Exchange Control (Exporters Declaration) (original/duplicate)

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.... [ ] Status holder exporters [ ] 100% EOU [ ] Warehouse export [ ] others (Specify)....... RBI approval no. & date, if any: IE Code: AD code: Exporters Name & Address: AD Name & Address: Consignee's Name & Address: Mode of Realisation : [ ] L/C [ ] BG [ ] Others (advance payment, etc. including transfer/remittance to bank account maintained overseas ) Port of Loading / Source Port ....

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....eight Insurance Commission Discount Other Deduction Packing Charges Net Realisable value EXPORT DECLARATION FORM 3. Applicable for Export under FPO/Couriers Name of the post Office: Number & date of Parcel receipts : Stamp & Signature of Authorised Dealer 4. Declaration by the Exporters (All types of exports) I /We hereby declare that I/we @am/are the seller/consignor of th....