APPENDIX 19C

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.





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