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EXPORTHANDBOOK OF EXPORT-IMPORT DOCUMENTS EXPORTEXPORT-IMPORT MANAGEMENT

INDEX
S. No. Contents Page No.

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ANF 1 Profile ANF 2A Application Form for Issue/Modification in Importer-Exporter Code Number (IEC) Format of IEC No. Application for Membership of Export Promotion Council ANF 2B Application Form for Import of Restricted Items ANF 4H Duty Free Import Authorization (DFIA) Application ANF 4A Application for Advance Authorization/Advance Release Order/Invalidation Letter ANF 5A Form for EPCG Authorization Master Document I Master Document II Proforma Invoice Invoice Packing List Bill of Exchange Shipping Instructions Mate Receipt Bill of Lading for combined transport and port to port shipment Forwarders Certificate of Receipt Airway Bill Marine Export Import Insurance Policy (Single Transit) Application for Certificate of Origin Certificate of Origin by Chamber of Commerce GSP Certificate Form A & B Annexure A : Declaration form for Export of Goods Annexure C : Declaration form for Examination of Export Goods Shipping Bill for export of goods under claim for duty drawback Declaration to be filed in case of Export of goods under claim for Duty Drawback Exchange Control Declaration Form (PP) Form SDF Exchange Control Software Export Declaration (SOFTEX) Form Certificate of Foreign Inward Remittance CT 1 Form Form ARE 1 Bank Certificate of Export and Realization ANF 2D Application Form for Export License for Restricted Items Intimation for Inspection Bill of Entry For Home Consumption

1 4 6 11 15 18 25 30 41 42 43 44 45 46 47 48 49 50 51 52 54 55 56 59 68 69 71 72 73 74 78 79 81 84
86 89 90

ANF-1
PROFILE

Note: Please state Not Applicable wherever the information/data is not applicable to you.

1. IEC Details i. IEC Number ii. Date of Issue iii. Issuing Authority

2. Applicant Firm Details i. Name ii. Address (Registered Office in case of Companies and Head Office in case of Others) iii. Address of all Branches/Divisions/Units/Factories located in India & abroad (attach extra sheet if required) iv. Telephone v. Email address (for correspondence with DGFT)

3. Details of Proprietor/Partners/Directors/Karta/Trustee of the applicant firm (attach extra sheet if required) i. Name ii. Father's Name iii. Residential Address iv. Telephone

4. Nature of Concern (please tick) i. Government Undertaking ii. Public Limited Company iii. Private Limited Company iv. Proprietorship v. Partnership vi. Others

( )

5. Type of Exporter (please tick) i. Merchant Exporter ii. Manufacturer Exporter iii. Service Provider iv. Others (please specify) v. Merchant cum Manufacturer

()

6. Industrial Registration Details i. SSI/IEM/LOI or IL Registration Number ii. Date of Issue iii. Issuing Authority iv. Products for which registered

7. Service Tax Registration Details (in case of Service providers) i. Service Tax Registration Number ii. Issuing Authority iii. Services for which registered

8. RCMC Details i. RCMC Number ii. Date of Issue iii. Issuing Authority iv. Valid upto v. Products for which registered

9. Status House Details i. One/Two/Three/Four/Five Star ii. Certificate Number iii. Date of Issue iv. Issuing Authority v. Valid Upto

10. PAN Details i. PAN Number iii. Issuing Authority

11. Excise Details i. Excise Registration Number ii. Issuing Authority

12. VAT Details i. VAT Registration Number ii. Issuing Authority

13. Turnover Details for the preceding three licensing years FY Annual Domestic Turnover (Rs Lakhs) Annual Export Turnover (Rs Lakhs)

DECLARATION / UNDERTAKING

1.

I / We hereby declare that the particulars and the statements made in this application are true and correct to the best of my / our knowledge and belief and nothing has been concealed or held there from. I / We fully understand that any information furnished in the application if found incorrect or false will render me / us liable for any penal action or other consequences as may be prescribed in law or otherwise warranted. I / We undertake to abide by the provisions of the FT (D & R) Act, 1992, the Rules and Orders framed there under, FTP, HBP v 1 and HBP v2 and ITC (HS).

2.

3.

4 a. I / We hereby certify that the firm / company for whom the application has been made has not been penalized under Customs Act, Excise Act, FT (D & R) Act 1992 and FERA / FEMA. b. I / We hereby certify that none of the Proprietor / Partner(s) / Director(s) / Karta / Trustee of firm / company, as the case may be, is / are a Proprietor / Partner(s) / Director(s) / Karta / Trustee in any other firm / Company which has come to adverse notice of DGFT. c. I / We hereby certify that the Proprietor / Partner(s) / Director(s) / Karta / Trustee, as the case may be, of the firm/company is / are not associated as Proprietor / Partner(s) / Director(s) / Karta / Trustee in any other firm / company which is in the caution list of RBI. d. I / We hereby certify that neither the Registered Office / Head Office of the firm/company nor any of its Branch Office(s) / Unit(s) / Division(s) has been declared a defaulter and has otherwise been made ineligible for undertaking import / export under any of the provisions of the Policy. 5. I / We hereby declare that I / We have not obtained nor applied for such benefits (including issuance of an Importer Exporter Code Number) in the name of our Registered / Head Office or any of our Branch(s) / Unit(s) / Division(s) to any other Regional Authority. 5A. I / We hereby declare that I/we have perused the list of SCOMET items as contained in the Appendix 3 to the Schedule 2 of the ITC (HS) and that the item(s) exported / proposed to be exported does not fall within this list and that I / We agree to abide by the provisions of FTP for export of SCOMET items contained in the FTP, Schedule 2 of ITC (HS) and the HBP v1, irrespective of the scheme under which the item is exported / proposed to be exported. 6. I / We solemnly declare that I / We have applied for / obtained a RCMC to the EPC which pertains to our main line of business. In case we have applied to any other council, the application has been made within the purview of the provisions of Para 2.63 of the HBP v1. I hereby certify that I am authorised to verify and sign this declaration as per Paragraph 9.9 of the Policy.

7.

Signature of the Applicant Name Designation Official Address Telephone Residential Address Email Address

Place Date

ANF 2A
Application Form for Issue / Modification in Importer Exporter Code Number (IEC)

Part A
To be filled by the Issuing Authority

IEC Details i. IEC Number ii. Date of Issue iii. Issuing Authority To be filled by the applicants

Unattested Photograph of the applicant. Identical photograph should be used on the Bank Certificate.

Note: Please state Not Applicable wherever the information / data is not applicable to you. Fields marked * are optional. All others are mandatory 1. Applicant Firm Details i. Name ii. Address (Registered Office in case of Companies and Head Office in case of Others) iii. Address of all Branches / Divisions / Units / Factories located in India & abroad (attach extra sheet if required) iv. Telephone* v. Email address (for correspondence with DGFT)* vi. Name and Designation of the person whose photograph has been affixed on the Bank Certificate.

2. Details of Proprietor / Partners / Directors / Karta / Trustee of the applicant firm (attach extra sheet if required) Total Number of Partners / Directors / Karta / Trustee in the applicant firm Following information may be provided for each Proprietor / Partners / Directors / Karta / Trustee of the applicant firm i. Name ii. Father's Name iii. Residential Address iv. Telephone 3. Nature of Concern (please tick) i. Government Undertaking ii. Public Limited Company ( )

iii. Private Limited Company iv. Proprietorship v. Partnership vi. Others 4. Type of Exporter (please tick) i. Merchant Exporter ii. Manufacturer Exporter iii. Service Provider iv. Others (please specify) v. Merchant cum Manufacturer 5. Bank Account Details i. Name of the Bank ii. Address of the Bank iii. Type of Bank Account iv. Bank Account Number v. Year of opening Bank Account 6. PAN Details i. PAN Number ii. Issuing Authority 8. Application Fee Details Amount (Rs)Rupees Demand Draft Date of Issue Name of the Bank and its Branch on which drawn Signature of the Applicant Name Designation Official Address Telephone Residential Address Email Address Place Date

()

Part B
APPENDIX 18 A FORMAT OF BANK CERTIFICATE FOR ISSUE OF IEC (To be issued on the official letter head of the Bank)

Ref No. ........................... To .......................................... .......................................... .......................................... (Name and address of the licensing authority) Sir/ Madam, We certify that M/s...................................................................... (Name and Address of the applicant) are maintaining a Savings Bank Account / Current Account (tick whichever is applicable) No. ........................ with us since ..................

...........................................................

Affix Passport Size Photograph of the applicant

Note: The Banker must identify and attest the photograph.

(Signature of the Banker) Name ............................... Designation Date: ................... Place: ...................

(Banks Stamp)

Part C
For Modification of Import Export Code Number IEC Number1- Details of Modification SN Existing details Modification -1 Modification -2 Modification -3 Details of Modification required Modification required

2. Documents to be submitted in support of the claim a. In case of Proprietorship firms, please furnish documentary evidence regarding i. Date of Birth of individual ii. Number of IECs held along with their details b. In case of Companies, please furnish documentary evidence regarding i. Date of incorporation c. In case of others i. Date of formation
Signature of the Applicant Name Designation Official Address Telephone Residential Address Email Address Place Date

PART D
DECLARATION/UNDERTAKING
1. 2. I/We hereby declare that the particulars and the statements made in this application are true and correct to the best of my/our knowledge and belief and nothing has been concealed or held there from. I/We fully understand that any information furnished in the application if found incorrect or false will render me/us liable for any penal action or other consequences as may be prescribed in law or otherwise warranted. 3. I/We undertake to abide by the provisions of the Foreign Trade (Development and Regulation) Act, 1992, the Rules and Orders framed there under, the Foreign Trade Policy, the Handbook of Procedures and the ITC(HS) Classification of Export & Import Items. 4. I/We hereby certify that the firm/company for whom the application has been made has not been penalized under the Customs Act, Excise Act, Foreign Trade (Development & Regulation) Act 1992 and FERA/FEMA I/We hereby certify that none of the Proprietor/ Partner(s)/ Director(s)/Karta/Trustee of the firm/company, as the case may be, is/are a Proprietor/Partner(s)/Director(s)/Karta/Trustee in any other firm/Company which(i) has come to the adverse notice of DGFT, (ii). is in the caution list of RBI, c. /We hereby certify that neither the Registered Office/Head Office of the firm/company nor any of its Branch Office(s)/Unit(s)/Division(s) has been declared a defaulter and has otherwise been made ineligible for undertaking import/export under any of the provisions of the Policy. 5-NRI interest in the firm-Kindly tick one of the following: (i) There is no non-resident interest in the firm/company and no non resident investment with or without repatriation benefits has been made in the firm/company; or (ii)There is non-resident interest in the firm/company and non resident investment without repatriation benefits in the firm/company is held with the general/specific permission of RBI; or (iii)There is non-resident interest in the firm/company and non-resident investment with repatriation benefits in the firm/company is held with the specific permission of RBI. In case of NRI interest/holding with repatriation benefits in the firm/company, please furnish i. RBI Approval Number ii. RBI Approval Date 6. I/We hereby declare that I/We have not obtained nor applied for issuance of an Importer Exporter Code Number in the name of our Registered/Head Office or any of our Branch(s)/Unit(s)/Division(s) to any other Licensing Authority. I hereby certify that I am authorised to verify and sign this declaration as per Paragraph 9.9 of the Policy.

4. a. b.

7.

Signature of the Applicant Name Designation Official Address Telephone Residential Address Email Address

Place Date

GUIDELINES FOR APPLICANTS

A-Applying for new IEC number- Kindly fill Part A, B & D of this application form
1. 2. 3. One copy of the application must be submitted. Each individual page of the application has to be signed by the applicant.

Application must be accompanied by documents as per details given below:


I) Demand Draft of Rs.250 evidencing payment of application fee in favor of the concerned regional office of DGFT. Money can also be paid through Electronic Fund Transfer (EFT). II) III) IV) V) VI) VII) Certificate from the Banker of the applicant firm in the specified format Self certified copy of Permanent Account Number (PAN) issued by Income Tax Authorities. Two copies of passport size photographs of the applicant Photograph on the bankers certificate should be attested by the banker of the applicant. Self addressed envelope and stamp of Rs.30. These documents may be kept secured in a file cover.

The above documents may be sent by post or hand delivered at the concerned regional DGFT office.

B-Applying for modification of existing IEC number- Kindly fill Part A, C & D of this application form
1. 2. 3. Only one copy of the application should be submitted. Each individual page of the application has to be signed by the applicant. Application must be accompanied by documents as per details given below:

A-Documentary Proof : a. In case of Proprietorship firms, please furnish i. Date of Birth of individual ii. Number of IECs held along with their details b. In case of Companies, please furnish Date of incorporation c. In case of others Date of formation B-Demand Draft details evidencing payment of application fee in terms of Appendix 21B. (No fee is payable for modification/amendment if such application is made in 60 days. Otherwise, a fee of Rs.200 may be paid in form of demand draft. No fee is required for inclusion of PAN no. in the old IEC. 4. Original copy of existing IEC.

APPENDIX 18 B Format of Importer Exporter Code Number GOVERNMENT OF INDIA MINISTRY OF COMMERCE & INDUSTRY O/OJT. / DY. DIRECTOR GENERAL OF FOREIGN TRADE . .. (Full address) CERTIFICATE OF IMPORTER EXPORTER CODE (IEC) NUMBER 1. Name 2. Address : : .. ..
. ..

Pin 3. Address of the Branches/Division/ Units/Factories if any : .. .. .. Pin

4. IEC Number 5. Date of Issue 6. PAN Number

: : :

. . (Signature of the issuing Authority) Name ..

(Official Stamp)

Designation

Place : Date : .. (Issued from File No. .) NOTE: In case of any change in the Name/Address or constitution of IEC holder, the IEC holder as per para 9.1 of Handbook, the IEC holder shall cease to be eligible to import or export against the IEC number after expiry of 90 days from the date of such change unless in the meantime, the consequential changes are effected in the IEC by the concerned licensing authority. The IEC holder shall also furnish the mandatory return as prescribed in paragraph 2.9.5 of the Handbook by the prescribed date.

APPENDIX 19 A FORM OF APPLICATION FOR REGISTRATION CUM MEMBERSHIP (RCMC) WITH EXPORT PROMOTION COUNCIL To, The (Name and Address of the Council) Kindly register us as Merchant/Manufacturer exporter of the export product(s) mentioned below. 1. Name of the applicant : . 2. (i) Address of the applicant (Registered Office in case of limited companies, and the head Office for other) :

(ii) Name & address of the branches, if any : . . (iii) Name & address of the factory : : .

3. (i) IEC number, Date of issue, Issuing authority (ii) Date of establishment

: .. No. Date

4. If the registration is required as a : manufacturer exporter SSI Registration Industrial Licence/IEM Others (specify) :

Issuing Authority : . . . : Valid upto

5. EH/TH/STH/SSTH/SHE/IESH/ISSEH/ISSEH certificate number

6. Details of Directors/Partners/Proprietor/Karta to be given in the following manner


(1) (a) Name (b) Fathers Name (c) Residential address (d) Telephone No. (2) (a) ______________________________ (b) ______________________________ (c) ______________________________ (d) ______________________________ (4) (a) ______________________________ (b) ______________________________ (c) ______________________________ (d) ______________________________ (5) : : : : (3) ___________________________________ ____________________________________ ____________________________________ ____________________________________ (a) (b) (c) (d) (a) (b) (c) (d) ____________________________ ____________________________ ____________________________ ____________________________ ____________________________ ____________________________ ____________________________ ____________________________

7.

(a) Name of export product(s) or its category for which registration is required (b) Main line of business of applicant

____________________________________

8.

I/We hereby solemnly declare that the above stated information is true and correct. I/We undertake, without any reservation, to: abide by the terms of the registration certificate granted to us on all our exports; agree to abide by any code of conduct that may be prescribed; agree to abide by export floor price condition that may be stipulated by the Registering Authority; furnish without fall monthly returns of exports including NIL returns to the Registering authority by 15th day of the months following the quarter. We further understand that our registration is liable to be cancelled in the event of breach of any of the undertakings mentioned above. We/I solemnly declare that we have applied to the Export Promotion Council which pertains to our main line of business. In case we have applied to any other council, the has been made within the purview of the provisions of para 3.12 and 3.12.1 of the Handbook of Procedures (Vol 1) Yours Faithfully, (a) (b) (c) (d)

9. 10.

(Signature) Name Address Designation Tel No. Fax No. E-mail Address Residential Address : __________________________________________ : ___________________________________________ : ___________________________________________ : ____________________________________________ : _____________________________________________ : _____________________________________________ : ______________________________________________ _______________________________________________

Place : _____________________________________ Date : ______________________________________

----------------------------------------------------------------------------------Documents to be enclosed with the application form : -----------------------------------------------------------------------------------

1.

A self certified copy of the IEC Number issued by the licensing authority concerned.

APPENDIX 19 B FORMAT OF REGISTRATION-CUM-MEMBERSHIP CERTIFICATE

PART 1 (To be filled in by the applicant)

1.

Name of the exporter

M/s. ____________________________ ________________________________ ________________________________


____________________________________

2.

IEC Number

____________________________________ ____________________________________ ____________________________________ ____________________________________ ____________________________________ ____________________________________ ____________________________________ ____________________________________

3.

Address of the Registered/Head Office

4.

Date of establishment

5. 6. 7.

Description of goods/services for which registered : Registration Number Registered as : :

a) b) c)

Manufacturer Exporter Merchant exporter Merchant cum manufacturer exporter _____________________

8.

Name of the Proprietor/Partner(s)/ Director(s)/Karta

____________________________________ ____________________________________

This certificate is issued as per the details of our records and is subject to conditions laid down in the relevant scheme of registration of this council.

(Signature of the competent officer of the E. P. Council)

Name _________________________________ Designation ____________________________ Seal __________________________________

Valid/renewed up to _________________________ Date of Issue _____________________

Space for endorsement of any amendments in this certificate

ANF 2B
Application Form for Import of Restricted Items [Please see guidelines (at the end) before filling the application]
1. IEC Number 2. Applicant Details i. Name ii. Address 3. Application Submission Details (in case of electronically submitted applications) i. ECOM Reference Number ii. Date of Submission on Server iii. Submitted to which Regional Authority iv. File Number v. Date of Issue 4. Application Fee Details Amount (Rs) Demand Draft/Bank Receipt/Electronic Fund Transfer No Date of Issue Name of the Bank and its Branch on which drawn 5. Total CIF value applied for i. In Rupees ii. In Foreign Currency 6. Details of item(s) applied for import Description ITC (HS) Code S No

Quantity

CIF Value (Rs)

Country of Origin

7A.Details of imports made of the item(s) applied for in the preceding 3 licensing years, wherever applicable Year Import Licence Details (where applicable) Quantity CIF Value of Imports S No Imported (Rs) No. Date Qty Value

7B. Details of purchase made of the item(s) applied for (excluding imports made) in the preceding licensing year S No Year Item Quantity purchased Value of purchases (Rs)

7 C Port of Registration (As per para 2.37A of HBP Vol. 1)


8. Case Sponsoring Authority details, wherever applicable i. Ministry / Department recommending the case

ii. Recommendation Letter No and date


9. In case of import of Ammunition, please furnish i. Fire Arm Dealers Licence No and date ii. Issuing Authority of Fire Arm Dealers Licence iii. Sales turnover of indigenous & imported ammunition in the preceding 3 licensing years (Rs) 10. In case of import of Aircraft / Helicopters, please furnish i. Year of manufacture ii. Whether New / Second hand iii. Seating Capacity iv. Residual Life v. No. of Flying Hours already completed vi. No. of Aircraft already in possession of the applicant vii. Whether applicant falls under Private or Passenger Category

11. In case of import of Gifts, please furnish i. Name of the Donor ii. Relationship with the Donor iii. Status of the Donor 12. Address of factory / unit / stud farm where items so imported shall be used: 13. End Products to be manufactured with licensed capacity, wherever applicable:

14A. Purpose of Import: (State Actual User or for Trading- Stock and Sale)

14B. Justification for Import:

DECLARATION / UNDERTAKING
1. I / We hereby declare that the particulars and the statements made in this application are true and correct to the best of my / our knowledge and belief and nothing has been concealed or held there from. 2. I / We fully understand that any information furnished in the application if found incorrect or false will render me / us liable for any penal action or other consequences as may be prescribed in law or otherwise warranted. 3. I / We undertake to abide by the provisions of the FT (D & R) Act, 1992, the Rules and Orders framed there under, FTP, HBP v 1 and HBP v2 and ITC (HS). 4 a. I / We hereby certify that the firm / company for whom the application has been made has not been penalized under Customs Act, Excise Act, FT (D & R) Act 1992 and FERA / FEMA. b. Submission of proforma invoice, with application for import authorization, would no longer be required. [old] I / We hereby certify that none of the Proprietor / Partner(s) / Director(s) / Karta / Trustee of firm / company, as the case may be, is / are a Proprietor / Partner(s) / Director(s) / Karta / Trustee in any other firm / Company which has come to adverse notice of DGFT. c. I / We hereby certify that the Proprietor / Partner(s) / Director(s) / Karta / Trustee, as the case may be, of the firm/company is / are not associated as Proprietor / Partner(s) / Director(s) / Karta / Trustee in any other firm / company which is in the caution list of RBI. d. I / We hereby certify that neither the Registered Office / Head Office of the firm/company nor any of its Branch Office(s) / Unit(s) / Division(s) has been declared a defaulter and has otherwise been made ineligible for undertaking import / export under any of the provisions of the Policy. 5. I / We hereby declare that I / We have not obtained nor applied for such benefits (including issuance of an Importer Exporter Code Number) in the name of our Registered / Head Office or any of our Branch(s) / Unit(s) / Division(s) to any other Regional Authority. 5A. I / We hereby declare that I/we have perused the list of SCOMET items as contained in the Appendix 3 to the Schedule 2 of the ITC (HS) and that the item(s) exported / proposed to be exported does not fall within this list and that I / We agree to abide by the provisions of FTP for export of SCOMET items contained in the FTP, Schedule 2 of ITC (HS) and the HBP v1, irrespective of the scheme under which the item is exported / proposed to be exported 6. I / We solemnly declare that I / We have applied for / obtained a RCMC to the EPC which pertains to our main line of business. In case we have applied to any other council, the application has been made within the purview of the provisions of Para 2.63 of the HBP v1. 7. I hereby certify that I am authorised to verify and sign this declaration as per Paragraph 9.9 of the Policy. Signature of the Applicant Name Designation Official Address Telephone Residential Address Email Address Place Date

GUIDELINES FOR APPLICANTS Please see Paragraph 2.10 of HBP v1 1. Original application in ANF 2B along with prescribed documents and Treasury Receipt (TR)/Demand Draft shall be submitted to RA concerned. Self-attested copy of application in duplicate shall be submitted to DGFT Hqrs (Udyog Bhawan, New Delhi) along with proof of submission of application to RA concerned. 2. Each individual page of the application has to be signed by the applicant. 3. a. ANF 1 has to be filled in by all applicants. In case of applications submitted electronically, no hard copies of ANF1. However in cases where applications are submitted otherwise, hard copy of ANF1 has to be submitted. b. Only relevant portions of Application need to be filled in. 4. Application must be accompanied by documents as per details given below: a. Bank Receipt (in duplicate) / Demand Draft / EFT details evidencing payment of application fee in terms of Appendix 21B. b. Self certified copy of Proforma Invoice from foreign supplier (showing quantity of goods to be imported & CIF value of imports. c. Self certified copy of Registration Certificate issued by concerned authority. d. Self certified copy of the recommendation letter by the concerned authority. e. In case of import of gift, Donor's letter in Original. f. In case of import of Ammunition, a certificate from Chartered Accountant / Cost and Works Accountant / Company Secretary showing sales turnover of ammunition (indigenous and imported) during preceding three licensing years

ANF 4 H
Application for Duty Free Import Authorisation (DFIA)
[Please see guidelines (given at the end) before filling the application]
Application for: i. Pre-Export DFIA (Form I) ii. Post Export DFIA (Form I) iii. Redemption / Transferability (Form II) (please tick) ()

FORM I
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. Type of Exporter (please tick) i. Merchant Exporter ii. Manufacturer Exporter iii. Service Provider iv. Others (please specify) v. Merchant cum Manufacturer 5. Industrial Registration Details i. SSI / IEM / LOI or IL Registration Number ii. Date of Issue iii. Issuing Authority iv. Products for which registered 6. Excise Details ( For those registered with Central Excise Authority ) i. Excise Registration Number ii. Issuing Authority 7. Status House Details: i. EH / SEH / TH / STH / PTH / Others ii. Certificate Number iii. Date of Issue iv. Issuing Authority v. Valid Upto 8. Application Fee Details Amount (Rs) Demand Draft / Bank Receipt / Electronic Fund Transfer No Date of Issue Name of the Bank on which drawn Bank Branch on which drawn 9. Total CIF value of Imports applied for i. In Rupees ii. In currency of imports iii. In US $

()

10. Total FOB/FOR value of Exports to be made, including commission i. In Rupees ii. In currency of exports iii. In US $ 11. Value Addition (in %): 12. Port of Registration ( for the purpose of imports ): 13. (i) (a) Application made for Export Product Group: (b) Application made under which Serial No. of SION: (ii) Application made under Chapter 4A (Gems & Jewellery Sector) - Yes / No 14. Details of items to be exported/supplied under the Authorisation S No Item Description Item Technical Characteristics/Quality etc. ITC(HS) Code Quantity Unit of Measurement FOR /FOB Value (in Rs) FOR/FOB value (in freely convertible currency) Value Currency Code

15. Details of items sought to be imported duty free under the Authorisation S Item No Description Item Technical Characteristics/ Quality etc. ITC(HS) Quantity Code Unit of Measurement CIF Value (in Rs) CIF value (in freely convertible currency) Value Currency Code Total exemption from Customs duty

16. Details of other materials to be used in the export product and sought to be imported/procured from sources other than the Authorisation on which drawback benefits is to be availed (not to be filled if Drawback benefits are not being claimed) S No Imported Item Name, Technical Characteristics/Quality etc Quantity in metric units CIF Value Indigenously Procured Item Name, Technical Characteristics/Quality etc Quantity in metric units Value

17. Details of Outstanding Export Obligation against DFIA, Advance Authorisation(s) including Advance Authorisation for Annual Requirements issued already S No Authorisation No Authorisation Date CIF Value (Rs) FOB Value (Rs) %age of EO fulfilled Qty wise Value wise Expiry Date of EO period

18. Details of exports / deemed supplies made in the preceding 3 licensing years: Licensing Year FOB Value of exports (in Rs Crore) FOR Value of deemed supplies (in Rs Crore) Total Export Performance (in Rs Crore)

19. In case of exports made under Deemed Exports category (except for supplies to Advance Authorisation/DFIA/ EPCG Authorisation holders/EOU/EHTP/STP/BTP), please furnish:

i. Name of the Project Authority ii. Address of the Project Authority iii. Supply Order No iv. Delivery period of Supply v. Credit under which project is financed vi. Method by which order is procured (ICB etc.) 20. In case of request for issuance of Invalidation letter/ ARO: I. Request is for issuance of: A. Invalidation letter B. Advance Release Order (ARO) (Please tick): ( )

If so, then please furnish the following details: (i and ii below need not be filled up in case the applicant desires the Invalidation Letter/ARO along with the issuance of DFIA) i. Duty Free Import Authorisation No. ii. Date of Issue of Duty Free Import Authorisation iii. Name of the Indigenous producer / STE from where items are to be procured iv. Address of the Indigenous producer / STE from where items are to be procured v. Regional Authority of the Indigenous producer / STE vi. Items to be supplied by the Indigenous producer / STE a. Description of individual items b. Quantity of individual items to be procured c. Value of individual items to be procured 21. Address of the factory / premises where the items to be imported are proposed to be used

22. Address of the jurisdictional Central Excise Authority under whose jurisdiction the factory / premises falls

23. In case the items to be imported are to be used by the supporting manufacturer, please furnish i. Name of the supporting manufacturer ii. Address of the supporting manufacturer iii. SSI / LOI / IL regn no. and date of Supporting Manufacturer iv. Products endorsed on SSI / IL / IEM

DECLARATION / UNDERTAKING
1. I/We hereby declare that the particulars and the statements made in this application are true and correct to the best of my / our knowledge and belief and nothing has been concealed or held there from. If found incorrect or false, it will render me / us liable for any penal action or other consequences as may be prescribed in law or otherwise warranted. 2. I/We undertake to abide by the provisions of FT(D&R) Act, the Rules and Orders framed there under, the FTP, HBP v1, HBP v2 and the ITC(HS) Classification of Export & Import Items. 3. I / We hereby certify that none of the Proprietor/ Partner(s) / Director(s) / Karta / Trustee of the firm / company, as the case may be, is / are a Proprietor / Partner(s) / Director(s) / Karta / Trustee in any other firm / Company which has come to the adverse notice of DGFT. 4. I/We hereby certify that the Proprietor/Partner(s)/Director(s)/Karta/Trustee, as the case may be, of the firm/company is/are not associated as Proprietor/Partner(s)/Director(s)/Karta/Trustee in any other firm/company which is in the caution list of RBI. 5. I/ We hereby declare that I/we have perused the list of SCOMET items as contained in the Appendix 3 to the Schedule 2 of the ITC (HS) Classifications of Export-Import Items and that the item(s) exported / proposed to be exported does not fall within this list and that I/ We agree to abide by the provisions of the Policy for export of SCOMET items contained in the Foreign Trade Policy, Schedule 2 of ITC (HS) and the HBP v1, irrespective of the scheme under which the item is exported / proposed to be exported (the underlined portion will be deleted in case an application for export license for SCOMET item is being filed). 6. I / We hereby declare that we shall only import inputs which are required for the manufacture of the export product(s) and no part of it shall be sold/transferred/disposed off unless the DFIA is made transferable or utilised in a manner in contravention to the provisions of the Policy and Handbook. 7. I / We hereby declare that no export proceeds are outstanding beyond the prescribed period as laid down by RBI or such extended period for which RBI permission has been obtained. 8. I hereby certify that I am authorised to verify and sign this declaration as per Paragraph 9.9 of the FTP. Signature of the Applicant Place Name Date Designation Official Address Telephone Residential Address Email Address

GUIDELINES FOR APPLICANTS


[ Please see paragraphs 4.32 of HBP v1 ]
1. 2. 3. 4. 5. Two copies of the application must be submitted unless otherwise mentioned. Each individual page of the application has to be signed by the applicant. RCMC details need not be given if the same have already been updated in the IEC. In case of Post Export DFIA application, details of Col. 21, 22 and 23 (iii) and (iv) are not required. Application must be accompanied by documents as per details given below: For Duty Free Import Authorisation 1. Bank Receipt (in duplicate) /Demand Draft/EFT details evidencing payment of application fee in terms of Appendix 21B. 2. In cases where import of fuel has been sought for the grant of Duty Free Import Authorisation: a. Self certified copy of the permission issued to the manufacturer exporter by the competent authority (concerned State Electricity Board or Power Corporation or Regulatory Commission of the State) under Section 44 of the Electricity (Supply) Act, 1948 for the installation of captive power plant based on the specified fuel unless the permission is specifically waived by the State Electricity Board; and b. Self certified copy of the letter intimating the date of commissioning of the captive power plant from the concerned authority which issued the permission letter, is to be submitted. Note: The import of only such fuel(s) shall be allowed which have/ has been specified in the said permission. 6. Additional documents required in case of supplies under deemed export / intermediate supplies under DFIA: 1. Invalidation letter in case of supplies to i. an EPCG Authorisation holder; ii. an Advance Authorisation holder; iii. a Duty Free Import Authorisation However, in case of switch over from physical exports / deemed exports to intermediate supplies, such invalidation letters can also be

furnished at the time of redemption of DFIA. 2. Project Authority certificate in case of supplies other than (a) (i), (ii) & (iii) above and to EOU/ EHTP/ STP/BTP units;

7.

FOB value of export for the purpose of V.A shall be arrived at after excluding the Agency Commission, if any. This provision shall be applicable for authorizations issued on or after 1.4.2008.

FORM II
Redemption of DFIA / Endorsement of Transferability on DFIA.
1. Request is for: (Please Tick ) i. Redemption / EODC ii. Bond Waiver (No Bond Certificate) iii. Transferability i a. Authorisation File Number i b. Date of Issue i c. Authorisation Number I d. Date of Issue I b. Date of Issue ii. CIF Value a. In Indian Rupees b. In free foreign exchange iii. Export Obligation imposed a. In Indian Rupees b. In free foreign exchange Iv a Date of expiry of initial export obligation period iv b. Date of expiry of extended export obligation period v. Product exported Vi a. Serial Number of SION 2. Application Fee Details (in case of enhancement of CIF value etc.) Amount (Rs) Demand Draft/Bank Receipt/Electronic Fund Transfer No Date of Issue Name of the Bank on which drawn Bank Branch on which drawn 3. Details of physical exports / deemed exports made FOB / FOR Quantity Let Sl. Port of Unit of S. Bill / Value of Export Measurement Export No. Export Invoice order (UOM) Details date No. Date In In In No. Date Rs FFE US $

BRC Details Bank & FOB Value Branch In Rs. In In US $ FFE

4. Shipping Bill / Invoice Wise Export items details: ITC(HS) Sl. Type of S. Invoice Invoice Code No. Export No. Sl. No. Bill (EDI/NonNO. EDI)

Export Product Group

SION No.

Export Product Sl. No. Direct Export

Quantity Exported / Supplied

Third Party Export 11

10 Eqv. To US $ Rate 24

TotalU/ Deemed M Exports / Intermediate supplies 12 13 14

Foreign Currency (FC) FFE FFE Eqv. Name Conv. US $ / Rate 15 16 Rs. Rate 17

In FFE 18

FOB Value Eqv. In Rs. US $

FOR Value Eqv. In US $ Rs. 21 22

FFE Conv. Rate 23

BRC Details In In Rs. FFE 25 26

Eqv. US $

19

20

27

5. Details of imports made against the Authorisation ( In case of Pre-Export DFIA) Quantity Sl. Qty allowed CIF Value Item of Bill of Entry Details Import imported No in the allowed in Authorisation the Authorisation ( in FFE) No Date

CIF Value (in FFE)

6. Details of excess imports made proportionate to the export obligation fulfilled (Please fill if applicable): Sl. Item of Import Bill of Entry Details Quantity Duty Details No No Date Customs Duty Interest Total

DECLARATION / UNDERTAKING
1. I/We hereby declare that the particulars and the statements made in this application are true and correct to the best of my / our knowledge and belief and nothing has been concealed or held there from. If found incorrect or false, it will render me / us liable for any penal action or other consequences as may be prescribed in law or otherwise warranted. 2. I/We undertake to abide by the provisions of FT(D&R) Act, the Rules and Orders framed there under, the FTP, HBP v1, HBP v2 and the ITC(HS) Classification of Export & Import Items. 3. I / We hereby certify that none of the Proprietor/ Partner(s) / Director(s) / Karta / Trustee of the firm / company, as the case may be, is / are a Proprietor / Partner(s) / Director(s) / Karta / Trustee in any other firm / Company which has come to the adverse notice of DGFT. 4. I/We hereby certify that the Proprietor/Partner(s)/Director(s)/Karta/Trustee, as the case may be, of the firm/company is/are not associated as Proprietor/Partner(s)/Director(s)/Karta/Trustee in any other firm/company which is in the caution list of RBI. 5. I/ We hereby declare that I/we have perused the list of SCOMET items as contained in the Appendix 3 to the Schedule 2 of the ITC (HS) Classifications of Export-Import Items and that the item(s) exported / proposed to be exported does not fall within this list and that I/ We agree to abide by the provisions of the Policy for export of SCOMET items contained in the Foreign Trade Policy, Schedule 2 of ITC (HS) and the HBP v1, irrespective of the scheme under which the item is exported / proposed to be exported (the underlined portion will be deleted in case an application for export license for SCOMET item is being filed). 6. I / We hereby declare that no export proceeds are outstanding beyond the prescribed period as laid down by RBI or such extended period for which RBI permission has been obtained. I hereby certify that I am authorised to verify and sign this declaration as per Paragraph 9.9 of the FTP.

7.

Signature of the Applicant Name Designation Official Address Telephone Residential Address Email Address

Place Date

GUIDELINES FOR APPLICANTS


[Please see paragraphs 4.36 & 4.36A of HBP v1 ] 1. 2. 3. Two copies of the application must be submitted unless otherwise mentioned. Each individual page of the application has to be signed by the applicant. Application must be accompanied by documents as per details given below: a. For physical exports: 1. Bank Certificate of Exports and Realisation in the form given at Appendix 22A or Foreign Inward Remittance Certificate (FIRC) in the case of direct negotiation of documents or Appendix 22D in case of offsetting of export proceeds. However, realisation of export proceeds shall not be insisted if the shipments are made against confirmed irrevocable letter of credit or bill of exchange is unconditionally Avalised / Co- Accepted / Guaranteed by a bank and the same is confirmed by the exporters bank and certified by the bank in column 14/15 of Appendix 22A. For status holders, irrevocable letter of credit would suffice. Further, realisation of export proceeds shall not be insisted, if the Reserve Bank of India (RBI) writes off the requirement of realisation of export proceeds on merits and the exporter also produces a certificate from the Foreign Mission of India about the fact of non recovery of export proceeds from the buyer. However this would not include self write off cases. EP copy of the shipping bill(s) containing details of shipment effected or bill of export in case of export to SEZ. A statement of exports giving details of shipping bill wise exports indicating the shipping bill number, date, FOB value as per shipping bill and description of export product. A statement of imports indicating bill of entry wise item of imports, quantity of imports and its CIF value. Declaration in Appendix 23 format related to consumption of the inputs endorsed in the DFIA. In case where CENVAT credit facility on inputs have been availed for the exported goods, the goods imported against Actual User DFIA shall be utilized only in the manufacture of dutiable goods whether within the same factory or outside (by a supporting manufacturer) even after completion of export obligation, for which the authorisation holder shall produce a certificate from the jurisdictional Central Excise Supdt.

2. 3. 4. 5. 6.

For deemed exports: 1. A copy of the invoice or a statement of invoices duly signed by the unit receiving the material and their jurisdictional excise authorities certifying the item of supply, its quantity, value and date of such supply. However in case of supply of items which are non excisable or supply of excisable items to a unit producing non excisable product(s), a Project Authority Certificate (PAC) certifying quantity, value and date of supply would be acceptable in lieu of excise certification. However, in respect of supplies to EOU/EHTP/ STP/ BTP, a copy of CT-3/ARE-3 duly signed by the jurisdictional excise authorities certifying the item of supply, its quantity, value and date of such supply can be furnished in lieu of the excise attested invoice (s) or statement of invoices as given above. Payment certificate from the project authority in the form given in Appendix-22C. In the case of Advance Authorisation for Intermediate Supplies/ deemed exports, supplies to the EOUs/ EHTPs/STPs/ BTPs, documentary evidence from the bank substantiating the realisation of proceeds from the Authorisation holder or EOUs/EHTPs/ STPs/ BTPs, as the case may be, through the normal banking channel, shall be furnished in the form given at Appendix 22B. However realisation of proceeds shall not be insisted upon if the shipments are made against confirmed irrevocable inland letter of credit or inland bill of exchange is unconditionally Avalised/ Co- Accepted/ Guaranteed by a bank and the same is confirmed by the exporters bank and certified by the bank in column 5/6/7 of Appendix 22B. For status holders, irrevocable inland letter of credit would suffice. A statement of supplies giving details of supply invoices and indicating the invoice number, date, FOR value as per invoices and description of product. A statement of imports indicating bill of entry wise item of imports, quantity of imports and its CIF value. Declaration in Appendix 23 format related to consumption of the inputs endorsed in the DFIA. In case where CENVAT credit facility on inputs have been availed for the exported goods, the goods imported against Actual User DFIA shall be utilized only in the manufacture of dutiable goods whether within the same factory or outside (by a supporting manufacturer) even after completion of export obligation, for which the authorisation holder shall produce a certificate from the jurisdictional Central Excise Supdt.

2.

3.

4. 5. 6.

ANF 4A
Application Form for Advance Authorisation (Including Advance authorisation for Annual Requirement) / Advance Release Order (ARO)/ Invalidation letter [Please see guidelines (given at the end) before filling the application].
1. Applicant Details i. IEC Number ii. Name iii. Address iv. Whether endorsement of Co-Authorisation holder sought: Yes / No, If Yes, then furnish the following details of Co-Authorisation holder (a) IEC Number (b) Name (c) Address 2. RCMC Details i. RCMC Number ii. Date of Issue iii. Issuing Authority iv. valid upto Products for which registered 3. Type of Exporter (please tick) i. Merchant Exporter ii. Manufacturer Exporter iii. Service Provider iv. Merchant cum Manufacturer v. Others (please specify) 4. Industrial Registration Details i. SSI / IEM / LOI or IL Registration Number ii. Date of Issue iii. Issuing Authority iv. Products for which registered 5. Excise Details (For those registered with Central Excise Authority) i. Excise Registration Number ii. Issuing Authority 6. Status House Details (For Status Holders): i. EH / SEH / TH / STH / PTH ii. Certificate Number iii. Date of Issue iv. Issuing Authority v. Valid Upto 7. Application Fee Details i Amount (Rs) ii Demand Draft / Bank Receipt / Electronic Fund Transfer No Iii Date of Issue iv Name of the Bank on which drawn v Bank Branch on which drawn 8. Total CIF value of Imports applied for i. In Rupees ii. In currency of imports iii. In US $

()

9. Total FOB / FOR value of Exports to be made (excluding Foreign Agent commission) i. In Rupees ii. In currency of exports iii. In US $ 10. Value Addition (in %): 11. Port of Registration as per paragraph 4.19 of HBP v1 (for the purpose of imports): 12. i. Whether the application is made under SION: Yes / No. If Yes, then specify: (a) the Export Product Group: (b) Serial No. of SION: OR Application made under Para 4A.25 of HBP v1 (for G&J sector): Yes / No. OR ii. Whether the application is made under Para 4.7 of HBP v1: Yes / No. If Yes, whether Adhoc Norms fixed: Yes / No 13. Details of items to be exported / supplied under the Authorisation: Sl. No Item Description Item Technical Characteristics / Quality etc. ITC (HS) Code Quantity Unit of Measurement FOB / FOR ValueFOB / FOR value (in freely (in Rs) convertible currency)

14. Details of items sought to be imported duty free under the Authorisation: Sl. No Item Description Item Technical ITC (HS) Characteristics / Quality Code etc. Quantity in metric units CIF Value (in Rs) CIF value (in freely convertible currency) Total exemption from Customs duty

15. Details of other materials to be used in the export product and sought to be imported / procured from sources other than the Authorisation on which drawback benefits is to be availed (not to be filled if Drawback benefits are not being claimed): Sl. No Imported Item Name, Technical Characteristics/ Quality etc Quantity in metric units CIF Value Indigenously Procured Item Name, Technical Characteristics / Quality etc Quantity in metric units Value

16.

Details of Outstanding Export Obligation (E.O.) against Advance Authorisation(s) including Advance Authorisation for Annual Requirements issued already: Authorisation No. Authorisation Issue Date CIF Value (Rs) FOB Value (Rs) %age of EO fulfilled Qty wise Expiry Date of EO period Value wise

Sl. No.

17. Details of exports / deemed supplies (including Intermediate supplies) made in the preceding 3 licensing years: Licensing Year FOB Value of exports (Rs Crore) FOR Value of deemed supplies (Rs Crore) Total Export Performance (Rs Crore)

18. Applicable in case of applications made for Advance Authorisation for Annual requirements (AAL) : i. Entitlement of AAL (Rs): ii. CIF Value of AAL already obtained (Rs) during the current licensing year:

19. In case of exports made under Deemed Exports category (except for supplies to Advance Authorisation / EOU / EHTP / STP / EPCG Authorisation or Intermediate supplies), please furnish: i. Name of the Project Authority ii. Address of the Project Authority iii. Supply Order No iv. Delivery period of Supply v. Credit under which, project is financed vi. Method by which order has been procured (ICB etc.)

20. In case of request for issuance of ARO / Invalidation letter, please furnish: i. Whether applied for: ARO / Invalidation letter (Please ) ii. Advance Authorisation No.: iii. Date of Issue of Advance Authorisation: iv. Name (s) of the Indigenous producer from where items are to be procured: v. Address (s) of the Indigenous producer from where items are to be procured: vi. Regional Authority of the Indigenous producer: vii. Items to be supplied by the Indigenous producer: a. Description of individual items: b. Quantity of individual items to be procured: c. Value of individual items to be procured: 21. Address of the factory / premises / Project site, where the items to be imported are proposed to be used: 22. Address of the jurisdictional Central Excise Authority under whose jurisdiction the factory / premises / Project site falls: 23. In case the item(s) to be imported, are to be used by the supporting manufacturer, please furnish: i. Name of the supporting manufacturer ii. Address of the supporting manufacturer iii. SSI / LOI / IL regn. no. and date of Supporting Manufacturer iv. Products endorsed on SSI/IL/IEM

DECLARATION / UNDERTAKING I / We hereby declare that the particulars and the statements made in this application are true and correct to the best of my / our knowledge and belief and nothing has been concealed or held there from. If found incorrect or false, it will render me / us liable for any penal action or other consequences as may be prescribed in law or otherwise warranted. I / We undertake to abide by the provisions of FT(D&R) Act, the Rules and Orders framed there under, the FTP, HBP v1, HBP v2 and the ITC(HS) Classification of Export & Import Items. I / We hereby certify that none of the Proprietor/ Partner(s) / Director(s) / Karta / Trustee of the firm / company, as the case may be, is / are a Proprietor / Partner(s) / Director(s) / Karta / Trustee in any other firm / Company which has come to the adverse notice of DGFT. I / We hereby certify that the Proprietor / Partner(s)/Director(s) / Karta / Trustee, as the case may be, of the firm / company is/are not associated as Proprietor/Partner(s)/Director(s) / Karta / Trustee in any other firm / company which is in the caution list of RBI.

1.

2. 3.

4.

5. I / We hereby declare that I/we have perused the list of SCOMET items as contained in the Appendix 3 to the Schedule 2 of the ITC (HS) Classifications of Export-Import Items and that the item(s) exported / proposed to be exported does not fall within this list and that I/ We agree to abide by the provisions of the Policy for export of SCOMET items contained in the Foreign Trade Policy, Schedule 2 of ITC (HS) and the HBP v1, irrespective of the scheme under which the item is exported / proposed to be exported (the underlined portion shall be deleted in case an application for export license for SCOMET item is being filed). 6. (Applicable in case of Advance Authorisation applications under paragraph 4.7 of HBP v1 only). a. I / We hereby declare that I / We shall abide by the final fixation of norms by the Norms Committee (NC) and shall pay to the Government Customs duty together with interest (as notified) reckoned from the date of imports till the date of deposit on the inputs imported in excess of the norms fixed by NC. b. I / We hereby declare that no export proceeds are outstanding beyond the prescribed period as laid down by RBI or such extended period for which RBI permission has been obtained. 7. I hereby certify that I am authorised to verify and sign this declaration as per Paragraph 9.9 of the FTP.

Signature of the Applicant Name Designation Official Address Telephone Residential Address Email Address

Place Date

GUIDELINES FOR APPLICANTS ( Please see paragraphs 4.4, 4.5, 4.13, 4.14, 4.24A and 4A.25 of HBP v1 relevant to the Scheme under which the application is being filed )
1. 2. 3. 4. 5. Two copies of the application must be submitted unless otherwise mentioned. Each individual page of the application has to be signed by the applicant. RCMC details need not be given if the same have already been updated in the IEC. In case of request for ARO / Invalidation letter, applicant may furnish information in respect of Sl No. 1 & 20 of the application only. Imported duty free inputs shall be taken from the port / domestic suppliers premises to the factory or the premises of the authorisation/co-authorisation holder or the factory of the supporting manufacturer (whose name is endorsed in the authorisation or allowed by Central Excise authority). However, such duty free material imported or procured against advance authorization can also be taken from the port directly to the project site of the project authority, subject to furnishing a bond to the customs authority at the port of import and other documents/declaration and other provisions as per DOR guidelines.

For Advance Authorisation : 1. 2. Bank Receipt (in duplicate) / Demand Draft / EFT details evidencing payment of application fee in terms of Appendix 21B. Additional documents required: I. In case of issue of Advance Authorisation for Annual Requirements: a. Statement of exports made in the preceding licensing year duly certified by a Chartered Accountant / Cost and Works Accountant in the format given in Appendix 26. b. Self certified copy of the manufacturing licence of the applicant firm or his supporting manufacturer. II. Invalidation letter(s) in case of supplies to an advance Authorisation holder. However, in case of switch over from physical exports / deemed exports to intermediate supplies, such invalidation letters can also be furnished at the time of redemption of advance authorisation. In case of Deemed Export: Project Authority certificate in case of supplies other than (ii) above and to EOU / EHTP / STP / BTP units; 3. In cases where import of fuel has been sought for under Advance Authorisation / Advance Authorisation for Annual Requirements: a. Self certified copy of the permission issued to the manufacturer exporter by the competent authority (concerned State Electricity Board or Power Corporation or Regulatory Commission of the State) under Section 44 of the Electricity (Supply) Act, 1948 for the installation of captive power plant based on the specified fuel unless the permission is specifically waived by the State Electricity Board; and Self certified copy of the letter intimating the date of commissioning of the captive power plant from the concerned authority which issued the permission letter is to be submitted.

III.

b.

Note: Import of only such fuel(s) shall be allowed which have / has been specified in the said permission. 4. Additional documents required in case of issue of Advance Authorisation under Para 4.7 of HBP v1: a. b. c. 5. Information as per Appendix-11A, Technical Details of the export product as per the details given in Appendix 33. Production and Consumption data of the manufacturer / supporting manufacturer of the preceding three licensing years, duly certified by the Chartered accountant / Cost & Works Accountant / Jurisdictional Excise Authority.

Please state Not Applicable wherever the information / data is not applicable to the applicant.

ANF 5A APPLICATION FORM FOR EPCG / ANNUAL EPCG AUTHORISATION (UNDER ZERO DUTY / 3% DUTY)
Please see guidelines given at the end before filing the application
1. Applicant Details i. Name ii. IEC No iii. Address 2. Type of Exporter (please tick) i. Merchant Exporter ii. Manufacturer Exporter iii. Service Provider iv. Others( please specify) v. Merchant cum Manufacturer 3. RCMC Details i. RCMC Number ii. Date of Issue and valid upto iii. Issuing Authority iv. Products for which registered 4. Industrial Registration Details

i. SSI / IEM/LOI or IL Registration Number ii. Date of Issue iii. Issuing Authority iv. Products for which registered 5. Service Tax Registration Details ( In case of Service providers registered with Service Tax authorities) i. Service Tax Registration Number ii. Issuing Authority iii. Services for which registered 6. Status House Details i. EH/SEH/TH/STH/PTH ii. Certificate Number iii. Date of Issue and valid upto iv. Issuing Authority

7. Excise Details (For those registered with Central Excise Authority )

i. Excise Registration Nimber ii. Date of Issue / Issuing Authority

8. Application Fee Details Amount (Rs) Electronic Fund Transfer No. 9. Sector Classification of Capital Goods sought to be imported under the Scheme (Please tick)

i. Industrial sector ii. Agricultural sector iii. Service sector 10. Products to be exported/services to be rendered. ITC (HS) CODE

11. Whether imports to be made are under Technological Upgradation Scheme Yes / No If Yes, give following details: Sr EPCG EPCG CIF Value / E.O. fixed in freely Percentage of Expiry date of E.O. period No Authorisation Authorisation duty saved convertible E.O. fulfilled No Date currency

12. Details of exports of same/similar product/services made in the preceding 3 licensing years (excluding exports against all pending EPCG Authorizations) Financial Year Total FOB Value of exports/ services rendered for the same/similar product Sl. No. /service(Rs in Crores)

1 1. 2. 3. Total Average export performance

13. Details of pending EPCG Authorizations already obtained. Authorisation RA which CIF/ S.No EO fixed on No and Date issued Duty duty saved Authorisation Saved amount Value (in freely (Rs) convertible currency)/INR

Specific EO fulfilled on duty saved amount (Rs)

Annual Average EO Fixed (Rs.)

Average EO due till last financial year (Rs)

Average EO fulfilled till last financial year (Rs)

Expiry Date of EO period

14. Details of Freely Importable Capital Goods applied for import(Not Applicable for Annual EPCG Authorization) Description of the ITC(HS) Code Nature of Capital Quantity Primary Use of Capital Goods sought S No items of import Goods sought to be to be imported ++ imported +

15. Details of Restricted Capital Goods applied for import S No Description of the items of import ITC(HS) Code Nature of Capital Goods sought to be imported + Primary Use of Capital Goods sought to be imported ++

Technical Specifications/ Model No. etc

Quantity

CIF Value in freely convertible currency

+ - whether Capital Goods / Spares / Tools /Jigs / Fixtures / Dies / Moulds /spare Refractories / Catalyst/ ++ - whether used for Pre Production activity/ Production activity/ Post Production activity/ For rendering Services (From amongst col.14 and 15 above please fill up whichever is applicable. In case applicant desires to import both restricted and freely importable capital goods appropriate information should be given in both the cols.) 16. Details of Duty Saved Total effective Customs duty on items to be imported/deemed to be imported (in %) + 1

Duty to be levied under the Scheme (in %) 2

Duty Saved (in %)

CIF Value of imports/deemed imports (in Rs) 4

Duty saved (in Rs)

3=1-2

5 = 3 * 4 / 100

Note: i. + In case of indigenous sourcing of CG, duty saved is to be calculated on notional Customs duties saved on FOR value of capital goods as per para 5.7 A of FTP. ii. In case of EPCG Authorisation for Projects as per para 5.1B of Policy, the basic customs duty would be 7.5%. Wherever, CVD is paid in cash and not subsequently Cenvated, CVD would not be taken for computation of net duty saved. 17. Details of Export Obligation and Average Export Obligation to be imposed: Average Export Obligation Total duty Export Obligation (as a multiple of duty saved) to be to be imposed saved (Rs.) imposed as per column no.5 6 times ++ 8 times at S.No.15. (Rs.) (USD) (Rs.) (USD) (Rs.) (USD)

Export obligation period to be imposed (in years) 8 years 12 years +++ (indicate specifically)

++ In case of SSI units and technological upgradation scheme. +++ i. In case of agro units and units in cottage and tiny sector. ii. In respect of EPCG licences with a duty saved of Rs.100 crore or more. 18. Port of Registration (for the purpose of imports): 19. Address of the factory/premises of the applicant where the capital goods to be imported are proposed to be installed

20. In case the proposed CG sought to be imported are to be used by the supporting manufacturer, please furnish i. Name of the supporting manufacturer ii. Address of the supporting manufacturer iii. SSI/LOI/IL regn. no. and date iv. Products endorsed on SSI/IL/IEM v. Excise Registration No. And issuing authority. ( if applicable) :-

DECLARATION/UNDERTAKING 1. I / We hereby declare that the particulars and the statements made in this application are true and correct to the best of my/our knowledge and belief and nothing has been concealed or held there from and if found incorrect or false will render me/us liable for any penal action or other consequences as may be prescribed in law or otherwise warranted. 2. I / We undertake to abide by the provisions of the Foreign Trade (Development and Regulation) Act, 1992, the Rules and Orders framed there under, the Foreign Trade Policy, the Handbook of Procedures and the ITC(HS) Classification of Export & Import Items. 3. I / We hereby certify that none of the Proprietor / Partner(s) / Director(s) / Karta / Trustee of the firm / company, as the case may be, is/are a Proprietor / Partner(s) / Director(s) / Karta / Trustee in any other firm / Company which has come to the adverse notice of DGFT. 4. I / We hereby certify that neither the Registered Office/Head Office of the firm/company nor any of its Branch Office(s) / Unit(s) / Division(s) has been declared a defaulter and has otherwise been made ineligible for undertaking import / export under any of the provisions of the Policy. 4A. 4B. 5. I/We hereby certify that our applicant firm/company is NOT currently availing any benefits under Technology Upgradation Fund Scheme (TUFS), administered by Ministry of Textiles, Government of India. (Applicable to zero duty EPCG scheme only) I/We hereby certify that our applicant firm/company has NOT availed and shall not avail the benefit of Status Holder Incentive Scheme under Para 3.17 of FTP in the current year. (Applicable to zero duty EPCG scheme only) I / We hereby declare that I/we have perused the list of SCOMET items as contained in the Appendix 3 to the Schedule 2 of the ITC (HS) Classifications of Export-Import Items, 2009-14 and that the item(s) exported / proposed to be exported does not fall within this list and that I/ We agree to abide by the provisions of the Policy for export of SCOMET items contained in the Foreign Trade Policy, Schedule 2 of ITC (HS) and the Handbook of Procedures (Vol.1), irrespective of the scheme under which the item is exported / proposed to be exported. 6. I / We declare that no export proceeds are outstanding beyond the prescribed period as laid down by the RBI, or such extended period for which RBI permission has been obtained. 7. I / We hereby declare that the capital goods/spares sought for import in the application are actually required for use at pre production/production/post production stages for the export product(s) or for rendering services for fulfilment of export obligation. 8. I / We hereby declare that in respect of goods for which nexus is not established at a later date, I / We shall pay to the Government Customs duty saved together with 15% interest on such imported goods which are found having no relation with product exported or service rendered. 9. I / We hereby declare that in case of import of refurbished/reconditioned spares, the refurbished/reconditioned spares have a residual life which is not less than 80% of the life of the original spares. 10. I / We hereby declare that I / We do not come under the purview of Service Tax and therefore are not registered with the Service Tax Cell of the jurisdictional Central Excise Authorities. (in case of Service Providers who are not covered under service tax) 11. I / We hereby declare that I/We shall not exceed the SSI investment limit in plant and machinery after making imports under the EPCG Authorisation. (applicable in cases of imports made by SSI sector) 12. I / We hereby declare that the import of capital goods shall be used for building and operating shopping malls/super markets having a minimum covered area of 1000 sq meters. (Applicable in case of imports made by Retail sector). 13. I / We hereby declare that I/We have not made imports under the Technological Upgradation Scheme previously before any Licensing authority and the present imports of Capital Goods to be made under this Scheme (for which this application is made) are more than 10% of the my/our present investment in the plant and machinery. (applicable in case of imports under EPCG Technological Upgradation Scheme). 13A. I / we undertake to submit a self certified copy of Drug Manufacturing Licence in case of export of Pharmaceutical Product(s) within a period of three years from the date of issue of EPCG Authorization failing which the Bank Guarantee / Legal undertaking executed / furnished at the time of clearance of Capital Goods with Customs authorities / Regional Authorities of DGFT, as the case may be, is liable to be forfeited / invoked and I / We would be liable to pay Customs Duty saved amount together with applicable interest thereon from the date of first import till the date of final payment. 14. I hereby certify that I am authorised to verify and sign this declaration as per Paragraph 9.9 of the Policy.

(Note: Strike out the clause which is not applicable.) Signature of the Applicant Name Designation Official Address Telephone Residential Address Email Address Place Date

GUIDELINES FOR APPLICANTS Two copies of the application must be submitted unless otherwise mentioned. Each individual page of the application has to be signed by the applicant. In case CG sought to be imported is under restricted category, a copy of this application shall be sent to EFC at DGFT HQRS also. (In such cases no separate application fee shall be required to be submitted while sending the copy of the application to Hqrs. EFC). Upon clearance by EFC, EPCG Authorisation shall be issued by RA and will bear an endorsement that EFC has approved issue of EPCG Authorisation for restricted CG. 4. Application must be accompanied by documents as per details given below: 1 2. Bank Receipt / Demand Draft / EFT details evidencing payment of application fee in terms of Appendix 21B. Self certified copy of IEM/SSI Registration Number in case of products or a self certified copy of Service Tax Registration in case of Service Providers. (In case of Service Providers, who are not registered with Service Tax authorities and a declaration in this regard has been submitted as a part of the application (declaration no.10) , service tax registration is not required to be submitted. In such cases RCMC from EPC concerned will suffice). 5. Certificate from a Chartered Engineer in the format given in Appendix 32A certifying: a b c the end use/nexus of machinery sought for import under EPCG Scheme in the pre production/production/post production activity of the exported goods/services (explaining the end use of machinery in detail); and/or the essentiality of spare parts sought for import and its required quantity for existing machinery manufacturing the goods to be exported/ machinery sought for import; and/or complete usage of equipments/goods sought for import under the EPCG Scheme for supply of service to overseas customers/ service consumers of any other country in India to earn free foreign exchange/supply of service in India relating to export paid in free foreign exchange. 6. a. Statement of exports made/services rendered by the applicant firm during the preceding three licensing years duly certified by a Chartered Accountant / Cost and Works Accountant in the format given in ANF 5A. In case of import of spares for existing plant and machinery, a list of plant/machinery imported and already installed in the factory/premises of the applicant firm/supporting manufacturer for which the spares are required, duly certified by a Chartered Engineer or jurisdictional Central Excise authority b. In case of EPCG applications made by EOU/SEZ units, a self certified copy of the `No Objection Certificate from the Development Commissioner concerned showing the details of the capital goods imported/indigenously procured by the applicant firm, its value at the time of import/sourcing and the depreciated value for the purpose of assessment of duty under the Scheme is to be submitted. 7. Copy of previous EPCG Authorisation (in case application is made under EPCG Technological Upgradation Scheme). to submit a certificate from the the firm/company is not currently availing any benefit under the 7A. In case of imports under zero duty EPCG scheme for textile sector, the applicants would be required office of Textile Commissioner, Government of India to the effect that Technology Upgradation Fund Scheme

1. 2. 3.

(TUFS), administered by Ministry of Textiles, Government of India.

In case of import of restricted capital goods under ITC(HS) a self certified copy of the recommendation letter by the Sponsoring authority.(To be enclosed in case the same has already been obtained)

Annexure II ANF 5B Statement of Export for Redemption of EPCG/ Annual EPCG Authorization

1.

Applicant Details

Name & address

2.

EPCG Authorisation Number & date

Actual duty saved amount

3.

Export obligation period (EOP)

i. Original date ii. Extended EOP date iii. Actual EO Completion date:

4.

Installation certificate No. & Date

5.

Export Product Details:

i. Same / similar product name & ITC(HS) code. ii. Alternate Product name & ITC(HS) code.

6. Export Obligation (EO) imposed In Indian Rs. In US$

EO as per actual duty saved amount/ Average EO In Indian Rs. In US$

+ In case of alternate product export of average EO of alternate product should be given.

7. S No

Details of physical exports/deemed exports made/services rendered for maintaining specific EO of Authorization for which this redemption is sought Products Exported/ Supplied/Services rendered ITC(HS) Code. Shipping Bill/ Voucher/Invoice/ CT 3 / ARE 3/ Lorry Receipt/ Railway Receipt Details + No Date FOB / FOR value(in FFE) ++

Same Product/Services -----------------Alternative Product / Services

Direct exports

Third Party exports

Deemed Exports

By Group Company

Other R&D Services / Royalty

Total

+ not to be filled in by hotel industry ++ Only Exports/ Supplies made/ capable of being made/ services rendered out of capital goods imported under the Authorisation for discharge of export obligation imposed on the Authorisation and export proceeds realized to be included.

8. We further declare that we have made exports as under for maintenance of Average export obligation (other than that mentioned in 7 above) Exports. (As per suggestion FINANCIAL YEAR TOTAL VALUE OF EXPORTS (OTHER THAN EXPORTS UNDER SPECIFIC EO) INR DETAILS OF SHIPPING BILLS FOR FULFILLMENT OF AVERAGE EXPORT OBLIGATION.

* This column does not include exports covered under Sr. No.7 above. * this column does not include exports rendered for maintaining specific EO of other EPCG

authorizations.

DECLARATION/UNDERTAKING 1. I/We hereby declare that the particulars and the statements made in this application are true and correct to the best of my/our knowledge and belief and nothing has been concealed or held there from and if found incorrect or false will render me/us liable for any penal action or other consequences as may be prescribed in law or otherwise warranted. 2. I/ We hereby declare that I/we have perused the list of SCOMET items as contained in the Appendix 3 to the Schedule 2 of the ITC (HS) Classifications of Export-Import Items, 2009-14 and that the item(s) exported / proposed to be exported does not fall within this list and that I/ We agree to abide by the provisions of the Policy for export of SCOMET items contained in the Foreign Trade Policy, Schedule 2 of ITC (HS) and the Handbook of Procedures (Vol.1), irrespective of the scheme under which the item is exported / proposed to be exported (the underlined portion will be deleted in case an application for export license for SCOMET item is being filed). 3.

I/We hereby declare that exports counted towards Specific Export Obligation against this licence have not been claimed /counted for fulfillment of annual average export performance / specific export obligation against other EPCG Authorization.
4. I hereby certify that I am authorized to verify and sign this declaration as per Paragraph 9.9 of the Policy. Signature of the Applicant Place Name Designation Official Address Telephone Residential Address Email Address Date

It is certified that all physical exports made as shown in item Nos. 7 & 8 above are in freely convertible 5. currency and payment of the same has been realized*.

Signature with Seal of the Chartered Accountant * In case of Service Provider submission of self attested copies of Foreign Inward Remittance Certificate (FIRC) / Bank Certificate alongwith ANF5B shall be mandatory. Note: Realization of export proceeds shall not be insisted, if the Reserve Bank of India (RBI) writes off the requirement of realization of export proceeds on merits and the exporter also produces a certificate from the Foreign Mission of India about the fact of non recovery of export proceeds from the buyer. However this would not include self write off cases.

GUIDELINES FOR APPLICANTS 1. 2. 3. Appendix 26A duly signed by Chartered Accountant must be submitted. Each individual page of the application has to be singed by the applicant. Application must be accompanied by documents as per above details.

Annexure III APPENDIX 26 CERTIFICATE OF CHARTERED ACCOUNTANT COST AND WORKS ACCOUNTANT/ COMPANY SECRETARY (FOR ISSUE OF EPCG/ANNUAL EPCG AUTHORIZATION)

I/We hereby confirm that I/We have examined the prescribed registers and also the relevant records of M/s.............................................. and hereby certify that: I. The following documents/ records have been furnished by the applicant firm/company and have been examined and verified by me/us namely: (a) For deemed exports: (i) Copy of ARO/Back to back inland letter of Credit of Advance Authorisation for intermediate Supplies or Supply invoices or CT3/ARE3 duly certified by the Bond Office of EOU concerned showing that supplies have been received. Evidence of having received the payment through normal banking channel in the form given in Appendix-22B or a self certified copy of payment certificate issued by the Project Authority concerned in the form given in Appendix-22C.

(ii)

(b)

For export of goods: (i) (ii) (iii) (iv) (v) (vi) (vii) Export Order/Contract, Shipping Bills, Bill of Lading (and/or Airways Bills/PP Receipts), Customs/Bank attested invoices, Bank Certificate of exports and realization, GR declaration etc, and Connected books of accounts

(c)

For export of services: (i) (ii) (iii) (iv) (v) Bank Certificate of direct foreign exchange earning, GR declaration, Forward Inward Remittance Certificates (FIRCs), Certificate from international credit card companies, C.A. certificate for the indirect sources, ( In respect of indirect forex earnings duly certified by Chartered Accountant such as amount received from Travel agents/Tour Operators, Foreign Airlines for stay of Crew and Catering, UN organizations and Diplomatic Missions and Encashment Certificate from authorized dealers and others in terms of DGFT Policy circular no.60/97-2002 dated 24.12.1998). Certified statements from the Banker/Chartered Accountant of Foreign Exchange Earnings and connected books of accounts.

(vi)

II. been III.

The relevant accounting and financial register(s) as prescribed under different Acts and Rules made thereunder have maintained and authenticated under my/our seal and signature. The information given by the applicant firm/company in the Aayaat Niryaat Form including details on (a.) imports/exports made and services rendered, (b.) foreign exchange earnings/ realization (both from direct and indirect sources) (c.) third party exports (d.) deemed exports Is in agreement with the Foreign Trade Policy 2009-14 and the rules and procedures made there under, the relevant register and records and the books of accounts maintained by M/s.............. and their subsidiaries and is also true and correct.

IV. Neither I, nor any of my/our partners is a partner, director, or an employee of the above-named entity, its Group companies or its associated concerns.

V. I/We fully understand that any statement made in this certificate, if proved incorrect or false, will render me/us liable to face any penal action or other consequences as may be prescribed in law or otherwise warranted.

VI.

Details of export of same/similar products made during the Preceding 3 years as in Column

12 of ANF 5A:

Financial Year 1. 2. 3.

FOB Value US$ US$ US$

Rs. Rs. Rs.

(Signature and Stamp/ Seal of the Signatory) (Chartered Accountant/ Cost & Works Accountant/Company Secretary) Name of the Signatory: Address: Membership No:

Place: Date:

If any of the documents of record mentioned in serial number (I) have not been maintained/ furnished, examined or verified, they may please be specified below:1. 2. Note: Each page of this annexure is to be signed by the Chartered Accountant with his registration number.

Annexure IV APPENDIX 26 A CERTIFICATE OF CHARTERED ACCOUNTANT/ COST AND WORKS ACCOUNTANT/COMPANY SECRETARY (FOR REDEMPTION EPCG/ ANNUAL EPCG AUTHORIZATION) I/We hereby confirm that I/We have examined the prescribed registers and also the relevant records of M/s..........................in respect authorisation No dated.. and hereby certify that: I. The following documents/ records have been furnished by the applicant firm/company and have been examined and verified by me/us namely: -

(a)

For deemed exports: (i) Copy of ARO/Back to back inland letter of Credit of Advance Authorisation for intermediate Supplies or Supply invoices or CT3/ARE3 duly certified by the Bond Office of EOU concerned showing that supplies have been received. Evidence of having received the payment through normal banking channel in the form given in Appendix-22B or a self certified copy of payment certificate issued by the Project Authority concerned in the form given in Appendix-22C.

(ii)

(b)

For export of goods: (i) (ii) (iii) (iv) Export Order/Contract, Shipping Bills, Bill of Lading (and/or Airways Bills/PP Receipts), Customs/Bank attested invoices,

(vi) (vii)

(v) Bank Certificate of exports and realization, GR declaration etc, and connected books of accounts

(c)

For export of services: (i) (ii) (iii) (iv) (v) Bank Certificate of direct foreign exchange earning, GR declaration, Forward Inward Remittance Certificates (FIRCs), Certificate from international credit card companies, C.A. certificate for the indirect sources, ( In respect of indirect forex earnings duly certified by Chartered Accountant such as amount received from Travel agents/Tour Operators, Foreign Airlines for stay of Crew and Catering, UN organizations and Diplomatic Missions and Encashment Certificate from authorized dealers and others in terms of DGFT Policy circular no.60/97-2002 dated 24.12.1998). Certified statements from the Banker/Chartered Accountant of Foreign Exchange earnings and connected books of accounts.

(vi)

II. The relevant accounting and financial register(s) as prescribed under different Acts and Rules made there under have been maintained and authenticated under my/our seal and signature. III. I/We hereby certify that the Shipping Bills containing the relevant EPCG Authorization Number and Date have been verified, in respect of specific export obligation. The Shipping Bill which do not contain EPCG Authorization Number and Date have been verified as per Policy Circular No. 7/2002 dated 11.07.2002(Copy of original documents submitted by the firm are enclosed).

IV. Neither I, nor any of my/our partners is a partner, director, or an employee of the above-named entity, its Group companies or its associated concerns;

V. I/We fully understand that any statement made in this certificate, if proved incorrect or false, will render me/us liable to face any penal action or other consequences as may be prescribed in law or otherwise warranted.

(Signature and Stamp/ Seal of the Signatory) (Chartered Accountant/ Cost & Works Accountant Place: Date: Name of the Signatory: Address: Membership No: not been maintained/ furnished, examined or verified,

If any of the documents of record mentioned in serial number (i) have they may please be specified below:1. 2.

Note: Each page of this annexure is to be signed by the Chartered Accountant/CWA/CS with his registration number.

MASTER DOCUMENT 1
Exporter Invoice No. & Date Buyers Order No. & Date Other Reference(s) Consignee Buyer (if other than consignee) Exporters Ref.

Notify
Country of Origin of Goods Country of Final Destination

Pre-Carriage by Vessel/Flight No. Port of Discharge Marks & Nos./ Container No.

Place of Receipt by Pre-Carrier Port of Loading Final Destination No. & Kind of Pkgs.

Terms of Delivery and Payment

Description of goods

Quantity

Rate

Amount

TOTAL

MASTER DOCUMENT II
Exporter Invoice No. & Date ARE 1/11 No.&date Q/Cert. No. & Date Consignee Export Trade Control If Export under Deferred Credit Joint Ventures
Rupee Credit [ ] RBIs Approval/Cr. No. & Date

SB No. & Date

Import-Export Code No.

[ [
others [ ]

] ]

Custom House Agent

LIC. No.

Pre-Carriage by

Place of Receipt by Pre-Carrier

Vessel/Flight No.

Rotation No.

Type of shipment Outright Sales [ ] Consignment Export [ ] Others [ ] (Specify)


Nature of Contract: CIF [ ] /CFR [ ] Others (specify) /FOB

Port of Lading

[ ]
[ ]

Port of Discharge

Country of Destination

Exchange Rate U/S 14 of CA

Currency of Invoice

S. No.

Marks & Nos.

No. & Kind of Pkgs

Statistical Code & Description of goods

Quantity

Value FOB

Net Weight Gross Weight Total FOB Value in words Analysis of Export Value FOB Value Freight Insurance Commission Discount Other Deductions Sl. Export Assessable No. Tariff Value Under No. Sec 14 of CA Rate Currency . Amount . Currency Amount
Full export value OR where not ascertainable, the value which exporter Expects to receive on the sale of goods

Duty Cess Rate Amount Rate Amount

Total Duty & Cess

Duty payment particulars

Total Duty/Cess Amount in words : Rupees Collection Stamp

PROFORMA INVOICE Exporter Pro. Invoice No. & Date Buyers Order No. & Date Exporters Ref.

Consignee

Buyer (if other than consignee)

Country of Origin of Goods

Country of Final Destination

Terms of Delivery and Payment


Pre-Carriage by Place of Receipt by Pre-carrier

Vessel/Flight No.

Port of Loading

Port of Discharge

Final Destination

No. Marks & Nos. Container Nos.

No. & Kind of Pkgs

Description of Goods

Quantity

Rate

Amount

Amount Chargeable (in words)

Total

Declaration: We declare that this invoice shows the actual-price of the Goods described and that all particulars are true and correct.

Signature & Date

INVOICE
Exporter Invoice No. & Date Exporters Ref.

Buyers Order No. & Date

Other Reference(s)

Consignee

Buyer (if other than consignee)

Country of Origin of Goods

Country of Final Destination

Terms of Delivery and Payment


Pre-Carriage by Place of Receipt by Pre-carrier

Vessel/Flight No.

Port of Loading

Port of Discharge

Final Destination

No. Marks & Nos. Container Nos.

No. & Kind of Pkgs

Description of Goods

Quantity

Rate

Amount

Amount Chargeable (in words)

Total

Declaration: We declare that this invoice shows the actual-price of the goods described and that all particulars are true and correct.

Signature & Date

PACKING LIST
Exporter Invoice No. & Date Buyers Order No. & Date Other Reference(s) Exporters Ref.

Consignee

Buyer (if other than consignee)

Country of Origin of Goods

Country of Final Destination

Pre-Carriage by

Place of Receipt by Pre-carrier

Vessel/Flight No.

Port of Loading

Port of Discharge

Final Destination

No. Marks & Nos. Container Nos.

No. & Kind of Pkgs

Description of Goods

Quantity

Remarks

Signature & Date

(To be typed on exporters letterhead) BILL OF EXCHANGE No. DRAWN UNDER DOCUMENTS AGAINST PAYMENTS MODE For (Amount in Foreign Currency) Place Date .......................................

On demand pay this First of Exchange (second of the same date and tenor being unpaid) to the order of a sum of . Only for value received vide AWB/No. dated and place the same to account.

Drawee

Drawer

(To be typed on exporters letterhead) BILL OF EXCHANGE No. DRAWN UNDER DOCUMENTS AGAINST ACCEPTANCE MODE For (Amount in Foreign Currency)

Place

Date .......................................

days after date pay this First of Exchange (second of the same date and tenor being unpaid) to the order of a sum of . Only for value received vide AWB/No. dated and place the same to account.

Drawee

Drawer

SHIPPING INSTRUCTIONS
Exporter Invoice No. & Date Exporters Ref.

Buyers Order No. & Date Other Reference(s)

Consignee

Freight Forwarder / CHA

Notify Country of Origin of Goods Pre-Carriage by Place of Receipt by carrier Country of Final Destination

Vessel / Flight No.

Port of Loading

FOB value for customs purpose Real value for customs purpose Invoice FOB C&F CIF

Rs. Rs. Rs. Rs. Rs.

Port of Discharge

Place of Delivery

Drawback Schedule No. Drawback Rate Description of Goods Quantity Rate Amount

No. Marks & Nos.

No. & kind of Pkgs.

Net Weight Gross Weight Total DOCUMENTS ENCLOSED Contract ( ) Letter of Credit ( ) Q.C. & Pre shipment ARE I/II ( ) Inspection Certificate ( GR / SDF ( ) Quota Certificate ( Invoice ( ) Railway/Lorry Receipt ( Packing List ( ) Freight Certificate ( Declarations ( ) To the Receiving Authority Please receive for shipment the goods described herein subject to FFAI standard Trading Conditions.

INSTRUCTIONS 1. Please collect goods from .. . 2. Freight paid ( ) to pay ( ) 3. Ship before .. 4. Type of Shipping Bill Free/DBK/dutiable 5. Insurance covered by us/consignee/by you for Rs. .. 6. Cheque for Rs. . as advance enclosed 7. Send documents to . 8. Any other instructions

) ) ) )

Declaration : We hereby declare that the above particulars are true and correct.

Signature & Date

MATE RECEIPT
Shipper Customs Ref. M/R No.

NAME AND LOGO OF SHIPPING LINE

Pre-Carriage by

Place of Receipt by Pre-carrier

Vessel/Flight No.

Port of Loading

Port of Discharge

Place of Delivery (if on-carriage)

Marks & Nos. Container Nos.

No. & Kind of Pkgs.

Description of Goods Container Status Seal No.

Gross Weight (Kg.)

Cube 3 (m )

Total No. of Containers/Packages (in words) .. Received on board the above mentioned packages/containers in apparent good order and condition subject to all the terms and conditions of the Companys Bill of Lading.

S/B No. & Date

Fumigated By Signature & Initials of Chief Officer ............ Date:

This receipt must be exchanged immediately for the companys Bill of Lading duly signed.

BILL OF LADING
MULTIMODAL TRANSPORT OR PORT TO PORT SHIPMENT SHIPPER: VOYAGE NO. B/L. NO.

SHIPPERS REFERENCE STATUS:

Carrier
CONSIGNEE OR ORDER

Hapag-Lloyd
NOTIFY ADDRESS (Carrier not responsible for failure to notify, See Clause 20(1) hereof) Place of Receipt

PRE CARRYING VESSEL

PLACE OF DELIVERY

Ocean Vessel: PORT OF LOADING PORT OF DISCHARGE

PORTS(S) OF TRANSHIPMENT

Container Nos.

Seal Nos.

Marks and Nos.

Number and kind of Packages:

description of goods

Gross Weight

Measurement

SHIPPED ON BOARD

DATE:

Shippers declared value: (see clause 7(1) Total No. of Containers received by the carrier Movement Freight and Charges
Origin Land Freight/Transp. Addl Origin THC/LCL Charge Packages received by

Above Particulars as declared by shipper: Without responsibility or warranty as to correctness by carrier (see clause 11 (1) & (2) RECEIVED by the Carrier from the Shipper in apparent good order and condition unless otherwise noted herein) the total number or quantity of containers or other packages or units indicated in the box opposite entitled Total No. of Ding THE TERMS AND CONDITIONS ON THE REVERSE HEREOF AND THE TERMS AND CONDITIONS OF THE CARRIERS APPLICABLE TARIFF) from the Place of Receipt of the Port of Loading whichever is applicable to the Port of Discharge of the
Place of Delivery, whichever is applicable. One Original Bill of Loading, duly endorsed, must be surrendered by the Merchant to the carrier in exchange for the goods or a delivery order. In

the Carrier

Prepaid

Collect

Sea Freight
Destination THC/LCL Charges
Destination Land Freight/Transp.Addl

accepting this Bill of Lading the Merchant expressly accepts and agrees to all its
terms and conditions whether printed, stamped or written, or otherwise incorporated, notwithstanding the non-signing of the Bill of Lading by the Merchant. IN WITNESS WHEREOF the number of original Bills of Lading stated below all of this tenor and date has been signed, one of which being accomplished the others to

stand void.

Freight Payable at: Number of original Bs/L: Commodity Code Appropriate columns to be marked with X

Place and date of Issue:

FORWARDERS CERTIFICATE OF RECEIPT

Suppliers or Forwarders Principals

Emblem Of National Association

FIATA FOR
No.
Country Code

Forwarders
Certificate of Receipt

ORIGINAL
Consignee

Forw. Ref.

Marks and Numbers:

Number and kind of packages:

Description of goods

Gross Weight

Measurement

According to the declaration of the consignor The goods and instructions are accepted and dealt with subject to the General Conditions printed overleaf.
We certify having assumed control of the above mentioned consignment In external apparent good order and condition At the disposal of the consignee With irrevocable instruction* *Forwarding instructions can only be cancelled or altered if the original Certificate is surrendered to us, And then only provided we are still in a position to comply with such cancellation or alteration. Instruction authorizing disposal by a third party can Only be cancelled or altered if the original Certificate Or Receipt is surrendered to us, and then only Provided we have not yet received instructions under the original authority.

To be forwarded to the consignee

Remarks

Place and date of issue

Stamp and signature

Instructions as to freight and charges

020\ \2896 9765

AIR WAY BILL

020-2896 9765

MARINE EXPORT IMPORT INSURANCE POLICY (SPECIMEN) (SINGLE TRANSIT)


PREAMBLE ICICI Lombard General Insurance Company Limited (The Company), having received a Proposal and the premium from the Proposed named in the Schedule referred to herein below, and the said Proposal and Declaration together with any statement, report or other document leading to the issue of this Policy and referred to therein having been accepted and agreed to by the Company and the Proposer as the basis of this contract do, by this Policy agree, in consideration of and subject to the due receipt of the subsequent premiums, as set out in the Schedule with all its Parts that on proof to the satisfaction of the company of the compensation having become payable as set out in Part I of the Schedule to the title of the said person or persons claiming payment or upon the happening of an event upon which one or more benefits become payable under this Policy, the Sum Insured/appropriate benefit will be paid by the Company.

PART I OF SCHEDULE Policy No. 1. Name of the Insured 2. Address of the Insured 3. Period of Insurance Shipment Date : Time : 00:00 hours To Till termination of transit As per duration Clause Issued at Delhi

Conveyance Mode :

Details of Transit From : To :

Subject Matter Insured

Packed in :

Cargo Sum Insured (Rs.)

Premium Computation Cargo Premium WAR SRCC Gross Premium Net Premium Add. Stamp Duty Total Amount Paid

(Rs.) (Rs.) (Rs.) (Rs.) (Rs.) (Rs.)

ICICI Lombard (Specimen) Policy No. Subject to the under noted clauses, current on date of sailing or dispatch and/or otherwise hereto and forming part of policy. (1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) Detail of Transit is from To AWB No. dated Strike, Riots and Civil Commotion Clause. Institute Radio Active Contamination Exclusion Clause. INSTITUTE STRIKES CLAUSES (AIR CARGO) Compulsory excess of 1% of the claim amount subject to a minimum of Rs. 7500/- on each and every claim. Sum Insured in Euro INLAND TRANSIT (RAIL OR ROAD) CLAUSE A (ALL RISKS) INSTITUTE CARGO CLAUSES (AIR) INSTITUTE CLASSIFICATION CLAUSE Important Notice Clause Institute War Cancellation Clauses Institute Cargo Clauses (A) INSTITUTE CARGO CLAUSES (B)

Special Conditions & Warranties (if any) : Basis of Valuation : CIF + 10% Survey & Claim settlement In the event of loss or damage which may involve a claim under this insurance policy, immediate notice thereof an application for survey should be given to : Claims Department, Nearest Office of W. K. Websters International Pvt. Ltd.

Claims Payable By ICICI Lombard General Insurance Company limited, Mumbai Subject otherwise to terms and condition of Marine Export/Import Insurance (Single Transit) Policy. Signed for and on behalf of the ICICI Lombard General Insurance Company Limited, at Mumbai on this date.

Service Tax Reg. No. : GIS/Mumbai 1/1528/2001 Agent Code : DIRECT

Authorized Signatory

Policy shall stand cancelled ab initio in the event of non realization of the premium.

APPLICATION FOR CERTIFICATE OF ORIGIN


Exporter Ref. No. Date

Consignee

To The Secretary (Name & Address of the Chamber of Commerce)

Dear Sir, This is to request the favour of your issuing us Certificate of Origin, (in .) in respect of the consignment particulars of which are given herewith. Inspection required on Place of Receipt by Pre-Carrier Yours Sincerely, Vessel / Flight No. Port of Loading Encl. Port of Discharge Final Destination Signature of Exporter

No. Marks & Nos./ Container No.

No. & Kind of Pkgs.

Description of Goods

Quantity

Remarks

Declaration by Exporter We hereby declare that to the best of our knowledge and belief the above mentioned goods were produced/manufactured in India.

Signature & Date

CERTIFICATE OF ORIGIN Exporter No.

NAME AND LOGO OF CHAMBER OF COMMERCE Consignee

Pre-Carriage by

Palace of Receipt by Pre-Carrier

Vessel/Flight No.

Port of Loading

Port of Discharge Marks & Nos. Container Nos.

Final Destination No. & Kind of Pkgs. Description of Goods Quantity Remarks

CERTIFICATION
It is hereby certified that to the best of our knowledge and belief the above mentioned goods are of Indian origin.

STAMP OF CHAMBER OF COMMERCE

Signature & Date:

Book No. 330337 GSP CERTIFICATE OF ORIGIN


1. Goods consigned from (exporters business name, address
country)

Reference

EL No. 4258034
GENERALISED SYSTEM OF PREFERENCE CERTIFICATE OF ORIGIN (Combined declaration and certificate) FORM A

2. Goods consigned to (Consignees name, address, country)

Issued in INDIA (country) 3. Means of transport and route (as far as known) 4. For official use

5. Item number

6. Marks and number of packages

7. Number and kind of packages, description of goods

8. Origin criterion (see notes overleaf)

9. Gross Weight or the quantity

10. Number and date of invoices

11. Certification It is hereby certified, on the basis of control carried out, that the declaration by the exporter is correct.

12. Declaration by the exporter The undersigned hereby declares that the above details and statements are correct, that all the goods were produced in (country) and that they comply with the origin requirements specified for those goods in the generalized system of preferences for goods exported to (Importing country)

Place and date, signature and stamp of certifying authority

Place and date, signature of authorized signatory

NOTES (2005)
Countries which accept Form A for the purposes of the generalized system of preferences (GSP)
Australia* Canada Japan New Zealand** Turkey Norway Switzerland United States of America*** Republic of Belarus Republic of Bulgaria Czech Repulic Hungary Poland Russian Federation Slovakia European Union: Austria Belgium Denmark Estonia Finland France Slovenia Germany Greece Ireland Cyprus Italy Luxembourg Malta Netherlands Portugal Spain Lithunia Sweden United Kingdom

Full details of the conditions covering admission to the GSP in these countries are obtainable from the designated authorities in the exporting preference-receiving countries or from the customs authorities of the preference giving countries listed above. An information note is also obtainable from the UNCTAD secretariat. II. General Conditions To qualify for preference, products must: a) Fall within a description of products eligible for preference in the country of destination. The description entered on the form must be sufficiently detailed to enable the products to be identified by the customs officer examining them: b) Comply with the rules of origin of the country of destination. Each article in a consignment must qualify separately in its own right, and Comply with the consignment conditions specified by the country of destination. In general, products must be consigned direct from the country of exportation to the country of destination but most preference giving countries accept passage through intermediate countries subject to certain conditions. (For Australia, direct consignment is not necessary)

c)

III. Entries to be made in Box 8 Preference products must either be wholly obtained in accordance with the rules of the country of destination or sufficiently worked or processed to fulfill the requirements of that country's origin rules. Products wholly obtained: for export to all countries listed in Section-I, enter the letter P in Box 8 (for Australia and New Zealand Box 8 may be left blank). b) Products sufficiently worked or processed: for export to the countries specified below, the entry in Box 8 should be as follows 1) United States of America: for single country shipments, enter the letter Y in Box 8, for shipments from recognized associations of countries, enter the letter Z, followed by the sum of the cost or value of the domestic materials and the direct cost of processing, expressed as a percentage of the ex-factory price of the exported products, (example ` Y 35% or Z 35%) 2) Canada: for products which meet origin criteria from working or processing in more than one eligible least developed country, enter letter G in Box 8; otherwise F 3) Japan, Norway, Switzerland and the European Union: enter the letter W in box 8 followed by the Harmonized Commodity Description and coding System (Harmonized System) heading at the 4 digit level of the exported product (example W 96.18). 4) Bulgaria and the Russian Federation; for products which include value added in the exporting preference-receiving country, enter the letter Y in Box 8 followed by the value of imported materials and components expressed as a percentage of the fob price of the exported products (example Y 45%) for products obtained in a preference-receiving country and worked or processed in one or more other such countries. enter PK. 5) Australia and New Zealand: completion of Box 8 is not required. It is sufficient that a declaration be properly made in Box 12
* For Australia, the main requirement is the exporter's declaration on the normal commercial invoice, Form A, accompanied by the normal, commercial invoice, is an acceptable alternative, but official certification is not required. ** Official certification is not required. *** The United States does not require GSP Form A. A declaration setting forth all pertinent detailed information concerning the production or manufacture of the merchandise is considered sufficient only if requested by the district collector of Customs.

a)

APPLICATION FOR CERTIFICATE OF ORIGIN Form B


The undersigned, being the exporter of the goods described overleaf, DECLARES that these goods were produced in INDIA & are presently available at .. . and that no certificate of origin has been obtained from any authority for these goods, SPECIFIES as follows the grounds on which the goods are claimed to comply with GSP origin requirements, 1) . . SUBMITS the following supporting documents, 2) . . UNDERTAKES to submit, at the request of the appropriate authorities of the exporting country, any additional supporting evidence which these authorities may require for the purpose of issuing a certificate of origin and undertakes, if required to agree to any inspection of his accounts and any check on the processes of manufacture of the above goods, carried out by the said authorities, REQUESTS the issue of a certificate of origin for these goods. Place and date
(Signature and stamp of authorized signatory)

1)

To be completed if material or components originating in another country have been used in the manufacture of the goods in question. Indicate the materials or components used, their Harmonized System heading at the 4-digit level, their country of origin and, where appropriate, the manufacturing processes qualifying the goods as originating in the country of manufacture (application of the List of working or processing operations), the goods produced and their Harmonized System Heading at the 4 digit level. Where the origin criteria involve a percentage value, give information enabling this percentage to be verified-for example the value of imported materials and components and those of undetermined origin and the ex-factory price of the exported goods, where applicable.

2)

For example, import documents, invoice, etc, relating to the materials or components used. NOTES

A. Procedure for claiming preference. A declaration on the certificate of origin form must be prepared by the exporter of the goods and submitted in duplicate, together with a GSP application form, to the certifying authority of the country of exportation which will, if satisfied, certify the top copy of the certificate of origin and return it to the exporter for transmission to the importer in the country of destination. The certifying authority will at the same time return to the exporter for his retention the duplicate copy of the certificate of origin but will itself retain the GSP application form duly completed and signed by the exporter. B. Sanctions. Persons who furnish, or cause to be furnished, information which relates to origin or consignment, and which is untrue in a material particular are liable to legal penalties and to the suspension of facilities for their goods to obtain preference.

ANNEXURE A

DECLARATION FORM FOR EXPORT OF GOODS TO BE FILLED IN BY THE SERVICE CENTRE


Date of Presentation Shipping Bill No. Number / Date Date Signature

TO BE FILLED IN BY THE EXPORTER/CHA


Master Details 1. CHA License Number 2. IEC Code Number 3. Exporters Address 4. Exporter Type 5. Merchant/Manufacturer 6. Consignees Name 7. Consignees Address [P] Private [G] Government CHA Name Exporter

[R] Merchant [F] Manufacturer

8. Consignees Country 9. Port of Destination 10. Country of Final Destination 11. State of Origin of Exported Goods 12. EPZ/ICD Code 13. Authorised Dealer (AD) Code 14. RBI Waiver Number 15. RBI Waiver Date 16. Annexure C Parameters

YES

NO

17. Annexure C Particulars Master Airway Bill Number / Bill of Lading No. Airline Name / Vessel Name

Total No. of Packets in MAWB / BL

HAWB Number / HBL Number

Factory Stuffed (Y/N)

Seal Number

Agency

Marks & Numbers

Sample Accompanied (Y/N)

Total No. of Packages

No. of Loose Packets

Gross Weight

Net Weight

Unit of Measurement

Packing Details

Sr. No.

Packet Numbers From To

Type of Packets

Invoice Details 18. Invoice Number 19. Nature of Payment

Invoice Date [LC] [DA] [DP] [AP] [NA] Letter of Credit Delivery against Acceptance Delivery Against Payment Advance Payment Not Applicable

20. Period of Payment as per contract (in Days) 21. Contract Number 22. Whether Consignee and Buyer are same (Y/N) 23. If No, Name and Address of the Buyer

24. Invoice Currency 25. Nature of Contract Whether the Unit Price Includes 26. Charges Rate Commission Discount on FOB Rate Packing & Misc. Charges Other Deductions Freight Insurance 27. Exchange Rate Details for non-standard Currency Currency Code Unit in Exchange Effective Bank Number Rs. Rate Date Name Currency Amount [a] FOB [F] Freight [B} Freight & Insurance [b] CIF [c] CNF [d] CI

[I] Insurance [N] None

Certificate Number

Certificate Date

28. Item Wise Details (To be provided for each invoice separately.)
Descript ion of Goods 3 4 5 6 7 8 9 11 12 Acces sories if any Quant ity Accoun ting Unit Item Rate No. of Units Accounting Unit of Rate Presen t Market Value 10 Schem e Code Category if NFEI Exports Whether Third Party Exports (Y/N) 13

Item Sr. No.

RITC Code

Note

Column 13 (Whether Third Party Exports): Need to be provided for Scheme Codes involving DBK and DEPB Only. For the Scheme code involving DEEC, EPCG, Job Work, DRFC etc. system would determine the Third Party Exports automatically.

29. Drawback Particulars Invoice Item Sr. No. Sr. No.

DBK Sr. No.

Duty Drawback Details Quantity Raw Materials Details Raw Raw Material Material Sr. Quantity No. 4 5 6

30. DEEC / EPCG Licenses Particulars Invoice Sr. No. Item Sr. No. DEEC / EPCG Licenses Particulars Sr. No. in Sr. No. in Quantity Accou Part (E) Part (C) nting Unit

Registration Number

Whether Indigenous /Imported

31. DFRC Licenses Particulars Invo ice Sr. No. 1 Ite m Sr. No. 2 DFRC Licenses Particulars Standa Standar Quanti Accounting rd IO d IO ty Unit Sr. No. Norm Sr. No. 5 6 7 8

Registrati on Number 3

Standa rd IO Group Code 4

Whether Indigenou s/Importe d 9

32. Post export DEPB Particulars Invoice Sr. No. Item Sr. No. DEPB Details Accounti Parent DEPB Details ng Unit Group Item Quant Accountin Code Code ity g Unit

Grou p Code

Item Code

Quant ity

33. Job Work Particulars Invoice Serial No. Item Serial No. 2 Notific ation No. 3 BE No. Date Bill of Entry Particulars BE Actual Item Port Invoice Invoice Serial Code, Serial No. No. in where No. Invoice imported 6 7 8 9 Quantity Unit of Measur ement 11

10

34. Annexure C1 Particulars (Applicable to EOU/EPZ) Invoice Serial Number IEC Code Examinati on Date Division Commn . Annexure C1 Details Range Examin Examin ation ation Officer Officer Name Design ation 6 7 8 Superv isor Officer Name Supervis or Officer Designat ion 10 Seal No. Affixed on Packag es 11

Re35. Re-Export Particulars Sr. No. 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. ReRe-Export Particulars Invoice Serial No. of SB Item Serial No. of SB BE Number BE Date Invoice No. of BE Item Serial No. of BE Port Code Item Description as per BE Invoice Quantity Imported Unit of Measurement Assessable Value in (Rs.) Total Duty Paid Duty Payment Date Quantity Exported Technical Details Other Identifying Parameters Whether against Export Obligation (Y/N) Export Obligation Notification No. Drawback Amount Claimed Whether Item Un-used (Y/N) Commissioner Permission (Y/N) Board Order Number Board Order Date Whether MODVAT Availed (Y/N) Whether MODVAT Reversed (Y/N)

36. Cess Particulars Invoice Serial Number Item Serial Number Cess Applicable (Y/N) If Cess Applicable, Cess Serial Number Cess Quantity

37. CENVAT Particulars Invoice No. Item Serial Number Certificate Number Certificate Date Central Excise Office Code Assessee Code Valid upto

38. Third Party Exports Invoice Number Item Serial Number IE Code Name of the Branch Manufacturer Serial Number Address

39.

A.R.E. 1 Particulars A.R.E. 1 Particulars Commissione Division Range Remarks rate

Invoice Item Serial Serial A.R.E. A.R.E. Number Number 1 1 Date Number

40.

Documents & Releasing Agencies Particulars Document Document Description Type (Q/I/L/C/O) Invoice Item Agency Number Number Code Agency Name Document Name

41.

Quota Allocation Particulars Invoice Serial Number Agency Item Serial Number Allocation Serial Number Expiry Date

DECLARATION I/We declare that the particulars given herein above are true and correct. I/We enclose herewith the copies of the following documents (to be submitted with the export goods in the warehouse) 1 2 3 4 SDF Declaration Invoice Quota/Inspection Certificates Others (Specify)

Name of the Exporter _______________________ Designation _______________________________ Name of CHA _____________________________ Designation _______________________________ ID Card Number ____________________________

Date ___________________ INSTRUCTIONS 1. 2.

Signature _________________________________

All entries should be made in CAPTIAL letters. Photocopies of the Invoice have to be attached separately with declaration form of data entry.

ANNEXURE C DETAILS TO BE ENTERED BY EXAMINING OFFICER WHEN EXPORT GOODS ARE BROUGHT FOR EXAMINATION

1. 2. 3. 4. 5.

SHIPPING BILL NO. AND DATE AIRWAY BILL NO. FREIGHT & INSURANCE CHARGES TOTAL NO. OF PACKAGES TYPE OF PACKAGE (BOXES/CARTONS BAGS, ETC.) NUMBER MARKED ON THE PACKAGES (1-25 ETC) GROSS WEIGHT (IN KGS) NET WEIGHT (IN KGS) DETAILS OF ARE; IF ANY S. NO. ARE I DATE

: : : : :

6.

7. 8. 9.

: : : COMMISSIONERATE DIVISION RANGE

10.

SEAL NO. AND NAME OF THE SEALING AGENCY. I/WE DECLARE THAT THE PARTICULARS GIVEN HEREIN ARE TRUE AND CORRECT.

DATE:

NAME & SIGNATURE OF THE CHA

GOODS ARRIVED, VERIFIED THE NUMBER OF PACKAGES AND MARKS THE NUMBERS THEREON AND FOUND TO BE DECLARED. DATE:

NAME & SIGNATURE OF INSPECTOR

SHIPPING BILL FOR EXPORT OF GOODS UNDER CLAIM FOR DUTY DRAWBACK Original
Exporter Invoice No. & Date SB No. Date

ARE 1 No. & Date

Q. Cert No. & Date Consignee Export Trade Control

Import-Export Code No.

If export under: Deferred Credit [ ] Joint Ventures [ ] Rupee Credit [ ] other RBIs Approval/Cir No. & Date

Custom House Agent

LIC No. Type of Shipment : Outright Sale Consignment Export Others (Specify) Nature of Contract : CIF [ ] / CFR [ ] / FOB [ ] Other (Specify) [ ] Exchange Rate U/S 14 of CA Statistical Code & Description of Goods Currency of Invoice Quantity Value FOB

Pre-Carriage by Vessel/Flight No.

Place of Receipt By Pre-Carrier Rotation No. Port of Loading

[ ]

Port of Discharge Marks & Nos.

Country of Destination No. & Kind of Pkgs Container Nos.

Net Weight Gross Weight Total FOB Value in words Analysis of Export Value Currency Amount Full export value OR where not ascertainable, the value Which exporter expects to receive on the sale of goods.

.. FOB Value Freight Insurance Commission Discount Other Deductions Sl. No. Export Tariff No . . Rate .. Assessable Value under Sec. 14 Duty Rate Cess Rate Amount Total Duty & Cess Duty Payment Particulars Currency Amount

Amount

Total Duty/Cess Amount in words: Rupees Collection Stamp Declaration: I/We declare that all particulars given herein are true and correct. I/We also attach the declaration (s) under clause No. (s) Public Notice No. Dated ..

Signature & Date

SHIPPING BILL FOR EXPORT OF GOODS UNDER CLAIM FOR DUTY DRAWBACK Original DOCUMENT SUBMITTED 1. Invoice 2. Packing List 3. GR Form / SDF Form 4. ARE 1/II Form 5. ETC License 6. Indent 7. Acceptance of Contract 8. Letter of Credit 9. QC Certificate 10. Port Trust Document 11. Any other (specify) [ [ [ [ [ [ [ [ [ [ [ ] ] ] ] ] ] ] ] ] ] ]

DECLARATION TO BE FILED IN CASE OF EXPORT OF GOODS UNDER CLAIM FOR DRAWBACK I/We (name of exporter) do hereby declare as follows: a) that the quality and specifications of the goods as stated in this shipping bill are in accordance with the terms of the export contract entered with the buyer/consignee in pursuance of which the goods are being exported. b) that the duties of Customs and Central Excise have been paid in respect of the containers, packing materials and other materials used in the manufacture of the export goods on which drawback is being claimed and that in respect of such containers, packing materials or other materials, no separate claim for rebate of duty under Rule 18 of the Central Excise (N0. 2) Rules, 2001 has been made or will be made to the Central Excise authorities. c) that there is no change in the manufacturing formula and in the quantum per unit of the imported materials or components if any utilized in the manufacture of export goods, and the materials or components, which have been stated in the application under Rule 6 or Rule 7 to have been imported, continue to be so imported and has not been obtained from indigenous sources. d) that the preset market value of the goods is as follows: i) that the goods are not manufactured and/or exported in discharge of export obligation against and advance license issued under the Duty Exemption Scheme vide relevant import and export policy in force. ii) that the goods are not manufactured and/or exported by a unit licensed as a 100% export oriented unit in terms of the import and export policy in force. iii) that the goods are not manufactured and/or exported by a unit situated in any Free Trade Zone/Export Processing Zone or Special Economic Zone or any such other Zone. iv) that the goods are not manufactured partly or wholly in bonds under Section 65 of the Customs Act, 1962. v) that the goods are not manufactured partly or wholly in bonds under Rule 19 of the Central Excise(No.2) Rules,2001. vi) that the export value of each of the goods covered by this shipping bill is not less than the total value of all imported materials used in the manufacture of such goods. NOTE : Strike out the declaration whichever is not applicable. Name & Signature of the Exporter ..

(For use by the Customs authorities) Shipping Bill No. and Date . Name and Signature of the Customs Officer .

EXCHANGE CONTROL (EXPORTERS DECLARATION) Form Number (Please see Notes to Exporters overleaf) 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. @ a) Name of the Post Office . b) Number and date of parcel receipt .. Exporters Name .. Exporters Code No. . Buyers/Consignees Name and address .. . Country of destination .. Nature of Contract* (i) CIF / (ii) C & F (iii) FOB/ (iv) Others (Specify) . Date of despatch .. Type of shipment* (i) Outright sale / (ii) Consignment export / (iii) Other (specify) Description of goods Quantity of goods : Unit .. Quantity Currency of Invoice : Where the full export value is not ascertainable, value expected on sale of goods in the overseas market may be shown.

PP FORM

11112

Particulars

Currency

Amount

No application for permission for remittance/ deduction from the declared value on account of agency commission and/ or discount will be entertained by the Reserve Bank or authorized dealer unless these have been declared on this form.

.. @ Full Export Value F.O.B. Value .. Freight

(For Customs Use) Export value verified (Customs Appraiser)

13. Customs Assessable Value (Rupees) If the export is made general permission of the Reserve Bank of India, Number and Date of its approval . 15. If the export is made under L/C arrangements, name of advising bank in India 16. State if the payment is to be received through the Asian Clearing Union : Yes / No. 17. Name and address of bank through whom payment is to be received I / We hereby declare that I/We am/are the *Seller/Consignor of the goods in respect of which the declaration is made and that the particulars given above are true and that. *a) the export value as contracted with the buyer is the same as the full export value declared above, *b) the full export value of goods is not ascertainable at the time of export and that the value declared is that value which I/We, having regard to the prevailing market conditions, expect to receive on the sale of goods in the overseas market. I/We undertake that I/We will deliver to the bank named above the foreign exchange representing the full export value of the goods on or before .. in the manner prescribed in Rule 9 of the Foreign Exchange Regulation Rules, 2000. I/We further declare that I/We am/are resident of India and I/We have a place of business in India. I/We am/are not in the caution list of the Reserve Bank of India. 14. State approximate date of delivery which must be within six months of the date of shipment or within six months from the date of shipment, whichever is earlier. *Strike out whichever is not applicable (Signature of Exporter) Date : Address : . NOTE : All documents relating to export of goods from India must be passed through the medium of an authorized dealer in foreign exchange in India within 21 days of the date of shipment of the goods.

APPENDIX I FORM SDF Shipping Bill No. .. Date 1999. Declaration under Foreign Exchange Management Act, 1999. 1. I/We hereby declare that I/We am/are the *Seller/Consignor of the goods in respect of which this declaration is made and that the particulars given in the Shipping Bill No. .. dated .. are true and that a) * the value as contracted with the buyer is same as the full export value declared in the Shipping Bill b) * the full export value of the goods is not ascertainable at the time of export and that the value declared is that which I/We having regard to the prevailing market conditions expect to receive on the sale of goods in the overseas market. 2. I/We undertake that I/We will deliver to the bank named herein the foreign exchange representing the full export value of the goods on or before @ . In the manner prescribed in Rule 9 of the Foreign Exchange Regulation Rules, 2000*** I/We further declare that I/We am/are resident of India and I/We have a place of business in India. I/We *am/are not in caution List of the Reserve Bank of India. Date ..

3. 4.

Signature of Exporter Name @ State appropriate date of delivery which must be the date due for payment or within six months from the date of shipment, whichever is earlier, but for exports to warehouses established outside India with permission of the Reserve Bank, the date of delivery must be fifteen months. * Strike out whichever is not applicable.

EXCHANGE CONTROL SOFTWARE EXPORT DECLARATION (SOFTEX) FORM


(For declaration of Software Exports through data-communication links and receipt of Royalty on the Software Packages/Products exported) FORM NO.: AB 1. 2. Name and address of the exporter STPI Centre within whose jurisdiction the unit is situated Import-Export Code Number Category of exporter Buyers name and address including country and their relationship with exporting unit (if any) Date and Number of Invoice a) Whether export contract/purchase order already registered with STPI (If No, please attach copy of the contract/purchase : : DUPLICATE

3. 4. 5.

: : :

6. 7.

Yes

No

order)

b)

Does contract stipulate payment of royalty

Yes

No

Section A (For exports through data communication link) 8. Name of authorized datacom service provider STPI/VSNL/DOT/Internet/Others (Please specify)

9.

Type of software exported (Please mark on the appropriate box on the left side). a) Computer Software Data Entry jobs and Conversion Software Data Processing Software Development Software Product, Packages Others (Please specify) R B I Code

9 9 9 9

0 0 0 0

6 7 8 9

b)

Other Software Video/TV Software Others (Please specify)

R B I Code

9 9
Currency

1 1

0 1
Amount

10.

Analysis of Export value a) Full export Value

Of which :i) Net value of exports without transmission charges ii) Transmission charges included in invoice b) Transmission charges (if payable) separately by the overseas client Deduct: Agency commission, at the rate of . % Any other deductions as permitted by RBI (please specify) Amount to be realized [(a+b) (c+d)] ______________________

c)

d)

e) 11.

______________________

How export value will be realized (mode of realization) (Please mark on the appropriate box) a) Under L/C a) Name and address of Authorized Dealer b) Authorized Dealer Code No. a) Name and address of Authorized Dealer b) Authorized Dealer Code No. a) Name and address of Authorized Dealer b) Authorized Dealer Code No.

b) Bank Guarantee

c) Any other arrangement e.g. advance payment etc. including transfer/remittance to bank account maintained overseas (Please specify)

SECTION B (For receipt of Royalty on Software Packages/Products exported) Details of Software Package (s) Product(s) exported a) Date of export b) GR/PP/SOFTEX Form No. on c) Royalty agreement details %age and amount of royalty

_________________________ _________________________ _________________________

Period of royalty agreement (Enclose copy of Royalty agreement, if not already registered) 13. How royalty value will be realized (as defined in Royalty agreement) Calculation of royalty amount (enclosed copy of communication from the foreign customer) Name and address of designated Authorised Dealer in India through whom payment has Been received/to be received _________________________

14.

_________________________

15.

_________________________ A. D. Code No. ____________ SECTION C

16.

Declaration by exporter

I/We hereby declare that I/We am/are the seller of the software in respect of which this declaration is made and that the particulars given above are true and that the value to be received from the buyer represents the export value contracted and declared above. I/We also declare that the software has been developed and exported by using authorized and legitimate datacom links. I/We under that I/We will deliver to the bank named above the foreign exchange representing the full value of the software exported as above on or before . (i.e. due date for payment or within 180 days from the date of invoice/date of last invoice raised during a month, whichever is earlier), in the manner prescribed in Rule 9 of the Foreign Exchange Regulation rules, 2000. ______________________________ Signature of the exporter Place : Date : Enclosure : 1) 2) 3)

Stamp

Name : ________________________________ Designation : ___________________________

Copy of Export contract [7 (a)] Copy of Royalty Agreement [12 (C)] Copy of communication from foreign customer [14]

Space for use of the competent authority (i.e. STPI) on behalf of Department of Electronics Certified that the software described above was actually transmitted and the export/royalty value declared by the exporter has been found to be in order and accepted by us. ______________________________________________ (signature of Designated Official of STP) on behalf of Department of Electronics)

Place : Date :

Stamp

Name : _______________________________________ Designation : __________________________________

For Authorized Dealers use only Duplicate to be forwarded after realization alongwith R Supplementary Return Certificate by authorized dealer ADs Uniform Code No. The SOFTEX Form included in the ENC statement sent to the Reserve Bank with the R Return (NOSTRO/VOSTRO) .. for the period ending sent on (Currency name) We certify and confirm that we have received the total amount of ....as under (Currency Amount) Being the proceeds of exports declared on this form.
Date of Receipt Currency Credit to Nostro Account In .. (Country) In Our Name In the Name of** Debit to Non-Resident Rupee Account of a Bank in (Country) Held with us Held with ** Period of R-Return with which the realization has been reported to RBI

(** Write the name of the concerned branch of Authorized Dealer) Any other manner of receipt (Specify) ..

________________________________ Signature of Authorized Official Place : ___________________ Date : ____________________ Name : ________________________________ Designation : ___________________________ Name & Address : _______________________ Stamp Authorized Dealer : ______________________

ANZ Grindlays Bank Plc ANZ Grindlays Bank 10, Sansad Marg, Post Box 6 New Delhi-110001 . 19 . Ref. No. 1201/284050

CERTIFICATE OF FOREIGN INWARD REMITTANCE


We certify that we have received the following remittance and proceeds thereof paid a) to the beneficiary M/s.
. .. (name and address) on . By Cash By Credit to Current / Savings Account with us/with our office for beneficiarys account. b) to Bank, on ......... for credit of beneficiary M/s. ................................................. .............................................. Account (name and address) Name and place of residence of remitter .. Name and address of remitting Bank D.D./TT MT No. Foreign, currency amount By Pay-Order

Dated Rupee equivalent

Rupees Favouring .. Rate applied Purpose of remittance as stated by remitter/beneficiary . . We also certify that the payment there of has not been received in nonconvertible rupee or under any special trade or payments agreement. We confirm that we have obtained reimbursement in an approved manner.

For ANZ Grindlays Bank Plc

ANNEXURE 17
[(See Rule 19 of Central Excise (No. 2) Rules 2001 read with Notification No. 42/2004-C(N.T.)]

Serial Number ___________________ (Financial Year)

Range Division Commissionerate

: : :

FORM CT 1
Certificate for procurement of excisable goods for export without Payment of duty This is to certify that, 1. The exporter has furnished a Bond in Form (Specific General) * for Rs. _______________ (Rs. _________________________ only) which has been accepted by the Assistant/Deputy Commissioner of Central Excise in File No. ________________________ on the _____ day of ______________ . The above-said exporter is permitted to obtain excisable goods for export under Rule 19 of the Central Excise (No. 2) Rules, 2001 as per details specified overleaf. This certificate is valid upto _________________ from the date of issue specified below. Name and Signature of the Dy. Commissioner of Central Excise. Dated : (Seal)

2.

TO BE FILLED BY THE EXPORTER


For Procuring Goods Under the procedure specified under

Notification No. 42/2001 Central Excise (N.T.) dated 26th June, 2001 issued rule 19 of the Central excise (no. 2) Rule, 2001

Name and address of the factory/ Warehouse/Place of storage of the Supplier

Registration/ECC No. of the Factory/Warehouse Range Division Commissionerate Details of the goods to be procured S. No. Description

: : : :

Quantity

Value

Duty Involved

I hereby declare that I have made a provisional debit of Rupees ______________ /- (Rupees ____________________________________ only) in the Bond Account at Serial No. __________ dated _______________ and on this day after the above mentioned debit, the balance in the Bond Account is Rs. ______________ /-

AUTHORISED SIGNATORY (Dated signature of the exporter(s) or his/their authorized agents and their Seal)

FORM A.R.E. - 1

APPENDIX 22 A BANK CERTIFICATE OF EXPORT AND REALISATION To Joint Director General of Foreign Trade, Central Licensing Area (CLA ), Y Shape Building , A Wing, I.P. Bhawan, Near I.T.O, New Delhi-110002. We Aryan Worldwide , N-5, South Extn, Part-1, New Delhi-110049 hereby declare that we have forwarded a documentary export Bill to Indian Bank, South Extn, Part-1, New Delhi for collection/negotiation/purchase as per particulars given hereunder. Invoice Export promotion copy of Shipping Bill duly authenticated by the Customs Description of goods as given in the customs authenticated Shipping Bill and the Commercial Invoice / Packaging List Bill of Lading /PP Receipt/ Airways Bill Destinatio n of goods Bill amount CIF/C&F /FOB (In foreign exchang e

Country name

No. [1]

Date [2]

No. [3]

Date [4] [5]

No. [6]

Date [7] [8] [9]

Freight amount as per Bill of lading/ Freight memo [10]

Insurance amount as per insurance Company's bill/ Receipt

Commission/ Whether the Discount paid/ export is in freely payable convertible currency* or in Indian Rupees [12] [13]

FOB value/ FOB value actually realised in free Foreign Exchange/Rupees

Date of realisation of export proceeds

GRI/PP/ No. date & category SDF form of applicable Licence/ No. Authorisation

[11]

[14]

[15]

[16]

[17]

* Note: In case of Export Proceeds Realisation through Freely Convertible Vostro Account, as stated in paragraph 2.40 of FTP, 2009-14, the Authorised Dealer Banks shall endorse the words Realisation from Freely Convertible Vostro Account. We further declare that the aforesaid particulars are correct. (Copies of invoices relevant to these exports and Customs attested EP, Copy of relevant Shipping Bill is attached for verification by the bank).

Signature of the exporter Name in block letters Place: New Delhi Date: Official Seal/stamp Designation Full official address Full Residential address

: ........................................... :

: : :

BANK's CERTIFICATE

Authorised Foreign Exchange Dealer Indian Bank, South Extn, part-1, New Delhi-110049 Code No. allotted to the Bank by RBI 0260361(1) 290000 (II ) Ref.No : Date : Place : New Delhi

1.

This is to certify that we have verified the relevant Export Invoices, Customs attested E.P. Copy of the Shipping Bill and other relevant documents of M/s.Aryan Worldwide, N-5,South Extn,part-1, New Delhi-110049. We further certify that the particulars given in Co.1 to 17 have been verified and found to be correct. We have also verified the F.O.B. value mentioned in Col.14 above with reference to following documents:(i) Bill of Lading/PP receipt/Airways Bill (ii) Insurance policy/Cover/Insurance Receipt.

2.

3.

FOB actually realized and date of realization of export proceeds are to be given in all cases except where consignment has been sent against confirmed irrevocable letter of credit or exports made against the Government of India/EXIM Bank Line of Credit or exports made under Deferred Payment/Suppliers Line of Credit Contract backed by ECGC Cover. An endorsement to that effect needs to be endorsed in BRC. We have also verified that the date of Export is _________. (Applicable only in respect of Exports by air.) This is to certify that we have certified the amount of the Commission paid/payable, as declared above, by the exporter i.e. NIL(in figures and words) with G.R. Forms and found to be correct.

4.

[Signature of the Banker(s)] Full address of the Banker(s) Branch and City Official Stamp

Note:
1. Bank can issue a consolidated certificate (consignment-wise) for more than one consignment. 2. FOB actually realised and date of realisation of export proceeds are to be given in all cases except where consignment has been sent against conformed irrevocable letter of credit. 3. This shall be required wherever specifically prescribed in the Policy/ procedure. 4. Banks referred in this Appendix shall also include other authorized dealers who have been permitted by RBI to issue BRC. Applicant should be required to furnish a copy of RBI permission circular/letter to this effect.

ANF 2 D
Application Form for Export Licence for Restricted Items [Please see guidelines (at the end) before filling the application]
1. IEC Number 2. Applicant Details i. Name ii. Address 3. Application Submission Details (in case of electronically submitted applications) i. ECOM Reference Number ii. Date of Submission on Server iii. Submitted to which Regional Authority iv. File Number v. Date of Issue 4. Application Fee Details Amount (Rs.) Demand Draft/Bank Receipt/Electronic Fund Transfer No. Date of Issue Name of the Bank on which drawn Bank Branch on which drawn 5. Total FOB value applied for i. In Rupees ii. In Foreign Currency 6. Details of items applied for export S No Description

ITC(HS) Code

Quantity

FOB Value (Rs)

7. Details of exports made of the item applied for in the preceding 3 licensing years Year Export Licence Details Quantity S No No Date Qty Value Exported (US $)

FOB Value of Exports (US $)

Export Destination

8. i. ii. iii.

Purpose of Export (Please tick) Trade Personal Sample

9. Foreign Buyer Details i. Name ii. Address 10. Shipment Details i. Port of Loading ii. Port of Discharge iii. Country of Export 11. In case of export of samples/ exhibits/ gifts/, please furnish i. Ceiling Limit ii. How much in excess of Ceiling Limit iii. Justification for Excess 12. In case of export by post, please furnish details of postal authorities where the parcel will be placed 13. In case of export of seeds, please furnish i. Details of seed/planting material proposed for export ii. Whether seed/planting material proposed to be exported is of notified variety : Yes/No iii. Whether seed/planting material proposed to be exported has been produced under custom production arrangement? if yes, enclose details /agreement entered into with buyer iv. Whether variety of Seed/planting material proposed to be exported is used in India: Yes/ No. v. Places where the variety proposed to be exported is grown

14. Any other relevant information ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------DECLARATION/UNDERTAKING 1. I / We hereby declare that the particulars and the statements made in this application are true and correct to the best of my / our knowledge and belief and nothing has been concealed or held there from. 2. I / We fully understand that any information furnished in the application if found incorrect or false will render me / us liable for any penal action or other consequences as may be prescribed in law or otherwise warranted.

3. I / We undertake to abide by the provisions of the FT (D & R) Act, 1992, the Rules and Orders framed there under, FTP, HBP v 1 and HBP v2 and ITC (HS). 4 a. b.

I / We hereby certify that the firm / company for whom the application has been made has not been penalized under Customs Act, Excise Act, FT (D & R) Act 1992 and FERA / FEMA. I / We hereby certify that none of the Proprietor / Partner(s) / Director(s) / Karta / Trustee of firm / company, as the case may be, is / are a Proprietor / Partner(s) / Director(s) / Karta / Trustee in any other firm / Company which has come to adverse notice of DGFT. I / We hereby certify that the Proprietor / Partner(s) / Director(s) / Karta / Trustee, as the case may be, of the firm/company is / are not associated as Proprietor / Partner(s) / Director(s) / Karta / Trustee in any other firm / company which is in the caution list of RBI. I / We hereby certify that neither the Registered Office / Head Office of the firm/company nor any of its Branch Office(s) / Unit(s) / Division(s) has been declared a defaulter and has otherwise been made ineligible for undertaking import / export under any of the provisions of the Policy.

c.

d.

5. I / We hereby declare that I / We have not obtained nor applied for such benefits (including issuance of an Importer Exporter Code Number) in the name of our Registered / Head Office or any of our Branch(s) / Unit(s) / Division(s) to any other Regional Authority. 5A. I / We hereby declare that I/we have perused the list of SCOMET items as contained in the Appendix 3 to the Schedule 2 of the ITC (HS) and that the item(s) exported / proposed to be exported does not fall within this list and that I / We agree to abide by the provisions of FTP for export of SCOMET items contained in the FTP, Schedule 2 of ITC (HS) and the HBP v1, irrespective of the scheme under which the item is exported / proposed to be exported. 6. I / We solemnly declare that I / We have applied for / obtained a RCMC to the EPC which pertains to our main line of business. In case we have applied to any other council, the application has been made within the purview of the provisions of Para 2.63 of the HBP v1. 7. I hereby certify that I am authorised to verify and sign this declaration as per Paragraph 9.9 of the Policy. Place Date

Signature of the Applicant Name Designation Official Address Telephone Residential Address Email Address

GUIDELINES FOR APPLICANTS Please see paragraph 2.49 of HBP v1

1. Two copies of the application must be submitted unless otherwise mentioned. 2. Each individual page of the application has to be signed by the applicant. 3. a. ANF 1 has to be filled in by all applicants. In case of applications submitted electronically, no hard copies of ANF1. However in cases where applications are submitted otherwise, hard copy of ANF1 has to be submitted. b. Only relevant portions of Application need to be filled in.

4. Application must be accompanied by documents as per details given below:

For Export Licence for Restricted Items

1. Bank Receipt (in duplicate)/Demand Draft/EFT details evidencing payment of application fee in terms of Appendix 21B.

INTIMATION FOR INSPECTION

Exporters Name & Address

Invoice No. & Date

Exporters Ref.

Buyers Order No. & Date

Manufacturers Name & Address

Details of the Manufacturers Seal, if any

To The (Name & Address of the Inspection Authority) Please inspect the consignment and issue a Certificate of inspection under the .. Act. A crossed cheque for Rs. . Drawn on . Is enclosed as inspection fee/please debit our Account Pass Book No. . enclosed.

Date
Inspection Required on Weekly Holiday

Signature of exporter

Address where consignment is to be inspected.

Vessel / Flight No.

Port of Loading

Probable Date of Loading

Date of Sailing / flight

No. Marks & Nos.

No. & kind of Pkgs.

Description of Goods

Quantity

Amount

Technical requirements including specification/approved samples with its characteristics as stipulated in the export contract.

Other Relevant information. Declaration : Certified that the goods mentioned above have been manufactured/processed to satisfy the conditions relating to quality control/inspection applicable to them under the Act and that consignment conforms to the specification. Certified that the goods have not been inspected previously. Certified that the goods have been offered previously for inspection vide Intimation no. dated .. and the defects as pointed out earlier have been duly rectified. Certified that no additional technical or quality requirements than mentioned above have been stipulated by the overseas buyer.

Signature & Date

BILL OF ENTRY FOR HOME CONSUMPTION

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