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FLC Application Form

PNB LC Application Form
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
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0% found this document useful (0 votes)
344 views10 pages

FLC Application Form

PNB LC Application Form
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

hat rand rem fwerriaR int qint dv nil gm!

mat atfufror t writ f f*Trt wig


Tobe Stamped in Accordance with the Stamp Act in force in the State of Execution
*WC/The Manager IT cc di it Caw
Number allocated by branch
rianat Ammo ail
arts
®1 purr* national bank Date

rat rr sal at odd twat* (qw fuse are b rru riftrm rfdd ailtrorft our-ciu TM: —
Please open by Airmail/Cable (delete one alternative) an Irrevocable without Recourse letter of Credit in the following terms: —

I. OH fdmidmif at Ft adr slat


Name & Address of Beneficiary
(*) rrft rift *-T4 qtr tit ****. art tr •
Name of the advising Bank, if any.
2. ufig ere( tin figures
Amount . a/in words
SPF1'

3, Pli wc eieiftu trt* garaitt.* fm aR Tiarq at al* t I (asvis ycncurst 4712)


Drafts to be drawn on us at Sight/ days after sight (delate as necessary)
. •
it* atfrrcr Ft gm* It-
aara * ant * iff at 411-Sritign rim at* 1
Covering 100% of invoice cost of shipment of
. .
41/Terms 0.34t.T1R/[Link]./4 an ers /4 an * ( dvi vgq„ntii‘ we)
CIF/F.O.B./C&F/C&I (delete as necessary)

6. 4P-ReTP 4 a ftpc aria


Last date for shipment
7. EMI 4/From
affli tkTo
atIrw *tam rItitts lqw %Est iht t .
Part shipments Allowed/Prohibited (delete one alternative)
,
10. MP 8rdrur err-oal (7* filter tz 41 aft are-maim t 1 d * rt1n-*nbri * *Rau '
Transhipment wit ter *Wit * tAci•k a* *i( i
Allowed/Prohibited (delete one alternative). If transhipment is allowed,
transhipment risks must be covered under the marine policy:
I I. P117444 g talda w) ft mfwmtt am ttalt 4nm t sett ?tit as writ fair
Iteltrbrultr art) slur * ff ;Ter wi e.*R FR di
Document required Beneficiary's signed
. invoice in .. copies Certifying the goods to
(delete as necessary) be of origin.
V) al frr firfetrr Torr4r *ft** atm we duet It eur *t br**r thriefiltr
art WWI( OM lane( ***arra rir for or al, "wrdr ear at bartior adult*
*pm" or. .tair *Or Air at el far wh- Ede or ri
Full set clean "On Boar( Ocean Shipping Company's hilts of Lading to
• orderblank endorsed or to order of the Punjab National Bank, Marked
"Freight Paid/Freight to pay and "Notify Punjab National Bang.
Branch."
it) atm dm' ufil .
c) Parcel Post Receipt alai
. /41, .< a zet INIT i *MT Cairn
isaa 1464 pl-e- , Evidencing despatch to Punjab National Bank
Air consignment Note
"wer Tom tro an * NW' •
"For Sea Shipments :
air cur It i suet a9 WO * ftr aft vett *err gar* (f/t) rir artr-rt *
A** rr Iv tam i Nu * at ft* 0,1eficr we* ale* (p);
ielele ITC Eil.* (9avir) slur b-iiavje Kra wegli (twit) fifirn ea** *
(curff) orrftwer *maw * TO** a** aftwrdi watt '
* ardifff ark lirm it tr at S tr rift urra et fait* * oaf at ardor ftwr
*It) .
Insurance policy(ies) or certilicate(s) endorsed in blank, in the currency
of this credit for the Invoice value plus A. % covering institut
Cargo clauses (A). Institute war clauses (Cargo) and Institute strik
clauses (Cargo) covering the delivery upto the warehouse of applicant
The claims under the policy should be payable in India and
must provide the complete address Of surveyors in India.
arcs erg bolt al*IT gat dam * hi*
For Post sendings (Sea or Air)
*Word WM CM thvr * drill WI. t g
tift rniqr ( P6 am OF T) I ifft4 all
1Z r
41 17 0 91trU tf er OR I
As per Sea/Air shipments but with Institute war clauses (post sendingsj
and with Insured Parcel clauses.
"and Inc I fart"
air arty-eltord.4 tr anfir*itiz att grark-u Alm aftftrat iar unpr-wl* taw
zi*; oar Tlfdird i itn * * WI' etlacie zatbtt Nit* (bard{
a^^l fle arc Oat auttO nurr Gan \Watt 4144 arta
(Gum) at ftgra army 3 %yr.* 41 art 41arftra di man *
aarra a au 4 to at4 mf3q am 444 urn 3 tir rle* q4 at an rat!
VI
For Air Sendings :
Insurance policies or certificates endorsed in blank, in the currency of
this credit, !Or the invoice value plus % covering risks as per
institute Cargo clauses (Air) and Institute war clauses (Air Cargo)
covering the delivery upto the warehouse of applicant at
The claims under the , policy should be payable in India and it must
provide complete address of Surveyors in India..
nrEftiT/OR
.24,,414 am act iarar wirr aiwar
rata 3 uriam * arna7/444
ar, atiri ar Van* na at Rat a
n awn gar aacmoord It 4arr art I
Insurance covered by buyers in India. Particulars of shipments for
insurance purpose to be telexed/cabled to the applicants/Messers
Quoting their cover note/policy
no . The copy of telex/cable is to accompany the
documents.
tau ara G44 ear arrir ram ar 3 -gat TMITT- TTW I
e) Certificate of origin issued by Chamber of commerce.
(tar ea adR
t an** ar Tau rtt) tt•
(Here insert other documents required) 0
12. inff-17-* WTI* 14 TRIM &ft
Credit to expire on in
*D. riM w ara mime Nor vac a a Ow * arta nal
Goods to be imported under Import Trade Control/Open General Licence No.
........... ....... ........... .......... .......
14. kw nu arca xl mu nit wurr isartfaRr tT1 1
Bank charges All charges outside India are for account of the beneficiary/our account.
4/agir a14m1 arragg :scar t fa an Gra rira urea *311nrr Garr-rra arrer at, fait ICU Gan rY Rat um tarn Gan
T
I/We authorise you to issue letter of credit as per your standard format incorporating details provided in this
application.
Tar am4 new t fa* nrcT aik rer n Ta am* [Link]
4r ar 44*Inand-Ma arr asr

re
Please instruct your correspondents to forward drafts and original documents by airmail, and duplicate by
following airmail.
44 au as * aterter nen fat 711441 ml Ncirit liz a feu arum antra a ;At * 444 fti arlftepur n arum
srs a9 Tri Gnat #f4m, ?Tit itit at. *5 *Ott fnlitu ft141.1 az ax, n4 * al 41 wa et nuri **Mita far are I
Foreign currency bills, drawn under this letter of credit, may be converted into rupees at the rate of exchange ruling
on the date of retirement or on the 10th day of receipt of documents or at the rate of exchange fixed under the
forward contract booked, if any, whichever is earlier.
sat an W *RFS cat-e (4.*.w.) I autm far at It (41 rarta*a pima ar aru)
• In case Import is under Open General Licence (OGL) (Please complete the following certificate)
WEI? 111111044 mRar tirEr t I* dim! 444 19 I Tigr el l $4.1f TfiTft02 an TIPT t ire
aTITh W.1 4chi TIM* awid t x4ttta *MI T it IATT TOW/omit) acifitz ulfU
nr 3 arum arc tot Val it in an us 41 am moat Off*** gliTIETAMTIff tit 19 arTurrcritau ma fara
hint 7tf BI (di *Pr ** *re t)
I/We certify that the above item is allowed for import under OGL appendix No Part No.
item No. of import Policy 19 and am/are importing the same as Actual User
(Industrial/Non-industrial). I/We further declare that the above goods are not banned, restricted or cancelled as
per Import-export policy 19 (Delete if not applicable).
kit Ile am pia I' fre. *in griam fait *a* "inert' Gptr 4Y G*141
I/We confirm that I/We am/are not in the Caution List of Reserve Bank of India.
vairwm:araitir dcati .ff /sir Azing-ts WIFE krug tfann nin arrni*zt to (1993 ftaki),
Meanie Inn 4144 gargi *1/113/In if : zoo SE awash t I
Except as otherwise expreisly stated, this credit is subject to the uniform Customs and Practice for
Documentary Credits (1993 Revision), International Chamber of Commerce Publication No. 500.

ten arc 9T man far art


The enclosed agreement must be signed

31tIWItl sum (Alltftw BRiisfi)


Officer Manager (Authorised Signature)
1, 10 FEX-l(c) N.P. (25)
75t 71C4-1 at init . -Kb/Enclosure to Fex-1

aim* isut1/4 * ft7 <, * itiehilea. tna stria Sr 7rd! * aitta


atq orTIR aih auarfita 31117 arralto Si oft Stream salt ai Is Es PalRir at qe AIM, 4/741vi a* sirs war
ani* an arra* tat serer ar-41 Ziyltr ciarr Pb'? trq 1S-4 3TR7 ;Kt tat sitar WR* * *7 tivio t
In consideration of your opening this Documentary Credit for my/our Account. I/We hereby agree to pay at
maturity together with interest, commission and charges at the rate prescribed by the bank and any other charges
incurred by you or your correspondents or other Agents, the amount of drafts drawn and negotiated under and in
accordance with the terms of the credit.


tiVat wet taiii tit ft wu are t tint -its, ate, gage fa eras, act/away utrot-at
ah as* tirriteat air 44t wart t aft** fa* st ctoid4r era- TN* It* sit 5177T std, dee iicr *4' Tit 4t-t-4 4Rita
4 *east scar lift * silts, WIT 71 a:gtt *wirer 3114(0) 377T W1vd, 3iNiciMkn sill grafi gat iSs sr Isr t at sat wire inn
ART atratr flirt* Ttti
1/We agree that you shall have a pledge upon all goods and upon all Bills of Lading, Warrants, Delivery
Orders, Documents of Title, Insurance Policies and/or Certificates and proceeds thereof and all securities
whatsoever which have been already or shall be here after delivered into the possession of you or your
correspondents by me/us or by any person, firm or company as a result of opening or in connection with any
transaction under this Documentary Credit.

- 11T£ fit Kt( art. Si stall 4 at * * it tat ars ak . Tyr et-ta 4 we malt
4/agr wEr# ugsrff 'tit f dimt. Pe g 311
se-Ts* sir- rfs es* an sal situ 1141/44 saw rlt/e + HIt Pta a1 f z no; sits ia7 sit 70 silts t:rit
wrst ttt*P174117 wEr *5-7i* alitW#** 0 11 4.1t9e lf 3cv-4 it sr* eei-r tit art 1it *tot aik Ears es tar4
**a uftfr *we 4 ittgr t airy ft tit ttt a gull i etc t eimar at/t4 Iry it 1st tr sat wet *r sat feras tT Sat wr au
sfasrt tat *It as St Sr *are sits S. art at rfi WwmT aim * ars 4 it Ski* tT wityr par arcs as In4- t#
*St it an* it. * etsers to rit sr Ire* w fear
I/We agree that the terms of the said pledge are that the said goods and the said documents are and shall
be pledged as security for all advances made or which may be made to me/us or to my/our agents and for all
payments which may be made by you or your correspondents under this Documentary Credit and also for any
liability whatsoever incurred or which may be incurred by you as a result of the opening of this Credit together
with interest and all customary charges, and that you shall have full discretion and power of sale over the said
goods without notice to me/us, and that you shall be held covered against fire and all other risk after expiry of
the insurance above mentioned and that in the case of loss the amount due under such policies shall be paid
over to you.

tilarr pr era 4 * Frans tit * are of ce ft* nits *Nam Sat, sat scar Tr( 4f** alt, tta at
rrett katz awar g rtudal* Taft s's wiz trs 1St **at 4 311 set *vit a7d *Tat fit it *a 4 ems* at St.
* 7* Pot Ta, w1w away 1st * term at iSt ;ma WM [Link] ?1 ,4 t Pb41 dIANir as4 eiligineer at Tres *atm *Alt
* es* steam sic iiraTer net *retail
I/We further agree that neither you nor your correspondents shall be in any way responsible for any error,
fault or mistake in the description, quality, quantity or delivery of any goods or for the genuineness or accuracy
of documents if apparently in order and your right to repayment and reimbursement shall not be prejudiced or
affected by any such error, fault or mistake or by any invalidity or irregularity or misdescription of or in any
draft or document.

d 31ft+9,dI4 * d,9ef WEI and sr tt asnt scar t f Tat aft awl** att
4/aa 444 AI tib ild Sit i* d114 14) a 3114
aura tit tat sat-Ert a9 aral at wait* arizar *1St sit, sit etas N UR *7 art as i T * arts 4 is sill eta
atitskt atl irk
I/We agree also that you and your correspondents are obliged only to verify that the drafts and documents
purport to comply with the terms and conditions of this Credit and that you will not be liable for any loss, dam-
age or delay, howsoever caused.

4/sir mom tit f* tart sit:War is truss saar shell sir am*** welt 1167 a** szrir rY WY yid. an VW
qa tall rT itTft ark etstaa at *at WON qt era-ta ultr it alruft irk **aft ft sa saw to ster artra rat scar
arsau eirsalias ftst taz era-aa sar awl) cievircr auk arS sutra, ruiduir a MU* wiit # aitt wcr tram **ira dm tt, eackril
at ftolt * airsiltrq * dirk 511771 5117* in SAcnclf arty St at IS* r8 aittst * Sta 4 to qt asset Sari
I/We agree that in the event of any extension of this Ciedit or of the time for presentation of drafts or
documents or any other modification of the terms of the Credit at our request, or in the event of any increase in
the amount of the credit at our request, this agreement shall be binding upon us with regard to the Credit so
increased or otherwise modified to drafts, documents and goods covered thereby, and to any action taken by
you or any of your correspondents in accordance with such extension, increase or other modification.

4/ga tows tit f* is arf mr tart em erat *Rona at 1St Or ass sr aft** ton art a*ar IS fd dl 5174 all elm
stelln 7T tr-areisit *fs7 ale ah/saar tItt:e adt fiar as t m itt erisectief sir id gldmiif tr St titan are or lars-at *
sort sus so 144 sr at 44 wt. a* an at ass, f** it #17* TIT watt taarariasas afta ftfar ma ft as NM ems
* Tt‘T *1'42. *TT * Wi g* WE air( 3tt414. stk di siva, ettobit qt crittm 51iff at atm i
I/We agree that your rights against us shall not be prejudiced in any way by reason of any drafts not being
noted and/or protested for non acceptance or non-payment, or by reason of the requisitioning and/or
acquisition by the Government of the importing or exporting country of the goods or, any portion thereof
whether shipped or to be shipped under the Credit without prejudice to your right to treat this Credit agreement
absolutely null and void on the ground of such requisitioning And/or acquisition.
AAR 3i02 Fr f0a 7E4 gra ttr 444 kt 4 ittk Eat Thi MI TA' ?ow gig4r
I/We agree that on no account shall any claim be made against the Bank after the drafts have been retired.

4/44 VIITgrff war Vint t ftgtr tugr- ira * 4*ga ark gra git two 4 *
1/We certify that the goods covered by this Credit are intended for consumption in India.

4/gal tikgd tit fig atitr arm* 443 et am at Sl fij rT WIPT * VRviwtatY tariff t ddm1R4i gm aro 4 vim(
Tam a *4 t4 * Rafea# 4* *kir * ditlfrr airtr* aftrtik at mit ATM aft akar!
I/We agree that your rights under this agreement will not be affected in any way in the event of the
Customs Authorities refusing the entry of the goods into India consequent upon restrictions being placed on
their import.

4/wa tit4 aztra tit it erti y ar gait 4 fttr amar trt aR y rm ttr WIC V( Wit 311:1C Mff 170 alas Zig
rift arts 4 441* sr** rim alt ittriggrft th-4 atilaitrar q),4** artlarer Tr Tug tenor gitrar ZRPITI IITPT-k:PT at *4
aril' fer4ft **V** gray as tot ollvreirt /gm ttar
I/We further agree that this agreement shall not be affected by my death or death of any one of or all of us
but shall remain in full force and effect and shall continue to be binding notwithstanding any changes which
may from time to time take place by death or otherwise howsoever in the partners or constitution of my/our
firm and/or company.

as algg-r-irg itre at ftirlag et cdlmtc WC Seim trig alt arar-a* a* *K. 'kw war ,4mm, as tat ?Am T49T SIKH wr
* adt 14/24.4 fgar mu *Liget 4* 'gar irgi gl
This application shall be deemed to have been accepted and the Credit deemed to have been issued only
when written advice thereof has been despatched/Telexed/Cabled

4/ger it4ft dr dt1 a-citur ft** Ham a daY at atomic *34, 3-4 faiarit *14 * kigt WCk ar 4-49' kw t/g4 t
ft* tigEr et %iirr* am v441* as at ft atm al gal alt atftr gtinglt at an* sal * igif *a* ateatergi 34 ft*
*Ow war art wttg4 at* fgfira igtk ar 34 that sign* 4 et/ur as at secikg4 Egett alt agin fgtgrla vett atir
34' Tit Wei
I/We undertake to sign, execute and deliver any transfers deeds or documents which you may require
me/us to sign, execute and deliver for perfecting your title to the said goods and the said documents and/or for
vesting the same in or delivering the same to any purchaser or purchasers from you.

4/ g4 gtr 80* arefta foir t triti 311 *34 a r /gala kur i ` and 1117 trig ms gl argar alt 44* tea
irea* mu ark * worm 4 *rt fare dal< am'
I/we undertake to pay the amount of bills drawn under the Credit whether, the goods arrive or not and
irrespective of any disputed claim by the insurance company.

ttr t *ral t f pr war * ham " 19 * I** 9. 41 air ar 4g) I alt a g* ft*
* 4 nag ar /war d 1
It is further agreed that his agreement cannot be either revoked or altered in any way except in writing
with your express consent.

tar trig Petals am t atar trra-a* 4 Ogitia tritr area * cart: *Omit avg. titra ar witia ay kw art attar
art sag
ar tft f 1 MAI stcr Eft facia!' IW f p drtt rrt4 9* stmt
It is understood that all instructions and correspondence relating to the above Credit are to be sent at
my/our risk, and that the Bank is not responsible for any errors or delays on the part of postal or telegraph
authorities or cable companies.

4/sal gtr **a *41 ftg ark art trtgr-a** .arita Air itg ark * 3 at** tut 4* tin t*** I f0a
alma va * 141414 f) q -A ar Ail sr9u wck as vas hat t/k4 *1
I/We undertake to submit the exchange control copy of the bill of entry for retention by bank, within 3
months of effecting the remittence under the letter of credit to be issued under this application.

4/sal fl 4 tau* 31M at *Pi a rvla azr art fhq


or, g r faggig t tariff f134** arlarea * foT tut war t/ ?
t1
I/We agree to comply with any import Trade Control, Exchange Control and Costoms regulations
applicable to import of goods into India.

mftti/Date MilETK/Signature

gm/Address

1 - . 1-4URM A 1 Al.). Code No


IForm No
(To be filled by authorised dealers)
'(For import Paynients only) Serial No •
(for use of Reserve Bank of India,
Application) for Remittance ii Foreign Cun-enc• Amount
remitted
• Currency AinOtml

Equivalent to Rupees.__......... ........


(To be completed by authorised dealer)
f/Wc wish to purchase
(Name of C rcncy) (Amount in words)
through for payment to
(Na e and address of the authoreod dealer)

in poplin/ or
(Name and address of the beneficiary of the remittance)
imports into India, detailed below
Details of goods Imported or to be Imported into India
Section A : Import Licence Particulars
Import Licence Date of Issue Date of Expiry Face value Antonio to
of be endorsed
a . (in Rs.)
Prefixes Licence No. Suffixes I' — licence
O 8 >. 3 2
b.
>- r.“
I 2 3 I 2 3 4

@Actual amount endorsed in rupees against each licence involved, should be m stated under 1.1.5
I i column
I
Note :• If more than one licence is involved, particulars of all licence should be furnished. If the space is inancou .1 se 1.11

statement may be attached. The amount utilised against each licence should invar ably be indicated
Section B : Import, Particulars
Invoice Details Mod.. of butt. ot

Terms
Quantity Description Harmon;
sec, Country Country shipment shinnieni tii
L..r:-. of of from which (air. „.a. post, H ui
of of origin
of kno,“1
Nc' • (c.i.f.,
ro.b . Amount Goods Goods system goods goods arc
and
classifi- rail, fiver lily",111•ne
l
Dale c. & I r consigned trospon eic I d.u,..
etc.) Ll cation

Section C t Ochs. Particulars


..
I. Details of forward purchase contract, if any, Booked
. against athe Import
booking against the import (No. & date of contract) (Cymric), & Amount (Balance under the
of contract) contract)
2 If remittance to be made s less than invoice value,
reasons therefore (i.e. part remittance, instalment etc.)
I/We her:by declare that the statements made by me/us on this form are true and that I/we have not applied for an authorisation
through any other bank.
I/We declare and also understand that the foreign exchange to be acquired by me/us pursuant to this application shall be used
by me/us only for the purpose for which it is acquired and that eth conditions subject to which the exchange is granted will
be complied with.

Date . •

Signature of A pphstarn/A utLorised official

@Name & Address 0; Applicant


Stamp
Importers Code Numba.
@Nationality.
(@.To be filled in capita; letters)
---

Declaration to be furnished by Applicant


e declare that
(a) !he import licences against which the remittance is sought is/are valid and has/have not been cancelled by DGFT authorities
(0 the goods to which this application Tel AICS have bcen • imported into India on iny'our own account•.
will be'
h) the import is on behalf of v: • and
(d) the invoice value of the goods which is declared on this form is the real value of the goods imported' into m India
to be imported•
-14?:
I f the *import I/we attach the relative Customs, stamped Exchange. Control copy of Bill of Entry'
has been made post parcel wrapper (for imports by post)' courier wrapper (for imports through courier•
or
If the import I/We undertake to produce within three months to the authorised dealer the relative
is to be made [Link] Exchange control copy of Bill of Entry'
Post parcel wrapper (for imports by post)'/co
. aria
, wrapper (for impors through couricO•
Strike out item not applicable.
aiWherc the import is on behalf of Central/State Government Department or u company owned by Central/State Government/Statutory
Corporation. Local Body. etc. the name of the Government Department. Corporation etc. should be stated.

Date
Signature of ApplicantiAuthoriscd official,
(Space for comments of the authorised dealer)
( While forwarding The application to Reserve Bark of India for approval, reference to Ex< lunge Control Manual pragraph/A.D. Circular
H hums of which the reference is made should invariably he eit ad. If any remittance application on account of the same import was referred
to Itcser‘e Bank earlier. reference to ate last correspondence/approval should also be cited).

Signature of Applicant' Authorised Official


Name
Designation
Stamp Name & Address of
Date Authorised Dealer

Certificate to be furnished by Authorised Dealer (Importer's Banker)


We hereby certify that
rat this payment is •
Put a (i) q an advance remittance.
1 , ek i.J) fa) q in retirement of bills under Letter o' Credit opened through us.
in the (in) q against documents received through our medium for collection.
rela y int (iv) q on account of documents received direct by the tipplicanth against undertaking furnished by the latter to submit Ctratorin•
block stumped Exchange Control copy of Bill of Entry/post parcel/courier wrapper within three months.
q on account of documents received direct by the applicant/3 against Customs-stamped Exchange Control copy Bill of
Entryipost parcel/courier wrapper (al tar lied) submitted by the la tier,
q
(any other case, to be explained)
ro all the exchange Control regulations applicable to the remittance have been complied will
tor the payment to the supplier of the goods has bt an' made through
will be* •
(Nestle and address of the foreign bank)
We also certify/undertake that the relevant Customs-stamped Exehinge Control copy of Bill of Entry or post parcel/courier wrappc
*shall be verified by us within three-months [vide certificate (a) (ii) and (iii) above);
has been verified [vide certificate (a) (v) above).
shan be obtained from the applicanVs within three months [vide certificate (a) (i) and (iv) above)..

Signature of Aathoriscd Official

Name
: a mp
I Designation
Date
Name & Address of
`Erine oat 'tern not Autliorised Dealer

< Supplied by : JEANalna Book Agency (Sales) C-5, (Upstairs), Connaught Place, New Delhi-110001. Ph.: 23416395 /06 /67 /41513800
No
o,2. V Fax: 91-11-41513850 E-mail : s [Link] Websita:vorwjainabooi [Link] Price :Ra. 1.00 + VAT Extra
Status Report in respect of M/s.

We confirm that:

the above subject party is maintaining Current A/c / CC A/c with us for sufficiently long time and the
dealings / operations in the account are to our satisfaction.
that we have visited the premises of the party personally and confirm that thy are conducting
business/manufacturing activities therefrom.
that the subject party is importing the above - said material covered under the shipping documents in
question, related to their line of business / trade / manufacture.
that the Balance Sheet of party is scrutinized by us from time to time.
that all sale proceeds are being deposited in the A/c of the party regularly.
that import bills, referred to above, are not being retired out of cash deposits in the A/c.

This carries approval of Chief Manager.

Incumbent Incharge (BR. Status)

BO

PA No.
Name of Importer

To

The Chief Manager


Punjab National Bank
Prabhat Kiran Building,
Rajindra Place,
New Delhi - 110 008
Dear Sir,
Reg. : Iriiport of

From
With reference to the above, we hereby declare that:
We are eligible to import the above goods and the same will be utilised as per the provisions of the Import
policy in force.
The items imported are strictly in accordance with the terms and conditions of our industrial licences/
registration issued to us by the concerned authorities.
Such licence / registration has not been cancelled or withdrawn or otherwise made inoperative by
concerned authority.

By import of goods in question, our production shall not exceed the licensed / authorised capacity.
(Applicable in the case of Import of capital goods.)

The import of the above said goods
is covered under open General Licence vide Appendix No.
item No.
of Import Policy 2002-2007.
The subject goods are not banned or restricted of canalised items and are being imported entirely at our
risk and reponsibility.
We further undertake to submit you the Exchange Control copy of Bill of Entry / post parcel wrappers
immediately after the clearance of the goods, latest by 90 days of remittance.
Place : Seal
Date : Authorised Signatory
DECLARATION CUM UNDERTAKING
(UNDER SECTION 10(5), CHAPTER III OF THE FOREIGN EXCHANGE
MANAGEMENT ACT 1999)
I/We hereby declare that the transaction(s) the details of which are specifically mentioned in the Schedule hereunder does not
involve and is not degined for the purpose of any contravention Or evasion of the provisions of the aforesaid Act or of any rule,
regulation, notification, direction or order made thereunder.

INVe also hereby agree and undertake to give such informations/documents, before the Bank undertakes the transaction(s)
and as may be required from time to time as will reasonably satisfy you about the transaction(s) in terms of the above
declaration.

INVe als6 understand that if INVe refuse to comply with any such requirement or make unsatisfactory compliance therewith,
the Bank shall refuse in writing to undertake the transaction and shall if it has reason to believe that by contravention/evasion'
is contemplated by me/us, report the matter to Reserve Bank of India.

*I/We further declare that the undersigned has/have the authority to give this declaration and undertaking on behalf of the firm
/ company.

Signature of tje Applicant


for Foreign Exchange

Place :

Date :

'Applicable when the declaration / undertaking is signed on behalf of the firm / company.

SCHEDULE
Nature / Purpose of Foreign Exchange transactions :

Amount of Foreign Exchange to be released :


Beneficiary
(Detailed particulars of transaction will have to be specified)

For Office Use : Details of documentary evidence verified.

t.

2
B/0
Phone Number: Fax number
Date
The Assistant General Manager
Punjab National Bank, Rajendra Place, New Delhi
You are requested to open FLC for and on behalf of us at the request of our
KYC Compliant customer as per following details:
M/S Cust ID

Account Number e-mail ID

F.C. and amount [Link]

In favour of At (place)

On (Bank Approved/Unapproved)
We confirm that:
Total out standings under FLC/FIBN/FIUBN is within the sanctioned limit.
Stipulated margins have been kept.
All terms and conditions of sanction have been complied with.
Importer is not on the caution list of RBI/ECGC.
S. Stamp Paper for INR has been taken.
There is no devolvement of LC ,if Yes, necessary permission for opening of said FLC has been
obtained from the competent Authority.
We have kept margin as per sanction in shape of FDR No Dated
for INR . / We have marked the lien in
account number for %
8. Compliance to H.O. IBD Circular 101/11 dated 19.12.2011 and 3/12 dated 02.01.2012 regarding
Hedging of the transaction/Steps are being taken for booking a forward contract.
We enclose the following documents:
[Link] Application ( FEX-1)duly signed by customer and ourselves ( by two GBPA Holders)
2. Status Report duly signed by the incumbent.
I 3 Letter of request by the customer to open FLC.
Form A- 1 duly completed.
FEMA Undertaking and Declaration.
Copy of IEC Code issued by DGFT.
Proforma invoice/purchase order/letter of intent duly accepted.
8 Original Insurance cover note for CIF plus 10% value in Currency of FLC.( only in case where the price
quoted [Link] FOB /C&F basis).
Remarks

Signature of Officer (P A No ) Signature of Manager (P A No

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