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FORM NO: AB |
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ORIGINAL |
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Name and address of the exporter |
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STPI Centre within whose jurisdiction the unitis situated
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| 3. |
Import-Export Code Number |
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| 4. |
Category of exporter |
STP/EHTP/EPZ/SEZ/100%EOU/DTA unit |
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Buyer's name and address including country andtheir relationship with exporting unit (if any)
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| 6. |
Date and Number of Invoice |
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| 7. |
a) |
Whether export contract/purchase order alreadyregistered with STPI. (If 'No', please attach copy of thecontract/purchase order)
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Yes |
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No |
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b) |
Does contract stipulate payment of royalty |
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Yes |
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No |
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SECTION -A(For exports through data communication link |
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Name of authorised datacom service provider |
STPI/VSNL/DOT/Internet/Others(Pleasespecify)
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| 9. |
Type of software exported (Please mark'√'on theappropriate box on the left side).
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(a)Computer Software |
RBI Code |
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Date Entry jobs and Conversion Software DateProcessing
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9 0 6 |
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Software Development |
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9 0 7 |
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Software Product, Packages |
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9 0 8 |
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Others (Please specify) |
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9 0 9 |
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(b)Other Software |
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Video/TV Software |
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9 1 0 |
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Others (Please specify) |
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9 1 1 |
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| 10. |
Analysis of Export Value |
Currency |
Amount |
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(a) |
Full export value of which:- |
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i) Net value ofexports without transmission charges
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ii) Transmissioncharges included invoice
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(b) |
Transmission charges (if payable separately bythe overseas client)
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(c) |
Deduct Agency commission, at the rate of .. ..% |
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(d) |
Any other deductions as permitted by RBI (pleasespecify)
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(e) |
Amount to be realised [(a+b) - [(c+d)] |
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| 11 |
How export value will be realised (mode ofrealisation) (Please mark'√'on the appropriate box
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(a) Under L/C" |
(a) Name and address of Authorised Dealer |
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(b) Authorised Dealer Code No |
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(b) Bank Guarantee" |
(a) Name and address of Authorised Dealer |
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(b) Authorised Dealer Code No |
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(c) Any other arrangement e.g. advance payment,etc. including transfer/remittance to bank account maintainedoverseas (Please specify)
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(a) Name and address of Authorised Dealer |
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(b) Authorised Dealer Code No |
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SECTION – B(Forreceipt of Royalty on Software Packages/Products exported
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| 12. |
Details of Software Package(s)/Product(s)exported
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(a) |
Date of export |
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(b) |
GR/SDF/PP/SOFTEX Form No. on which exports weredeclared
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(c) |
Royalty agreement details |
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%age and amount ofroyalty
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Period of royaltyagreement (Enclose copy of Royalty agreement, if not alreadyregistered
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13 |
How royalty value will be realised (as definedin Royalty agreement)
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14 |
Calculation of royalty amount (Enclose copy ofcommunication from the foreign customer)
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15 |
Name and address of designated Authorised Dealerin India through whom payment has been received/to be received
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A D Code No.______________________ |
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SECTION -C |
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Declaration by exporter |
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I/We hereby declare that I/We am/are the sellerof the software in respect of which this declaration is made andthat the particulars given above are true and that the value tobe received from the buyer represents the export valuecontracted and declared above I/We also declare that thesoftware has been developed and exported by using authorised andlegitimate datacom links
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I/We undertake that I/We will deliver to thebank named above the foreign exchange representing the fullvalue of the software exported as above on orbefore (ie within six months from the date ofinvoice/date of last invoice raised during a month), in themanner specified in the Regulations made under the ForeignExchange Management Act, 1999
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Place |
Stamp |
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_________________________ |
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Signature of the Exporter |
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Name____________________ |
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Designation________________ |
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Enclosure |
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(1) Copy of ExportContract [7(a)]
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(2) Copy of RoyaltyAgreement [12(c)]
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(3) Copy ofcommunication from customer [14]
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Space for use ofthe competent authority (i/e STPI/EPZ/SEZ)on behalf of Ministryof Information Technology
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Certified that the software described above wasactually transmitted and the export/royalty value declared bythe exporter has been found to be in order accepted by us
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PlaceDate |
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(Signature of Designated Official ofSTPI/EPZ/SEZ on behalf of Ministry of Information Technology)
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Stamp |
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Name____________________ |
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Designation________________ |