APPENDIX- 4 O

CERTIFICATE BY NOMINATED AGENCY / GJEPC FOR CLAIMING REPLENISHMENT OF GOLD / SILVER
AGAINST JEWELLERY SOLD AT EXHIBITIONS ABROAD

Note :

1. Please see Paragraph 4.46 of the FTP and Paragraph 4.80 of Handbook of Procedures.

2. Please read the general instructions given in the Handbook of Procedures before filing this application

FOR OFFICAL USE

File No.----------------------------------------------   

Dated:----------------------

This is to certify that the following are the details of goods actually sold against invoice No.(s)______________________dated_____________in the exhibition and the foreign exchange repatriated into India and surrendered to the RBI / authorized dealer. The export has been in accordance with the Foreign Trade Policy, 2014-19.

1. Name of the Indian Exporter : …………………………………………..

2. Exhibition held on : (i) Date:………. From:…………..

                                 (ii) Place/Country

2. Exhibition held on : (i) Date:………. From:…………...

                                                            To ………………

                                  (ii) Place/Country

3. Organised by whom : ………………………………………..

4. Details of Bank Guarantee, if any : ……………………………………..

5. Price of gold / silver as per export invoice.

S.No

Pieces

Description

Gross wt. Gms.

Net wt. gms

Value of gold/ silver as per rate of booking for replenishment

Description/ Type of studding/ diamonds/ precious semiprecious/ synthetic stones / pears

Pieces

(1) (2) (3) (4) (5) (6) (7) (8)
               

 

Wt. In cts.

Value of studdings

Actual Sale Price And date of sale

Making charges

Value i.e. At rate of gold / silver At 6

Selling price in foreign currency

FOB value repatriated

Value Addition achieved With respect value

(9) (10) (11) (12) (13) (14) (15) (16)
               

Signature :……………………………………………..
Name :……………………………………………..
Designation :……………….……………………………
Name of the Nominated Agency :……………………………

 

Seal

Place :
Date: