EXP Form PDF
EXP Form PDF
I/We, the undersigned hereby declare that I/we am/are the sellers/consignors of the goods described below in respect of
which this declaration is made out and that the particulars given in the following items are true and that the invoice value
declared in SI.No.5 in case of firm contract is full value as contracted with the buyers; and in case of consignment sale, is
a fair value of the goods which are being shipped on consignment sale.
I/We do hereby undertake to repatriate full proceeds of the export within the period specified by the Bangladesh Bank in
terms of FER Act.
Coded by ……………………………….
Checked by ……………………………..
Cont’d …………………P/2
Page - 2
Certified that the above exporter(s) is/are known to us, that he/they is/are bonafide businessman/men in Bangladesh
and that he/they has/have made arrangements with us for the realization of the export proceeds of the goods declared on this
form within the stipulated period and that we are satisfied with the said arrangements. We have also satisfied ourselves
about the bonafides of the importers/consignees abroad and their credentials etc.
*We undertake that for export shipments on consignment sale, we shall obtain from the exporter(s) and furnish to the
Bangladesh Bank a fully documented account sale certified by the consignees/Chamber of Commerce of the country of
import.
*We further undertake that in the event of non-realization or short realization of export proceeds against shipment
within the stipulated period, we shall obtain from the exporter(s) and furnish to the Bangladesh Bank full explanation as
to the circumstances resulting in non-realization/short realization.
*(Strike out the portion not applicable and authenticate with initials).
(Applicable where advance payment or irrevocable or confirmed Letter of Credit is required in cover of the shipment.)
2. Remittance for _________________ has been received as per method No. _______ as indicated below on _____ and
has been allocated against the shipment described on page No. 1.