Certificate For Offsetting of Export Proceeds

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....Loan Repayment iv. Dividend Repayment v. Others (Provide details) 6. 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) (5) (6) (7) (8) (DECLARATION/UNDERTAKING TO BE GIVEN BY THE APPLICANT) 1. I/W....

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....ertify 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: ......................

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....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 concer....