[See Paragraph 4(1), 5 (i) & 5(iii)]

Application for Payment of Drawback of local Taxes and levies on Exports

Director FEOD, SBP BSC, Karachi/Chief Manager, SBP BSC ____________ (city)

Dear Sir,

I/We, M/s ______________ (Name & address of the exporter) having NTN No. _______________ and – the _____________ Association's/respective chamber's special identification No. ________ hereby apply for payment of Incentive of Rs. ______________ (Rupees) through our nominated Bank ———- (Name of Bank).

We further enclose the following documents in support our claim: (all photocopies are to be attested by the relevant banks).

(a)      Copy of Goods Declaration Form (in case of manual GD Form, containing examiner's report and MR date) Prescribed under the Customs Act, 1969

(b)      Copy of Commercial/Custom Invoice for e-forms in case of having multiple categories

(c)      Insurance Premium Paid Certificate (in case of CIF Exports) where applicable

(d)      Freight Invoice where applicable

(e)      Undertaking by the Claimant (Annex- III)

(f)       Bank Verification Certificate (Annex- IV)

(g)      Detail of Export Proceeds (attested by relevant banks)

(To be filled by Applicant Banks)                                   (to be filled by)

Sr. No.

E-Form #

Amount of E-Form (FCY)

Date of Shipment

HS Code

Description of goods

Quantity

Date of Realization

Value realized (FCY)

Rate of Exchange

Equivalent PKR

Freight, Commission Insurance (PKR)

Net FOB realized after deducting freight, insurance, commission, etc.

Name of Bank

Month

Schedule

Page

Sr.

 

Verification Signatures and Stamp of Association/respective chamber

Annex-III

[See Paragraph 4(1) & 5(i)]

SUBJECT:– Undertaking by the Claimant

Dear Sir,

I/We, M/s ________________ (Name and address of the manufacturing unit) having NTN No. ___________ and the ___________ Association's/ respective chamber's special identification No. _________________ with the office at __________ hereby undertake that;

I.       The Drawback of Rs. ___________________ claimed against FOB values of enhanced exports of the year 2013-14 increased beyond 10% over last year's exports i.e. 2012-13 based on shipment date as given below is genuine as per conditions of the Government Order on Drawback of Local Taxes and Levies 2014-15;

HS code

Description

Exports FY 2012-13

Exports FY 2013-14

Increment

Drawback

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Total

 

 

 

 

 

 

Yours faithfully,

___________________________________

(Stamp and Signature of the Claimant)

Verification Signatures and Stamp of Association/respective chamber

Annex-IV

[See Paragraph 5(iv)]

Bank Certificate of Verification for Drawback on export of Value added Goods

This is to certify that Messers __________________ bearing Association's Registration No. __________________________ and NTN _______________ had exports realization through our bank on the shipments made during 2012-13 and 2013-14 as follows.

HS Code

Description

2012-13

2013-14

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Total

 

 

 

The above information and form verified by the bank is genuine and complete in all respect as per conditions of the Government Order on Drawback of Local Taxes and Levies 2014-15.

We undertake that in case any discrepancy is detected subsequently, the SBP may debit the amount involved to our account along with penal interest @ 4% p.a. plus inter-bank rate on date of payment.

_____________________________________________

(Stamp & Signature of the Authorized Officials)

Annex-V

[See Paragraph 5(viii)]

LIST OF THE SBP BSC OFFICES DEALING WITH CLAIMS UNDER MOC INCENTIVE SCHEME

Sr. No.

Name of Office

1.

Faisalabad Office

2.

Gujranwala Office

3.

Hyderabad Office

4.

Karachi Office (FEOD SBP BSC HOK)

5.

Lahore Office

6.

Multan Office

7.

Peshawar Office

8.

Quetta Office

9.

Rawalpindi Office

10.

Sialkot Office

11.

Sukkur Office

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