XOS
A. D. Code No……………
Statement of particulars of export bills outstanding
beyond prescribed period/ due date of realisation
as at 30th June/ 31st December

Part I – Outstanding export bills other than those on deferred payment terms
Sr.
No
.
Bill No. and date
Name & Address Of exporter/Exporter’s
Code No./ IE Code No.
Date of export
Due date of realisation
GR/PP/SOFTEX
form no. Port of Shipment
Shipping bill No. and date
Name & address Of the overseas Buyer
Commodity
1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11.
Invoice value
Amount Realised
Amount Outstanding
Rupee equivalent of outstanding amount
(To be classified as)
Remarks
Currency and Amount
Currency And Amount
Currency And Amount
Cash exports Exports on consignment basis
Undrawn balances
12. 13. 14. 15. 16. 17. 18.
____________________________________________________________________
Total
_____________________________________________________________________
2
Part II – Exports on deferred payment terms where instalments (including interest ) are
outstanding beyond due date
Sr. Invoice value
No.
Name &
address
of
exporter
Exporter’s
Code No./
IE Code
No.
No. & date
of RBI
approval for
deferred
payment
term
Date of
export
GR
Form
No.
Port of
Shipment
Shipping
bill No.
and date
Name &
address
of the
overseas
buyer
Commodity
Currency &
Amount
1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11.
Value of goods
covered under deferred
payment
terms(including
interestI
Total Amount of
deferred instalments
(including interest)
already received
Total Amount of
instalments Outstanding
(including interest) beyond
due date
Rupee
equivalent of
outstanding
amount
Whether ECGC
cover obtained
(Yes /No)
No. & date
of bank
certificate
issued
Remarks
Currency Amount Currency Amount Currency Amount
12. 13. 14. 15. 16. 17. 18.
_____________________________________________________________________ Total
_____________________________________________________________________
3
Part III : Summary
Part I Part II
'Cash' exports Export on consignment
basis
Undrawn
balances
Total Exports on deferred
payment basis
Rs. Rs. Rs. Rs. Rs.
Outstandings as on
_______________
(End of previous
half-year)
Add: Addition during
the half- year
under report
Less: Deletion during
the half-year
Net position of
outstanding as on
______________
(End of half-year
under report)
We certify that all export bills i.e. export bills purchased, negotiated and sent for collection,
outstanding beyond the prescribed period / due date of realisation of as at the end of half-year
under report have been included in this statement.
Place: ___________________ (Signature of Authorised Official)
Name: ______________________
Date : ___________________ Designation: _________________
Stamp