Sample Template Example of Material Import Declaration To Bank / Customs / Sales Tax Department In India in Word / Doc / Pdf Free Download
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The Branch Manager Place: Mumbai
ICICI Bank Ltd. Date: 25.05.14
Backbay Reclamation Branch
Mumbai 400 028
Dear Sir,
Import under Export Import Policy for the Period
August 27, 2011 to March 31, 2016
Your Bill/ Letter of Credit ref. : Bill No. 1234MFC00012345
Description of goods : Ferro Nibium STD
HS Code No of the item :
Our Export- Import Code No . : 012345678912
We hereby confirm and certify that:
a) The goods imported/ being imported by us are not covered under Negative list of imports as mentioned in Chapter XV (Part I, II and III) of Export and Import Policy 2011 - 2016 and amendments thereto till date.
b) We are eligible to import the above mentioned goods under the current Export and Import Policy in place.
c) The said goods imported/being imported by us are not restricted for import through specific licensing under the above mentioned policy and amendments thereto till date.
We also undertake to submit the relative Exchange Control Copy of the Bill of Entry/ Postal Wrappers to you immediately after clearance of the goods, in any case within 3 months from the date of remittance/payment. Further, we declare that the items will be used/ disposed of as per the provision contained in the policy/procedure.
DECLARATION-CUM UNDERTAKING
(Under Section10 (5), Chapter III of The Foreign Exchange Management Act, 1999)
I / We hereby declare that the transaction the details of which are specifically mentioned in the schedule hereunder does not involve, and is not designed for the purpose of any contravention or evasion of the provisions of the aforesaid act of any rule, regulation, notification, direction or order made thereunder.
I/ We also hereby agree and undertake to give such information/ documents as will reasonably satisfy you about this transaction in terms of the above declaration.
I/ We also undertake that if I/ We refuse to comply with any such requirements or make only unsatisfactory compliance therewith, the bank shall refuse in writing to undertake the transaction and shall if it has reason to believe that any 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.
For Rocket Sales Limited
Signature of the Applicant
*Applicable when the declaration /undertaking is signed on behalf of the firm / company
SCHEDULE
Nature /Purpose of Foreign Exchange transaction :
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