APPENDIX - 22

BANK CERTIFICATE OF EXPORT AND REALISATION

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NOTE: PLEASE SEE CHAPTER 4 AND 5 OF THE POLICY AND CHAPTER 4 AND 5 OF THIS HANDBOOK.

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FORM NO. 1

To ______(Name and address of Licensing 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 hereunder.

Invoice / Export promotion copy of Shipping Bill duly authenticated by the Customs / Description of goods as given in the customs authenticated Shipping Bill / Bill of Lading /PP 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 / GRI/PP/
SDF form No. / No. date & category of applicable licence
[10] / [11] / [12] / [13] / [14] / [15] / [16] / [17]

We further declare that the aforesaid particulars are correct. (Copies of invoices relevant to these exports and Customs attested EP. Copy of relevant Shipping Bill is attached for verification by the bank).

Signature of the exporter / : ......
Name in block letters / : ......
Place: / : ......
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 documents of M/s.______. We further certify that the particulars given in Co.1 to 17 have been verified and found to be correct. We have also verified the F.O.B. value mentioned in Col.14 above with reference to following documents:-
(i) Bill of Lading/PP receipt/Airways Bill
(ii) Insurance policy/Cover/Insurance Receipt.
2. / We have also verified that the date of the connected mate receipt as indicated in the relevant Shipping Bill is______(date to be given).
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 Commission paid/payable, as declared above, by the exporter i.e. ______
(in figures and words) with G.R. Forms and found to be correct).

______

(Signature of the Bankers)

Full address of the Bankers

______

Branch and City ______

Official Stamp.

Note: / 1. / Bank can issue a consolidated certificate (consignment-wise) for more than one consignment.
2. / FOB actually realised and date of realisation of export proceeds are to be given in all cases except where consignment has been sent against conformed irrevocable letter of credit.
3. / This shall be required wherever specifically prescribed in the Policy/ procedure.

APPENDIX - 22-A

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BANK CERTIFICATE OF PAYMENTS FOR DOMESTIC SUPPLIES

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NOTE: PLEASE SEE CHAPTER 4,5 AND 8 OF THE POLICY AND CHAPTER 4, 5 AND 8 OF THE PROCEDURE.

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To ______(Name and address of Licensing Authority). We ______(Name and address of the domestic supplier) hereby declare that we have received payment through banking channel in respect of supplies given hereunder.

Invoice / Description of goods as given in the invoice / Details of payment/ advance payment received / Date of issue of this Certificate
No. / Date / FOR value / Cheque /DD No./ *Bank Ref. No. / Date / Amount
[1] / [2] / [3 / [4] / [5] / [6] / [7] / [8]

* The Bank Reference Number would be applicable for documents routed through bank & payments released through banking channels.

We further declare that the aforesaid particulars are correct.

Signature of the domestic supplier. / : ......
Name in block letters / : ......
Place: / : ......
Designation / : ......
: ......
Full official address / : ......
Official Seal/ stamp / Full Residential address / : ......

BANK's CERTIFICATE

This is to certify that we have received the amount mentioned in column 7 against invoice mentioned in column 1 above.

(Signature of the Bankers)

Full address of the Bankers

______

Branch and City ______

Official Stamp.

APPENDIX – 22B

CERTIFICATE FOR OFFSETTING OF EXPORT PROCEEDS

(PLEASE SEE PARAGRAPH 2.58 OF THE HANDBOOK)

1. / Name and address of exporter.
2. / IEC number
3. / E-Mail of the applicant
4. / Specific mode of offsetting
(please tick the appropriate
and specify details of such offsetting) / :
a) Import payables / []
b) Equity investment / []
c) Loan repayment / []
d) Dividend payment / []
e) Any other (please specify in detail). / []
5. / Export details
Invoice / Shipping bill against which offset has been done / Description of goods / Scheme under which offsetting undertaken / Amount offsetted (in free foreign exchange) / Date of offsetting
No. / Date / No. / Date
(1) / (2) / (3) / (4) / (7) / (5) / (6) / (7)

DECLARATION/UNDERTAKING

1. I/We hereby declare that the particulars and the statements made in 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 provisions of the Foreign Trade (Development and Regulation) Act, 1992, the Rules and Orders framed thereunder, the Export and Import Policy, Handbook of Procedures and any other documents issued under the Exim Policy.
4. I hereby certify that I am authorised to verify and sign this declaration as per Paragraph 9.9 of the Policy.
5. I/we hereby certify that none of the Proprietor/ Partner(s)/ Director(s)/Karta of the firm or company is a Proprietor/ Partner(s)/ Director(s)/Karta of the firm/Company, which has come to the adverse notice of DGFT.
6. I/We certify that the RBI permission vide letter no.______dated ______has been obtained for the said offsetting of export proceeds realised under ______scheme.

Name: ......
Designation: ......
Official Address: ......
Tele.No.: ......
Residential Address: ......
......

Place:
Date :

CERTIFICATE OF CHARTERED ACCOUNTANT/COST AND WORKS ACCOUNTANT

(i) The following documents/ records have been furnished by the applicant and have been examined and verified by me/us namely:-
Export order/ Contract, shipping bills, Bill of Lading (and/ or Airways Bills/ Receipts). Customs/Bank attested Invoices,
(ii) I/We verify that the offsetting has been carried out with the specific consent of the Reserve Bank of India as contained in letter no.______dated ______and is in accordance with the rules/regulations in force.
(iii) It has been ensured that the information furnished is true and correct in all respect; no part of it is false or misleading and no relevant information has been concealed or withheld;
(iv) Neither I, nor any of my partners/director is a partner, director, or an employee of the above-named entity or its associated concerns;
(v) I/We fully understand 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: / Full Address / :
Date: / Membership No. / :

Documents to be enclosed with this certificate

i) Specific permission of the Reserve Bank of India
ii) Letter from the parent company/buyer etc. indicating the proposal for offsetting of export proceeds.

(Note: This certificate is to be submitted in lieu of the Bank Certificate of Exports and Realisation)

App.1