THE WEST BENGAL VALUE ADDED TAX RULES, 2005 : FORMS
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THE WEST BENGAL VALUE ADDED TAX RULES, 2005

FORM 35

Form for confirmation from Bank

(To be annexed with the application for Refund as referred to in clause (a) or clause (aa) or clause (ab) of section 61 of the West Bengal Value Added tax Act, 2003)

[See sub-rule (2) of rule 76]

..................................................................................................(Name and address of the appropriate sales tax authority)

.....................................................................

We,

....................................................................................................................................................................................

.........................................(Name and address of the exporter) hereby declare that we have forwarded a documentary export bill to ........................................................................................ (Name and address of the bank) for collection/negotiation/purchased as per the particulars given hereunder :

Invoice		Bill of Lading/ Airway bill		Bill amount CIF/C&F/FOB in foreign currency	Freignt amount as per Bill of Lading/ Freight Memo	Insurance amount as per insurance company's bill/receipt	Whether export is in freely convertible currency or in Indian Rupees	Export promotion copy of shipping bill duly authenticated by customs	Description of goods as given in customs authenticated shipping bill
No	Date	No	Date	Bill amount CIF/C&F/FOB in foreign currency	Freignt amount as per Bill of Lading/ Freight Memo	Insurance amount as per insurance company's bill/receipt
1	2	3	4	5	6	7	8	9	10

We further declare that the aforesaid particulars are correct.

Place :

Date :

Signature of the exporter ....................................................

Name in Block letters ..........................................................

Designation .........................................................................

Office address in full ...........................................................

Registration Certificate No.

BANK CERTIFICATE

Authorised Foreign Exchange Code No. alloted to the Bank by Reserve Bank of Inida, ............................. vide Reference No. ............................................ Date ..................................... Place ..................................

1. This is to certify that we have verified the relevant export invoices, shipping bill and other relevant documents of M/s .......................................................... of .............................................................

2. We further certify that the particulars given in column 1 to 10 have been verified and found to be correct.

3. We have also verified the date of the connected mate receipt as indicated in the relevant shipping bill is ............................... (date to be given)

Signature of the Banker ............................................................

Full address of the Bank ...........................................................

Official stamp ...........................................................................

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