| 1 |
Name and address of
the exporter |
|
| 2 |
STPI Center within whose jurisdiction
the unit is situated
|
|
| 3 |
Import-Export Code Number |
| 4 |
Category of exporter |
STP/EHTP/EPZ/100% EOU/DATA
Unit |
| 5 |
Buyer's name and address
including
country and their relationship
with exporting unit (if any)
|
|
| |
|
|
| 6 |
Date and Number of Invoice
|
|
| 7 |
| a) |
Whether
export contract/ purchase order alreadyregistered
with STPI. (If 'No' ,please attach copy of the contract/purchase
order)
|
|
| b) |
Does contract
stipulate
Payment of royalty
|
|
|
| |
|
SECTION - A
(For exports through data communication link)
|
| 8 |
Name of authorised datacom
service provider |
STP/VSNL/DOT/Internet/Others
(Please specify)
|
| 9 |
Type of software exported
(Please mark ' 3 ' on the appropriate box on the left
side)
| (a) |
Computer Software
|
RBI Code |
| |
|
|
| |
Data Entry jobs and Conversion
Software
Data Processing
|
|
| |
|
|
| |
Software Development |
|
| |
|
|
| |
Software Product, Packages |
|
| |
|
|
| |
Others (Please specify) |
|
| |
|
|
| (b) |
Other Software
|
|
| |
|
|
| |
Video/TV Software |
|
| |
|
|
| |
Others (Please specify) |
|
|
| 10 |
| Analysis of Export Value |
Currency |
Amount |
|
(a) Full export value Of which :-
i) Net value of exports without transmission charges
ii) Transmission charges Included in invoice
|
|
|
| |
|
|
| (b) Transmission charges (if payable Separately
by the overseas client) |
|
|
| (c) Deduct: Agency commission(c) Deduct: Agency
commission At the rate of …….%
|
|
|
| (d) Any other deduction as Permitted by RBI (please
specify) |
|
|
| (e) Amount to be realised [(a+b) - (c+d)] |
|
|
|
| |
|
|
| 11 |
How export value will
be realised
(mode of realisation) (Please mark ' 3'
on the appropriate box)
|
|
| |
(a) Under L/C |
(a) Name and address
of
Authorised Dealer __________
|
| |
|
(b) Authorised Dealer
Code No. __________ |
| |
(b) Bank Guarantee |
(a) Name and address
of
Authorised Dealer __________
|
| |
|
(b) Authorised Dealer
Code No. __________ |
| |
(c) Any other arrangement e.g. advance payment, etc. including
transfer/remittance to bank
account maintained overseas (Please
specify)
|
(a) Name and address
of
Authorised Dealer __________ |
| |
|
(b) Authorised
Dealer
Code No. __________
|
| |
|
|
|
SECTION - B
(For receipt of Royalty on Software Packages/Products
exported)
|
| 12. |
Details of Software Package(s)/
Product(s) exported
|
|
|
a)
|
Date of export |
|
|
b)
|
GR/SDF/PP/SOFTEX Form
No. on Which exports were declared |
|
|
c)
|
Royalty agreement details |
|
|
|
%age and amount of royalty |
|
|
|
Period of royalty agreement
(Enclose copy of Royalty
agreement, if not already registered)
|
|
| 13. |
How royalty value will
be realised
(as defined in Royalty agreement)
|
|
| 14. |
Calulation
of royalty amount
(Enclose copy of communication from the foreign customer)
|
| 15 |
Name and address of
designated Authorised
Dealer in India through whom payment has
Been received/to be received.
|
A.D.Code No. |
|
SECTION - C
|
| 16. Declaration
by exporter
I/We hereby declare that I/we am/are the seller of
the software in respect of which this declaration is
made and that the particulars given above are true and
that the value to be received from the buyer represents
the export value contracted and declared above. I/we
also declare that the software has been developed and
exported by using authorised and legitimate datacom
links.
I/We undertake that I/we will deliver to the bank
named above the foreign exchange representing the full
value of the software exported as above on or before
…………… (i.e. within six months
from the date of invoice / date of last invoice raised
during a month), in the manner specified in the Regulations
made under the Foreign Exchange Management Act,1999.
Signature of the Exporter
Place: Name:
Date:
Designation:
Enclosure:
(1) Copy of Export Contract [17(a)]
(2) Copy of Royalty Agreement [12(c)]
(3) Copy of communication from foreign customer [14]
Space for use of the competent authority (i.e. STPI/EPZ/SEZ)
on behalf of Ministry of Information Technology
Certified that the software described above was actually
transmitted and the export/royalty value declared by
the exporter has been found to be in order and accepted
by us.
| Place:
|
( Signature of the Designated Official of STPI/EPZ/SEZ
on behalf of Ministry of Information Technology ) |
| Date: |
|
| Stamp |
Name: |
| |
Designation: |
|
