Sd/-
(R.S. GUJRAL)
Director General of Foreign Trade
And Ex-Officio Additional Secretary to the Govt. of India
Annexure - 1
Director General of Foreign Trade
Note: This certificate is based on declaration by the above firm that items of export shown in Annexure have usage in Hospital, Nursing Homes and Clinics for Medical Surgical Purpose and also that items of export shown in Annexure are neither banned nor prohibited for export. The items appearing in this certificate are also not covered under Drug & Cosmetics Act, 1940 as per declaration of the aforesaid firm.1. Name of the firm / Company | : |
2. Address of Registered Office | : |
(i) Tel No | : |
(ii) Fax No | : |
(iii) e.mail ID | |
3. Importer Exporter Code No | : |
(i) Code No. (ii) Name & Address of issuing authority |
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4. Registration –cum-Membership Certificate (RCMC ) details (i) Name of the Council (ii) Registration No and date (iii) Validity |
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5. Brief Description of exports (i) Details of foreign buyer with complete address, e.mail ID etc. (ii) Brief description of items to be exported under the certificate |
: |
6. Whether the items of export fall under the Drugs & Cosmetics Act. 1940 . If so, indicate the same. | : |
7. Details of items for which Free Sale & Commerce Certificate is sought to be obtained (Annexure A to be attached duly self-certified) | |
8. I hereby declare that items listed in Annexure A, (i) are not prohibited or restricted for export under Schedule 2 of ITC (HS) and are free for export; (ii) all the items listed in Annexure A have usage in hospitals, nursing homes and clinics, for medical and surgical purposes; (iii) all the items listed above are not covered under Drugs & Cosmetics Act, 1940. |
(Signature)
Name & Designation of the Authorized Signatory
Seal of the Company
Signature of the Applicant Name Designation Official Address Telephone Residential Address Email Address |
Place Date |
Annexure - A
S. No. | Name of Product | ITC (HS) Code | Manufacturers/Exporters name and address | Is the product licensed under the Drugs and Cosmetics Act for manufacture and sale. | Description of the product including use (attach literature, if required.) |
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