Request letter for Export of Services & EDF Filing cum Disposal Instructions for Credit
To,
HDFC Bank Ltd.
Branch: ____________
Date: ____________
| Account no. to be credited | Purpose code and details | ||
|---|---|---|---|
| Exchange rate / forward contract details, if any | Customer PAN | ||
| AD code | IEC / GSTIN | ||
| AD name and address | HDFC Bank Ltd. | Exporter name and address | |
| Type of export | Regular Export | Mode of transport | Internet |
| Category of exporter | others: Individual | Mode of realisation | Others (advance payment, etc. including transfer/remittance to bank a/c maintained overseas) |
| L/C no. (if any) | Not applicable | Country of final destination | |
| Dispatch indicator | Non dispatch | Date of export / expected date of service for advance | Invoices dated October 2026 |
| Description of services | |||
| Total FOB value (in words) | |||
| Third party (Yes/No) | No | Third party name and address | |
2B. Details of Export Value^ of Services (for more than one invoice, use annexure)
| Sr | Service recipient name and address | Country | Invoice no. and date | Currency and amount | Net realisable value | Contract no., if any | Description of services | SAC | Remarks |
|---|
Debit all processing charges from account no.: ____________
In case of any queries please contact us on: ____________
OFAC declaration: I/We hereby declare that the above transaction does not involve and is not designed for the purpose of any contravention or evasion of the provisions of the OFAC.
FEMA declaration-cum-undertaking: I/We hereby declare that the above transaction does not involve, and is not designed for the purpose of, any contravention or evasion of the provisions of the FEMA 1999 or of any rule, regulation, notification, direction or order made thereunder. I/We also agree and undertake to give such information/documents as will reasonably satisfy you about this transaction in terms of the above declaration. I/We also undertake that if I/we refuse to comply with any such requirement or make only unsatisfactory compliance therewith, the bank shall refuse in writing to undertake the transaction and shall, if it has reason to believe that any contravention/evasion is contemplated by me/us, report the matter to the Reserve Bank of India.
Declaration 4: I/We hereby declare that I/we am/are the provider of services 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/third party represents the export value^ contracted and declared above. I/We undertake that I/we will deliver to the authorised dealer named above the foreign exchange / Indian Rupees representing the full value of the services exported as above on or before ………… (i.e. within the period of realisation stipulated by RBI from time to time) in the manner specified in the Regulations made under the Foreign Exchange Management Act, 1999. I/We also undertake to submit the documents pertaining to exports declared in this form to the Authorised Dealer named above, as may be required under the Act.
I/We are eligible to export the above mentioned services under the current Foreign Trade Policy.
Remark (if any): ____________
______________________
(Signature as per bank records; seal, for a firm or company)
5. Space for use of Specified Authority (Customs/SEZ/AD/STPI)
Certified, on the basis of above declaration at 4, that the services described above and the export value^ declared by the exporter in this form is as per the corresponding invoice/gist of invoices submitted and declared by the exporter.
Date:
(Signature of Designated/Authorised officials of Authorised Dealer)