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

FORM 37

Certificate from bank, for export to Nepal or Bhutan or Bangladesh

(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]

This is to certify that the following Bills covering exports of.............................................................. to Nepal/Bhutan/Bangladesh drawn by ........................................................................................................... (Name and address of the exporter) have been negotiated and proceeds as given below received by us in the approved manner.

Sl. No.	Invoice		Name of the consignee	Name of the transporter & enrolment no (if any)	Consignment Note No.	Description of goods	Value (Rs.)
	No.	Date
1	2a	2b	3	4	5	6	7

We also certify that the payment thereof have been received in Indian Rupee/freely convertible currency.

Signature of the Manager/ Authorised Officer of the Bank ..................................................................

Designation with Seal ............................................................

NOTE:

1. Certificate from the Bank refers to the Bank that has been authorised by the exporter to negotiate payment on his behalf with the banker of the importer in Nepal/Bhutan/Bangladesh. It may be noted that in such cases invoice and transport documents of the exporter are also handled by the concerned Bank.

2. This certificate should be on the Bank's letterhead and should bear the official Stamp of the Bank.

3. This certificate will be issued only after realisation of the full proceeds of the Bill.

4. *Strike out whichever is not applicable.