Exp Exporter

Download as pdf or txt
Download as pdf or txt
You are on page 1of 1

Ref. FE Circular No.

17/2019 Annexure-A

EXP FORM
(Submitted electronically by exporter)
Statutory declaration to be furnished by exporters under Foreign Exchange Regulation Act, 1947
before shipment of goods. An incorrect declaration constitutes offence under the said Act.

Electronic Declaration No. : 00001347 /001468 /2021 Date: 14-SEP-2021


Name and address of the Authorized Dealer: South East Bank Ltd., New Eskaton Branch (00001347)

Detail of Export

S1 Item Particulars Code No. (to be filled in


No (to be filled in by exporter) by Authorised Dealer)
Commodity to be exported 61091000 : TSHIRTS,SINGLETS AND OTHER VESTS,KNITTED OR
1. CROCHETED...-T-Shirts, Singlets And Other Vests, Of Cotton, Knitted Or
Crocheted
2. Country of destination PL 2109
3. Port of destination
Unit (bales/tons/Ibs. etc.) Number
4. Quantity Volume Weight/number
9720
etc)
Currency US DOLLAR 001
Inco-terms Used FOB
5. Value FOB Insurance Freight

ank
Invoice Value 12733.2
12733.2 0 0
CMT value (if applicable) 0
Terms of sale (firm contract/LC or
6. Consignment sale) LC-PEPCO/KKL/2020/03-10/08/20
Name & address of
7. PEPCO POLAND SP. ZOO
importer/consignee
8. Name of carrying vessel
Bill of Lading/Railway Receipt/Airway
9. Bill/Truck Receipt/ Post Parcel
Receipt
hB
Port of shipment/Post Office of
10. CHITTAGONG
dispatch
11. Land Custom Post
12. Shipment date
Name of the exporter (in block letter)
des
13. with address. 79400- KAIZER KNITWEAR LTD, NAYAPARA
CCI &E's Registration Number and
14. date of the exporter 79400
Sector (Public or Private) under which
15. the Exporter falls PRIVATE
gla

Declaration of undertaking by Exporter


I/We, the undersigned hereby declare that I/we am/are the sellers/consignors of the goods described below in respect of which this
declaration is made out and that the particulars given in the following items are true and that the invoice value declared in SI.No.5 in
case of firm contract is full value as contracted with the buyers/in case of consignment sale, is a fair value of the goods which are being
shipped on consignment sale.
Ban

MD.JAKIR HOSSAIN
Date: Authorised Signature & Stamp
of the Exporter with date.

Certificate of Authorized Dealer

Certified that the above exporter(s)is/are known to us, that he/they is/are bonafide businessman/men in Bangladesh and that he/they
has/have made arrangements with us for the realisation of the export proceeds of the goods declared on this form within four months
from the date of shipment and that we are satisfied with the said arrangements. We have also satisfied ourselves about the bonafides
of the importers/consignees abroad and their credentials etc.
*We undertake to ensure that export proceeds against shipment on firm contract shall be received by us within the stipulated period
of four months. In the event of noncompliance due to reasons beyond our control we shall furnish to the Bangladesh Bank a full
explanation as to the reasons and circumstances resulting in our inability to comply.
*We undertake that in the event of nonrealisation of export proceeds against shipment on consignment sale within the stipulated
period of four months, we shall obtain from the exporter (s) and furnish to the Bangladesh Bank a full explanation as to the
circumstances resulting in nonrealisation. We further undertake that in the event of short realisation, we shall obtain from the
exporter(s) and furnish to the Bangladesh Bank a fully documented account sale certified by the consignees/Chamber of Commerce of
the country of import.
*(Strike out the portion not applicable and authenticate with initials).

Date: Stamp and Signature of


Authorized Dealer

You might also like

pFad - Phonifier reborn

Pfad - The Proxy pFad of © 2024 Garber Painting. All rights reserved.

Note: This service is not intended for secure transactions such as banking, social media, email, or purchasing. Use at your own risk. We assume no liability whatsoever for broken pages.


Alternative Proxies:

Alternative Proxy

pFad Proxy

pFad v3 Proxy

pFad v4 Proxy