APPENDIX- 4 O

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

Note :

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.

.

To..................

(ii) Place/Country

2.

Exhibition held on

:           (i) Date:..........

From:..

To......

(ii) Place/Country

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

Value of

Actual

Making

Value i.e.

Selling

FOB value

Value

cts.

studdings

Sale

charges

At rate of

price in

repatriated

Addition

Price

gold /

foreign

achieved

And date

silver

currency

With respec

of sale

At 6

value

At 13.

(9)

(10)

(11)

(12)

(13)

(14)

(15)

(16)

Signature        :.....................................................

Name          :.....................................................

Designation :....................................................

Name of the Nominated Agency :.................................

Place :

Date: