CERTIFICATE BY NOMINATED AGENCY / GJEPC FOR CLAIMING REPLENISHMENT OF GOLD / SILVER AGAINST JEWELLERY SOLD AT EXHIBITIONS ABROAD

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..... Note : 1. Please see Paragraph 4.46 of the FTP and Paragraph 4.80 of Handbook of Procedures. 2. Please read the general instructions given in the Handbook of Procedures before filing this application. FOR OFFICAL USE File No.---------------------------------------------- Dated:---------------------- This is to certify that the following are the details of goods actually sold .....

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..... tails of Bank Guarantee, if any: .. 5. Price of gold / silver as per export invoice. S.No. Pieces Description Gross wt. Gms. Net wt. gms Value of gold/ silver as per rate of booking for replenishment Description/Type of studding/ d .....

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..... (13) (14) (15) (16) Signature : .. Name : .. Designation : . Name of the Nominated Agency : Seal - - statute, statutory provisions legislation, l .....

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