Shipping Bill No. ___________________ Date :____________
Declaration under Foreign Exchange Regulation Act, 1973 :
1. I/We hereby declare that I/We am/are the *SELLER/CONSIGNOR of
the goods in respect of which this declaration is made and that the
particulars given in the Shipping Bill no ______________ dated
________________are true and that,
A)* The value as contracted with the buyer is same as the full export
value in the above shipping bills.
B)* The full export value of the goods are not ascertainable at the time
of export and that the value declared is that which I/We, having regard
to the prevailing market conditions, accept to receive on the sale of
goods in the overseas market.
2. I/We undertake that I/We will deliver to the bank named herein
_______________ the foreign exchange representing the full export
value of the goods on or before @ ___________________ in the
manner prescribed in Rule 9 of the Foreign Exchange Regulation Rules,
3. I/We further declares that I/We am/are resident in India and I/We
have place of Business in India.
4. I./We am/are Or am/are not in Caution list of the Reserve Bank of
Date : -
(Signature of Exporter)