APPENDIX 22 A Original
BANK CERTIFICATE OF EXPORT AND REALISATION
IEC No. 0307089487
To THE JOINT DIRECTOR GENERAL OF FOREIGN TRADE, MUMBAI- 400020 (Name and address of Regional
Authority ) We EURO INDIA CYLINDERS LIMITED 3RD FLOOR, EURO HOUSE, CHINCHOLI BUNDER ROAD,
BEHIND INORBIT MALL, MALAD (WEST) MUMBAI- 400064 (Name and address of the Exporter ) hereby declare that
we have forwarded a documentary export Bill to _ THE COSMOS CO-OP. BANK. LTD., 45, SARSAWATI NIWAS,
HANUMAN ROAD, MUMBAI 400057, INDIA. (Name and address of the Bank i.e., Branch and City) for collection /
negotiation / purchase as per particulars given hereunder.
1. Invoice No. : EICL/EXP/009/2011-12 2. Date: 12/03/2012 3. Export promotion copy of S/Bill duly authenticated by the
Customs No. SB- 2289 4. Date: 01/03/2012 5. Description of goods as given in the customs authenticated Shipping Bill CNG
STEEL 287 CYLINDERS EICL
6. Bill of Lading / PP Receipt / Airways Bill No.: MSCUM8352678 7. Date: 15/03/2012 8. Destination of goods: Country
Name: - GEORGIA
Bill amount CIF/C&F/FOB Freight amount Insurance amount Commission / Whether the export is in FOB value/FOB value
(In foreign exchange) as per Bill of as per insurance Discount paid/ freely convertible actually realised in
Lading/ Company's bill/ payable currency* or in Indian free Foreign
Freight memo Receipt Rupees Exchange/Rupees
[9] [10] [11] [12] [13] [14]
US$ 49260 US$ 1633 US$ 35 NO YES US$ 47579
US$36933@49.03= 1810824.99
US$12314@54.95= 676654.3 INR 81830 INR 1581 INR= 2404068.29
INR 2487479.29
15. Date of realisation of export proceeds: 01/03/2012, 07/06/2012 16. GRI/PP/SDF form No.: BD- 036055 17. No. SB- 2289
Date: 1/03/2012 & category of applicable licence/ authorization __________
* Note: In case of export proceeds realisation through Freely Convertible VostroAccount, as stated in paragraph 2.40 of FTP, 2009-14, the authorized
Dealer Bank shall endorse the word “Realisation from freely Convertible Vostro Account”.
We further declare that the aforesaid particulars are correct. (Copies of invoices relevant to these exports and Customs attested
EP, Copy of relevant Shipping Bill is attached for verification by the bank).
Signature of the exporter : ......................................................................................
Name in block letters : PRAVIN S. NANDU
OfficialSeal/stamp Designation : DIRECTOR
Place: MUMBAI Full official address : 3RD FLOOR, EURO HOUSE, CHINCHOLI BUNDER
ROAD, BEHIND INORBIT MALL, MALAD (WEST)
MUMBAI- 400064
Date: Full Residential address : DEVRAJ NIWAS, 3RD FLOOR, FLAT NO 11,
7TH ROAD, SANTACRUZ (EAST), MUMBAI-400055
BANK's CERTIFICATE
Authorised Foreign Exchange Dealer Code No. allotted to the Bank by RBI 8692317-6000009 Ref. No.___________________
Date _______________________ Place MUMBAI
1. This is to certify that we have verified the relevant Export Invoices, Customs attested E.P. Copy of the Shipping Bill and other
relevant documents of M/s. EURO INDIA CYLINDERS LIMITED. We further certify that the particulars given in Co.1 to 17
have been verified and found to be correct. We have also verified the F.O.B. value mentioned in Col.14 above with reference to
following documents:-
(i) Bill of Lading / PP receipt / Airways Bill (ii) Insurance policy / Cover / Insurance Receipt.
2. FOB actually realized and date of realization of export proceeds are to be given in all cases except where consignment has been
sent against confirmed irrevocable letter of credit or exports made against the Government of India/EXIM Bank Line of Credit or
exports made under Deferred Payment/Suppliers Line of Credit Contract backed by ECGC Cover. An endorsement to that effect
needs to be endorsed in BRC.
3. We have also verified that the date of Export is _______N.A.________. (Applicable only in respect of Exports by air.)
4. This is to certify that we have certified the amount of the Commission paid/payable, as declared above, by the exporter i.e.
_____________________________________________ (in figures and words) with G.R. Forms and found to be correct.
Note:
1. Bank can issue a consolidated certificate (consignment-wise) for
more than one consignment.
2. FOB actually realised and date of realisation of export proceeds
are to be given in all cases except where consignment has been
sent against confirmed irrevocable letter of credit. However for Signature of the Banker: ................................................................
status holders, irrevocable letter of credit would suffice. Name & Designation: ....................................................................
3. This shall be required wherever specifically prescribed in the Full address of the Bankers: The Cosmos Co-Op. Bank Ltd.
Policy / procedure.
4. Bank referred I this Appendix shall also include other authorized 45, Saraswati Niwas, Hanuman Road, Vileparle (East), Mumbai
dealers who have been permitted by RBI to issue BRC. 400057, INDIA. ..............................................................................
Applicant should be required to furnish a copy of RBI Branch & City: Vileparle Branch....................................................
permission circular / letter to this effect. Tel.: 022-2619 1096 / 2615 2389....................................................
