Office of the
 

1. Name and address of the applicant

2. Authorisation no.
Date

3. Name and address of the Indigenous Producer / STE*

4. Items to be supplied by Indigenous producer / STE*
 

5. Regional Authority of the Indigenous Producer / STE*

Note:

a) This Advance Release Order / Invalidation letter** shall be produced in original to above- mentioned indigenous producer / STE* for supply of goods as per above details.

b) This Release Order / Invalidation letter will be valid upto -----------.

c) The material received by the holder of this Release Order/ Invalidation letter** shall be subject to the same conditions as applicable to the authorisations issued under Advance authorisation / DFIA against which this Advance Release Order / Invalidation letter** has been issued.

d) Both quantity and value shall be limiting factor.
 

Yours faithfully,

Asstt. Director General of
Foreign Trade/ Foreign
Trade Development
Officer
Security Seal

Endt.No........................................ Dated .................................

(i) Jt./ Dy. Director General of Foreign Trade ..................... ( Name and address of the Regional Authority of indigenous producer / STE* ).

(ii) M/s. .............................................. (Name and address of the indigenous producer / STE* ) for necessary action.
 

Asstt. Director General of Foreign
Trade/ Foreign Trade
Development Officer

Details of materials supplied under above Advance Release Order / Invalidation letter**
 

We confirm having supplied the goods as per details above.
 

Signature
(Name and address of indigenous producer/ STE* )

We confirm having received the goods as per details above.
 

Signature
(Name and address of the Advance Release Order / Invalidation letter** holder)

Note:

* Strike out whichever is not applicable.
**Strike out whichever is not applicable.