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    Form 121

    Uploaded by

    aks.heerani.ak
    This document is an application form for an Export Credit Guarantee Corporation of India Limited (ECGC) Shipments (Comprehensive Risks) Policy or Small Exporters Policy. It requests information from exporters such as company name and address, import/export code, bank details, ownership status, names of owners/directors, types of coverage required, export turnover statements for the past 12 months, and anticipated export turnover for the next 12 months. The applicant agrees to the premium rates and encloses a cheque for the minimum premium amount with the application.

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    © All Rights Reserved
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    Form 121

    Uploaded by

    aks.heerani.ak
    48 views3 pages
    This document is an application form for an Export Credit Guarantee Corporation of India Limited (ECGC) Shipments (Comprehensive Risks) Policy or Small Exporters Policy. It requests information from exporters such as company name and address, import/export code, bank details, ownership status, names of owners/directors, types of coverage required, export turnover statements for the past 12 months, and anticipated export turnover for the next 12 months. The applicant agrees to the premium rates and encloses a cheque for the minimum premium amount with the application.

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    ecgc form

    Original Title

    form121

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    This document is an application form for an Export Credit Guarantee Corporation of India Limited (ECGC) Shipments (Comprehensive Risks) Policy or Small Exporters Policy. It requests information from exporters such as company name and address, import/export code, bank details, ownership status, names of owners/directors, types of coverage required, export turnover statements for the past 12 months, and anticipated export turnover for the next 12 months. The applicant agrees to the premium rates and encloses a cheque for the minimum premium amount with the application.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    48 views3 pages

    Form 121

    Uploaded by

    aks.heerani.ak
    This document is an application form for an Export Credit Guarantee Corporation of India Limited (ECGC) Shipments (Comprehensive Risks) Policy or Small Exporters Policy. It requests information from exporters such as company name and address, import/export code, bank details, ownership status, names of owners/directors, types of coverage required, export turnover statements for the past 12 months, and anticipated export turnover for the next 12 months. The applicant agrees to the premium rates and encloses a cheque for the minimum premium amount with the application.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    of 3

    Form No.

    121
    EXPORT CREDIT GUARANTEE CORPORATION
    PROPOSAL FOR SHIPMENTS
    OF INDIA LIMITED
    (COMPREHENSIVE RISKS)
    (A GOVT. OF INDIA ENTERPRISE)
    POLICY/SMALL EXPORTERS POLICY

    This application has to be submitted


    to the nearest branch office of the
    corporation.

    We hereby apply for Shipments (Comprehensive Risks) Policy the details of which we have already
    read:
    1. NAME OF ____________________________________________________________________
    THE
    COMPANY
    2. ADDRESS ____________________________________________________________________
    ____________________________________________________________________
    Phone: _______________________
    E-mail: _______________________
    Fax: __________________
    Website address:_________________________________
    3. IMPORT ____________________________________________________________________
    EXPORT ____________________________________________________________________
    CODE NO
    4. BANK ____________________________________________________________________
    NAME AND ____________________________________________________________________
    ADDRESS Phone:________________________
    : E-mail:________________________
    Fax:__________________________
    __________________________________________
    5. STATUS |.PROPRIETORSHIP______PARTNERSHIP______PVT LTD CO._______
    OF THE
    UNIT : PUBLIC LTD CO.___________________100%E.O.U._________
    (Mark(yes)
    at the (Listed)______________(Unlisted)________________P.S.U.___________________
    Appropriate ||.EXPORT HOUSE_____________STAR TRADING HOUSE_______________
    Box) TRADING HOUSE________________SUPER TRADING HOUSE_______________
    GOLDEN TRADING HOUSE_____________________
    GOLDEN STAR TRADING HOUSE____________________
    6. NAMES OF PROPRIETOR/PARTNERS/DIRECTORS:

    FIRST NAME / MIDDLE NAME / LAST NAME DATE OF PAN FATHER’S /HUSBAND
    BIRTH NO. NAME
    7. Names of associate concerns:

    8. COVER (THERE IS NO OPTION TO EXCLUDE NON L/C SHIPMENTS)


    REQUIRED
    :

    L/C SHIPMENTS:(Mark yes)

    (i) NO COVER REQUIRED___________ (ii) ONLY POLITICAL RISKS____________

    (iii)POLITICAL RISK AND INSOLVENCY & DEFAULT OF L/C OPENING BANK____________


    9. STATEMENT OF EXPORT TURNOVER FOR THE PAST 12 MONTHS TO BE SUBMITTED BY
    THE EXPORTER :

    COUNTRY COMMODITY D P DA L/C ADVANCE

    10. ANTICIPATED TURNOVER FOR NEXT 12 MONTHS


    UNDER L/C
    UNDER NON-L/C

    COUNTRY COMMODITY D P DA L/C ADVANCE

    We accept the premium rates quoted by you. Cheque No. ______________for Rs_____________ drawn
    on ___________________________ (Bank) __________________ (Branch) is enclosed towards
    Minimum Premium.

    In the case of Renewal, please attach statement showing the shipment details for the last one year duly
    attested by the bank.

    Wherever place provided is insufficient attach separate sheet.

    Place: Signature:
    Date: Office Seal:

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