Export Permit Application

Company Letterhead

{{company_name}}

{{company_address}}

Phone: {{phone}}

Email: {{email}}

Website: {{website}}

Date

{{date}}

To: The Director General, {{regulatory_authority_name}}

{{regulatory_authority_address}}

Subject: Application for Export Permit

Dear Sir/Madam,

We hereby formally apply for an Export Permit for the items described below, in accordance with the provisions of the relevant export control regulations in {{country}}.

Applicant Details

Company Name: {{company_name}}

Company Registration Number: {{company_registration_number}}

Physical Address: {{applicant_address}}

Contact Person: {{contact_person_name}}

Contact Person Title: {{contact_person_title}}

Telephone Number: {{applicant_phone}}

Email Address: {{applicant_email}}

Consignee Details

Consignee Name: {{consignee_name}}

Consignee Address: {{consignee_address}}

Country of Destination: {{country_of_destination}}

Consignee Contact Person: {{consignee_contact_person}}

Consignee Phone: {{consignee_phone}}

Consignee Email: {{consignee_email}}

Goods/Services to be Exported

Description of Goods/Services: {{description_of_goods_services}}

Harmonized System (HS) Code: {{hs_code}}

Quantity: {{quantity}}

Unit of Measurement: {{unit_of_measurement}}

Value per Unit: {{value_per_unit}} {{currency}}

Total Value of Export: {{total_export_value}} {{currency}}

Purpose of Export: {{purpose_of_export}}

Origin of Goods/Services: {{origin_of_goods_services}}

Justification for Export (if applicable)

{{justification_for_export}}

Supporting Documents

Please find attached the following supporting documents:

- {{document_1_name}}

- {{document_2_name}}

- {{document_3_name}}

- {{other_documents}}

Declaration

I/We declare that the information provided in this application is true and accurate to the best of my/our knowledge and belief. I/We understand that any false declaration may result in the refusal of this application or revocation of an issued permit, and may lead to legal action.

I/We undertake to comply with all relevant export regulations and conditions that may be imposed by the {{regulatory_authority_name}}.

Signature Block

Sincerely,

___________________________

{{authorised_signatory_name}}

{{authorised_signatory_title}}

For: {{company_name}}