We M/s. _______________________., having its office at _________
_______________________________________________________________.,
undertake  in  respect of application dated ___________ against
supply of ________________________________to M/s. ______________
________________________________________________________________.
 

i) That  at  any further date undertake to  refund  the  amount
   equivalent to invoices at detailed below.
 

Sr. No.	Invoice No	Date

 
 
 

                                                      D E C L A R A T I O N
 
 

We hereby declare that our Company/Firm has not filed any export application to any other Licensing Authority for the Deemed Export benefits such as refund of duty drawback and  Central Excise Duty for the Deemed Exports filed under this application dated for the month of

We further declare that we exercise our option to file the application for refund of Central Excise Duty on a six monthly basis as per import / export policy 1997-2000.
 

For