LCAF

ORIGINAL
(for Exchange Monitoring purpose)
(To be filled in quintuplicate)

LETTER OF CREDIT AUTHORISATION FORM FOR INDUSTRIAL CONSUMERS

LCAF NO.

SHIPPING PERIOD

Name & Address of the Industrial Unit:

IRC No.

(ii) Year of Renewal

Sector of Industry:

Whether the unit is Adhoc or Regular:

(i) Whether for Raw and Packing materials or for Spare Parts:

(ii) Annual import entitlement:

Source of Financing : Cash/Barter/Loan/Crediuothers

(Particulars of the source must be mentioned clearly):

(i) Particulars of CCI & E's Public Notice with date or provision of Import Policy Order:

(ii) Basic of Licensing under the aforesaid source:

(iii) Share of the unit as per basis Tk.

(in words Taka):

Utilization of the Previous LCA (wherever applicable) with proof (L/C Particulars to be indicated with with date):

List of rtems to be imported with HS Code Classiflcation No
Sharos for the restrictedi tem (S) lf any should be separately lndicated within the overall value of LCAF

Description of item (s) to be imported	Restricted items showing individual share

I hereby declare that the above particulars are correct and that rny l.R.C has not been suspended/cancelled and that licensing facility has not been withdrawn of withheld by SA or licensing authority I further declare that I have not utilised my share from any other source during shipping period utilised % of my share under

Public Notice No. dated (to strike off whichever is not applicable).

Date:

Seal and Signature of the importer

(To be Endorsed bY Bank)

Certified that we have verified the importer's singnature, Press Book, I.R.C. source of finnancing and other particulars required and found that the unit is eligible to utilize its share for the item(s) and the amount as indicated above from this souce. We have no objection to allow them to open L/C under Group Leader of M/s.

Under sector bearing I.R.C. No. and that we have endrosed the same in the Pass Book (in case of L/C under group -------------------------------------------------------------------------------- the

unit has been renewed for

Date of issue

Seal and Signature of the importer

in case of imports under sources other then cash where registration with Bangladesh Bank is not required the Designated Bank will endrose the following under their Seal and Signature.

Particulars of Barter/Loan/Credit/Others

(i) Name of the source
(ii) Name of the Designated Bank and Branch

Date

Signature of the Designated Bank with seal

FOR USE OF BANGLADESH BANK

REGISTRATION NO WITH
BANGLADESH BANK

Regrstered for Tk

(In words)

Date of registration

This registration No should invariably be quoted by the Authorized Dealers while reporting payment of E/2 schedule in duplicate

Deputy Director
Bangladesh Bank
Exchange Control Department