Sd/-
(R.S. Gujral)
Director General of Foreign Trade and
Ex-Officio Special Secretary to the Government of India
1. IEC Number | |
2. Applicant Details | |
i. Name | |
ii. Address | |
3. RCMC Details | |
i. RCMC Number | ii. Date of Issue |
iii. Issuing Authority | iv. Valid upto |
v. Products for which registered | |
4. Status Details | |
i. Status Number | ii. Effective Date of Status Certificate and Validity: |
iii. Issuing Authority | iv. Date of issue: |
Note: Applicant shall have a Status Certificate valid for the relevant year 2009-10 / 2010-11 of export, as the case may be. | |
5 (i) Licensing Year (AM10/AM11/): (ii) Period of Application: Apr-Mar ______Period (i.e. AprMar2010 / Apr-Mar 2011) (iii) Date of Filing this Application: |
Sr. No | Particulars | FOB value # (as per Shipping Bill) Rs |
i. | FOB Value of Exports of Leather Sector (excluding finished leather) | |
ii. | FOB Value of Exports of Textiles and Jute Sector | |
iii. | FOB Value of Exports of Handicrafts Sector | |
iv. | FOB Value of Exports of Engineering Sector (excluding Iron & Steel, Nonferrous Metals in primary or intermediate forms, Automobiles & two wheelers, nuclear reactors & parts and Ships, Boats and Floating Structures) | |
v. | FOB Value of Exports of Plastics Sector | |
vi. | FOB Value of Exports Basic Chemicals (excluding Pharma Products) Sector. | |
vii. | Total FOB Value of Exports (Sum of Sr. No. 1 to Sr. No. 6) | |
viii. | Entitlement (1% of FOB value as in Sr. No 7 above) | |
ix. | Late Cut (if any) | |
x. | Duty Credit Scrip granted under Para 3.16 to be filled in by RA Concerned | |
#Note: FOB Value includes upto12.5% Foreign Agency Commission |
8. Application Submission Details (in case of electronically submitted applications) | |
i. ECOM Reference Number | iv. File Number |
ii. Date of Submission on Server | v. Date of Issue |
iii. Submitted to which Regional Authority, New Delhi | |
Note: Till EDI Software for the Scheme is made operational, RA will accept and process the claim manually. |
1. I hereby declare that particulars and statements made in this application
are true and correct and nothing has been concealed or held therefrom. I fully
understand that any information furnished in application if found incorrect or
false will render my firm / company and me liable for any penal action or other
consequences as may be prescribed in law or otherwise warranted.
2. I hereby certify that none of Proprietor/ Partner(s) / Director(s) / Karta /
Trustee of firm / company, as the case may be, is a Proprietor / Partner(s) /
Director(s) / Karta / Trustee in any other firm / company which has come to
adverse notice of DGFT. Consequentially, I further declare that under Foreign
Trade (Development and Regulation) Act (FT (D&R) Act) 1992, my firm / company
have not been debarred in person from undertaking any export import business or
activity by way of suspension or cancellation of IEC number. [If so debarred
under FT (D&R) Act, details of said order and period for which the same is
operational may be provided].
3. I hereby certify that my firm / company has not defaulted from export
obligation under any provisions of FTP and has not been placed under the Denied
Entity List (DEL). [If under DEL List, kindly furnish details of order, current
status etc.]
4. I hereby declare that details of exports of goods of my firm / company are
true and correct and in accordance with accounts maintained in my firm /
company.
5. I hereby declare that in terms of First Para 3.17.10 of FTP, this application
does not contain any exports for which the realization of export proceeds not
been received directly from overseas in my name.
6. I hereby declare that in terms of Para 3.16.2 of FTP, I have not availed the
benefits under the Technology Upgradation Fund Scheme (TUFS) of Ministry of
Textiles during this particular year, exports of which are being claimed for
Status Holders Incentive Scrip Scheme of Para 3.16 of FTP.
7. I hereby declare that in terms of Para 5.1A of HBPv1, I will abide by
provision of fourth sub-para in this paragraph.
8. I hereby declare that export product for which the duty credit scrip benefit
is being claimed does not contain any shipment (as per Para 3.17.2 of FTP) from
the following ineligible export categories / sectors:
Place: ____________ | Signature: __________________________ |
Date: _____________ | Name: _____________________________ |
Documents to be submitted | Designation: ________________________ |
1. CA certificate as per Annexure 2. Copy of Updated Profile in ANF 1 only if any changes have taken place and updated, |
Official Address: _____________________ ___________________________________ |
3. Copy of Status Certificate valid for the relevant export year for
which this application pretains to. 4. Copy of Valid RCMC. |
Residential Address: __________________ ___________________________________ |
Telephone: _________________________ | |
Note: Each individual page of application has to be signed. | Email Address: ______________________ |
Place: ______________ | Signature of CA/ ICWA / CS:_______________________ |
Date: _______________ | Name of the Signatory: ______________________ |
Address: _________________________________ _________________________________________ |
|
Membership No: ___________________________ | |
Email Address: _________________________________ | |
If any of documents of record mentioned in serial number
(i) have not been maintained / furnished, examined or verified, they may
please be specified below:- 1) 2) |
CA Certificate (contd/-) ANF3E
Annexure 1 to CA certificate (ANF3E)
Statement of Exports | ||
---|---|---|
Sr. No | Particulars | FOB value (as per Shipping Bill) Rs |
1 | FOB Value of Exports of Leather Sector (excluding finished leather) Details as per Statement 1 - Shipping Bill Wise Statement |
|
2 | FOB Value of Exports of Textiles and Jute Sector Details as per Statement 2 - Shipping Bill Wise Statement |
|
3 | FOB Value of Exports of Handicrafts Details as per Statement 3 - Shipping Bill Wise Statement |
|
4 | FOB Value of Exports of Engineering Sector (excluding Iron & Steel,
Nonferrous Metals in primary or intermediate forms, Automobiles & two
wheelers, nuclear reactors & parts and Ships, Boats and Floating
Structures) Details as per Statement 4 - Shipping Bill Wise Statement |
|
5 | FOB Value of Exports of Plastics Details as per Statement 5 - Shipping Bill Wise Statement |
|
6 | FOB Value of Exports Basic Chemicals (excluding Pharma Products). Details as per Statement 6 - Shipping Bill Wise Statement |
|
7 | Total FOB Value of Exports (Sum of Sr. No. 1 to Sr. No. 6) | |
Note: This statement of exports should also be countersigned by the applicant. FOB Value includes upto12.5% Foreign Agency Commission. |
Place: ______________ | Signature of Applicant:_______________________ |
Date: _______________ | Name of the Signatory: ______________________ Address: _________________________________ _________________________________________ Email Address: _________________________________ |
Place: ______________ | Signature of CA/ ICWA / CS:_______________________ |
Date: _______________ | Name of the Signatory: ______________________ Address: _________________________________ _________________________________________ Membership No: ___________________________ Email Address: _________________________________ |
CA Certificate (contd/-) ANF3E
Sr. No. | Shipping Bill No and Date | Description and ITC HS Code | Date of Export (Para 9.12 of HBPv1) | FOB Value (as per Shipping Bill) Rs. |
1 | ||||
2 | ||||
.. | ||||
.. | ||||
Total (Rs) | ||||
Note: This statement of exports should also be countersigned by the applicant. FOB Value includes upto12.5% Foreign Agency Commission. |
Place: ______________ | Signature of Applicant:_______________________ |
Date: _______________ | Name of the Signatory: ______________________ Address: _________________________________ _________________________________________ Email Address: _________________________________ |
Place: ______________ | Signature of CA/ ICWA / CS:_______________________ |
Date: _______________ | Name of the Signatory: ______________________ Address: _________________________________ _________________________________________ Membership No: ___________________________ Email Address: _________________________________ |
ieport.com - India's Premier portal on DGFT, Customs and Central Excise matters