EXP FORM NOT ATTACHED VOUCHER
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NAME
AND ADDRESS OF AUTHORISED DEALER
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Sl.
No.
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Items
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Particulars
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Code
Number
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1.
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EXP
Form Number
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2.
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Name
of the address of the exporter (in block letter) with address
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3.
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CCI
& E's Registration No. and date of exporter
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4.
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Sector
(Public or Private) under which exporter falls
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5.
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Name
of the foreign buyer
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6.
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Commodity
to be exported
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7.
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Country
of destination
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8.
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Port of shipment
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9.
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Amount
of Export proceeds realised
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Currency in which realised
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Amount realised
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Date of realisation
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10.
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Reporting period
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Date ……………….
Signature and Stamp of the
Authorised Dealer
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