Appendix 19 C

Proforma for Furnishing of Quarterly Export Returns

 

1. Name of the firm/company : ..

2. IEC number : ..

3. Details of exports:

 

Period

Item(s)

Quantity, if applicable

Country(s) of export
(item wise)

Value of export during the period
(in Rs.)

Cumulative exports
(1.4.2005 onwards)
(in Rs.)

[1]

[2]

[3]

[4]

[5]

[6]

 

 

 

 

 

 

 

Cumulative exports (in words): ..............................................................................................................................

Declaration

I/We hereby declare that the above statements are true and correct to the best of my/our knowledge and belief.

Signature

Name

Official Address

 

Seal/Stamp