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Annexure-VII

Claim Form for Marketing Development Assistance For Participation in Trade fairs/Exhibitions/BSM/ Trade Delegation abroad

Ref No……………………………………………………………. Date:.............................................

1 Name of the firm with full address IEC NO…………………………………………..
2 Approval letter No. and date  
3 F.O.B. value of exports during the last financial year. Rs. in crores  
4 Particulars of event

Name of the event:

Place :

Country :

Duration of fair from……………………………….To……………………………..

5 Particulars of visit Date of actual departure from India (please attach self certified photocopy of passport duly highlighting date of departure).  
6 Date of actual arrival in India. (please attach self certified photocopy of passport duly highlighting date of arrival).  
7 Name & Designation of person who attended the event.  
8 No. of proposals already submitted in the same financial year.  
9 Details of participations made with MDA assistance in the past in the same event.  
10 Whether assistance availed from other Govt. Bodies/EPCs/Commodity Boards/APEDA/MPEDA/ITPO etc. for the activity under reference? Yes/No (If yes, please give full details)
11 Expenditure incurred
  1. Actual return airfare by economy excursion class
  1. Actual expenditure incurred on stall, decoration, water & electricity charges.
(Please attach original air ticket/jacket used during the journey along with self certified photocopies of receipt, bank advice etc. evidencing payment made)
Rs………………………….. Rs…………………………..
12 Amount claimed Rs…………………………..

Undertaking and Declaration

I/We hereby solemnly undertake/declare that the particulars stated above are true and correct to the best of my/our knowledge and belief.

No other application for claiming assistance for this participation and/or travel cost has been made or will be made in future against purchase covered by the application. Any information, if found to be incorrect, wrong or misleading, will render/us liable to rejection of our claim without prejudice to any other action that may be taken against us in this behalf. If as a result of scrutiny any excess payment is found to have been made to me/us, the same may be adjusted against any of the subsequent claims to be made by my/our firm or in the event no claim is preferred, the amount overpaid will be refunded by me/us to the extent of the excess amount paid.

Name in Block Letters :

Designation :

Name of the Applicant :

Firm :

Place:

Signature

Date:

 

Company Seal

Annexure - VIII

Chartered Accountant Certificate

(To be given on the CA’s letter head)

I/We hereby confirm that I/We have examined the claim papers, books of account and the prescribed documents in respect of the claim of M/s. and hereby certify that:

  1. The participant is regular employee/director/ partner/proprietor of the company
  2. Participation is as per the maximum permissible participations under the MDA Scheme.
  3. Minimum of 14 days clear advance notice had been given to the concerned EPC/Trade Body.
  4. The participant company/firm/concern is not under investigation/charged/prosecuted/ debarred/black listed under Foreign Trade (Development & Regulation) Act, 1992 , FEMA, Customs Act 1962
  5. The total number of participations in this particular trade fair/exhibition is not exceeding three.
  6. The date of return to India is within 45/90 days of the date of making this application.
  7. The f.o.b. value export figure during the last financial year is less than Rs. 15 Crores.
  8. It has been ensured that the information furnished is true and correct in all respects, no part is false or misleading and no relevant information has been concealed or withheld.

Neither I/We nor any of our partners is a partner/Director or an employee of the above named entity or its associated concerns.

I fully understand that any submission made in this certificate if proved incorrect or false, will render me/us liable to face any penal action or other consequences as may be prescribed in the law or otherwise warranted. Signature & Stamp/seal of the Signatory______________________________ Name__________________________________________________________ Membership No._________________________________________________ Full address_____________________________________________________ Name and address of the Institution where registered. Date: Place: (TO BE PREPARED ON THE COMPANY LETTER HEAD) Bill for Payment Name of the Firm Address

Approval letter No………………………………Date: …………………………

Event (Please Tick which ever Relevant): 1. Participation in trade fair/BSM abroad

Event particulars: _______________________

 
Sr. No. Item(s) of Expenditures Amount in Rupees
1 Air Fair :_______________
2 2. Space Rent :_______________
3 3. Electricity/Water Charges :_______________
4 4.Decoration :_______________
5 5. Publication :_______________
Rupees in words_______________

PRE-RECEIPT

Received with Thanks a sum of Rs…………………………………Rupees _____________________________ __________________________________________________ being the MDA Grant towards (Give the name of the event with date) _________________ vide cheque No…………………………………dated ………………………………………

AFFIX RUPEE ONE REVENUE STAMP HERE

SIGNATURE NAME & DESIGNATION WITH OFFICE SEAL NOTE: PLEASE CALCULATE THE AMOUNT OF CLAIM STRICTLY AS PER GUIDELINES. *(Cheque No. and amount will be filled by ITPO at the time of issuance of Cheque).

FORMAT OF TOUR REPORT

(ON YOUR COMPANY LETTER HEAD)

Following points should invariably be covered in the Tour Report:

  1. Number of Foreign buyers visited.
  1. Value of orders booked (FOB values in Rs.)
  1. Number of Enquiries received
  1. Number of orders with FOB value executed from (A) above
  1. Brief about reaction of visitors about Handicraft products
  2. Suggestions, if any

    (TO BE PREPARED ON THE COMPANY LETTER HEAD) DECLARATION/UNDERTAKING
    1. I/WE HEREBY DECLARE THAT THE PERSON TRAVELLING UNDER THE (MDA) ASSISTANCE IS REGULAR EMPLOYEE OF THE FIRM SINCE_______________/DIRECTOR/PARTNER/PROPRIETOR OF THE COMPANY.
    2. I/WE DECLARE THAT THE COMPANY IS NOT UNDER INVESTIGATION/CHARGED/PROSECUTED/DEBARRED/BLACKLISTED UNDER EXIM POLICY OF INDIA OR ANY OTHER LAW RELATING TO EXPORT & IMPORT BUSINESS.
    3. I/WE DECLARE THAT THE COMPANY HAS NOT AVAILED ANY FINANCIAL ASSISTANCE IN WHOLE OR PART FROM ANY GOVT. BODY/EPCs/FIEO /COMMODITY BOARDS/EXPORT DEVELOPMENT AUTHORITIES FOR THE ABOVE ACTIVITY AND IS AVAILING THE MDA ASSISTANCE FROM THE EXPORT KPROMOTION COUNCIL FOR HANDICRAFTS. I/WE FURTHER DECLARE THAT THE COMPANY IS ONLY AVAILING MDA GRANT THROUGH THE EXPORT PROMOTION COUNCIL FOR HANDICRAFTS AND NOT THROUGH ANY OTHER COUNCIL OR GRANTEE ORGANIZATION.
  1. I/WE DECLARE THAT OUR CLAIM FOR THIS JOURNEY IS RESTRICTED TO TRAVEL IN ECONOMY EXCURSION CLASS BY ____________________________________(NAME OF THE AIRLINES) AND THE UTILISED TICKETS AND BOARDING PASSES ARE ENCLOSED IN ORIGINAL.
  2. (ENCLOSED A CERTIFICATE FROM THE AIRLINES/TRAVEL AGENT CERTIFYING THE AIR FARE OF ECONOMY EXCURSION CLASS-REQUIRED IF TRAVELLED BY HIGHER CLASS)

(IN CASE, ORIGINAL TICKET IS LOST, THEN THE DECLARATION GIVEN BELOW IS TO BE SUBMITTED)

  1. I/WE DECLARE THAT THE UTILISED ORIGINAL AIR TICKET/JACKET IS LOST. A LEGIBLE PHOTOCOPY OF THE AIRTICKET IS ENCLOSED ALONG WITH A CERTIFICATE FROM THE AIR LINES/TRAVELAGENT GIVING THE FOLLOWING DETAILS:
  1. NAME OF THE TRAVELLER
  2. TICKET NUMBER
  3. FLIGHT NUMBER
  4. DATE OF DEPARTURE FROM INDIA
  5. DATE OF ARRIVAL IN INIDA
  6. SECTORS/COUNTRIES VISITED
  7. CLASS IN WHICH TRAVELLED
  8. FARE IN ECONOMY EXCURSION CLASSFOR SECTORS/COUNTRIES VISITED

I/WE SOLEMNLY DECLARE THAT THE PARTICULARS SUBMITTED WITH ABOVE CLAIM ARE CORRECT. I/WE HEREBY UNDERTAKE THAT MY SELF AND THE COMPANY ARE ACCOUNTABLE AND RESPONSIBLE FOR ANY INCORRECT INFORMATION GIVEN IN THE ABOVE CLAIM. IN THE EVENT OF ANY WRONG INFORMATION BEING OBSERVED BY THE ITPO OR THE MDA COMMITTEE OR ANY OTHER GRANTEE ORGANISATION IN THE ABOVE CLAIM, I/WE SHALL BE LIABLE TO REFUND THE MDA GRANT RELEASED TO US AGAINST THE ABOVE CLAIM. I/WE AGREE TO PROVIDE ANY ADDITIONAL DOCUMENT(S)/ INFORMATION TO THE ITPO PERTAINING TO OUR ABOVE CLAIM AS AND WHEN SOUGHT BY THE ITPO. Signature with Name & Designation Affix Rubber Stamp

India Trade Promotion Organisation

(A Government of India Enterprise)

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