Kindly submit Appendix 10C,Please find below its format
APPENDIX - 10 C
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STATEMENT OF EXPORT/ REDEMPTION FORM UNDER EPCG SCHEME
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NOTE: PLEASE SEE PARAGRAPH 6.12 AND 6.13 OF THIS HANDBOOK
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a) | Name & Address of the Licence holder | : |
b) | EPCG Licence No. & Date | : |
c) | CIF Value | (i) Issued : (ii) Utilised : |
| | |
d) | Export Obligation imposed on the EPCG Licence | |
| i) Export obligation equal to four/ five/ six times of the CIF value of capital goods. ii) Average exports to be maintained | : : |
e) | Product to be exported as per the conditions attached to the EPCG licence | : |
f) | Date of clearance of the first consignment of capital goods under the EPCG Licence from the customs authorities/Date of receipt of CG from indigenous source | : |
g) | Date of completion of export obligation | : |
h) | Details of Exports | : |
| i) Year/Block of year from the date of issue of licence: ii) Proportion of total Export Obligation fulfilled: | : : |
iii) Details:
S. No. | Product Exported | Shipping Bill No./ Date Date of L/C/ ARO | FOB value of exports | Remarks |
| | | Exports made out of imported capital goods to discharge E.O. imposed on the Licence and export proceeds realised | - Exports through third Party as per S/Bill and export proceeds realised | |
(1) | (2) | (3) | (4a) | (4b) | (5) |
| | | | | |
iv) We further declare that we have made exports of US$/Rupee________ in the licensing year _________ for maintenance of average (other than that mentioned in iii) above).
We hereby declare that the above particulars are correct
Signature with seal and
Designation of the exporter
It is certified that we have verified the books of accounts Books of the above exporter and the particulars given above in respect of export both physical and deemed, are correct. It is also certified that all the shipping bills verified by me/us as mentioned in iii) above contained in the EPCG Licence No. and date as given at Sl.No.b) above.
Signature with seal of the
Chartered Accountant/ Cost
& Works Accountant
Membership No.
This is certified that all physical exports as shown in iii) & iv) above are in freely convertible currency and payment of the same has been realised.
Signature with the seal of the Bank
Date: Bank Code No.
Note: | 1. | The consolidated statement may be submitted only at the time of seeking redemption of BG/LUT and the statement should be complete in all respects including the information in S.No.(3)column (4) above duly certified by Chartered Accountant as well as by the Bank. |
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Documents to be enclosed with the application form:
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1) Copy of bill of entry showing the date of clearance of the first consignment.