FORM NO. 5
(See rule 58)
GOVERNMENT OF INDIA
MINISTRY OF FINANCE
(Department of Revenue)

Authorisation for Official Approval of Export
(The Narcotic Drugs and Psychotropic Substances Rules, 1985)
..........................................being the authority empowered to issue export authorisation
(The Issuing Authority)
Under the Narcotic Drugs and Psychotropic Substances Rules, 1985 hereby authorises and permits the following exportation of Narcotic Drugs or Psychotropic Substances from India:
Exporter:...........................................................................................................................................……………………………………………………
Consigned:.........................................................................................................................................………………………………
Port of export...........................Port of entry..........................................................
Narcotic Drugs or Psychotropic Substances to be exported:
...............................................................................................................................................
Item No. Number of packages Name of the Basic drug/substance/content. drug/substances/preparation
The exportation to be made in one consignment from the designated port of export on or before the....................................day of..................................(Month), 19
The importation of these drugs into the country of destination has been authorised by official import certificate No........................... dated...............................issued by........................(Authority of the importing country).
Date of Issue:
Place of Issue Designation of the Issuing Authority
1. This document is for.....................................(the authority to whom and the purpose for which it is being sent is to be indicated).
2. This authorisation is not valid unless it bears the official seal of the Issuing Authority on the top right hand corner.