplicate is now required is to cover the balance of Rs.__________ and USD (figure in words) & .....

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risation in lieu of which the duplicate copy has been applied for by me/us. I/We agree and undertake to return the original Licence / Authorisation, if traced later, to the issuing authority for record Place: Signature of the Applicant Date: Name Des .....

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