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DGFT Hand Book of Procedures Forms & Appendix (wef 27/08/2009) APPENDIX 19C

APPENDIX 19C

PROFORMA FOR FURNISHING OF QUARTERLY EXPORT RETURNS

1. Name of the firm/company	: ЕЕЕЕЕЕЕЕЕЕЕЕЕЕЕЕЕЕЕЕЕЕЕЕЕЕЕ..
2. IEC number	: ЕЕЕЕЕЕЕЕЕЕЕЕЕЕЕЕЕЕЕЕЕЕЕЕЕЕЕ..
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

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