APPENDIX 19 C

 

 

PROFORMA FOR FURNISHING OF QUARTERLY EXPORT RETURNS

 

 

1.       Name of the firm/company        :               ………………………………………………………………………..

 

2.       IEC number                                  :               ………………………………………………………………………..

 

3.       Details of exports:

 

Period

Item(s)

Quantity, if applicable

Country(s) of export

 

(item wise)

Value of export during the period

 

( in Rs.)

Cumulative exports

(1.4.2005 onwards)

 

(in Rs.)

[1]

[2]

[3]

[4]

[5]

[6]

 

 

 

 

 

 

 

 

 

 

 

Cumulative exports (in words) : ............................................................................................................................................................................

 

 

DECLARATION

 

I/We hereby declare that the above statements are true and correct to the best of my/our knowledge and belief.

 

 

 

Signature

Name

Official Address

 

 

 

Oval: Seal/Stamp