ANF-6A
APPLICATION FROM FOR SETTING UP OF NEW EOU/EHTP/STP/BTP UNIT OR CONVERSION OF EXISTING DTP/EHTP/STP/BTP/UNIT
______________________________________________________________________________________
NOTE:
1. Please see Paras 6.01 (a),(b) and (c) of the Chapter 6 of the HBP.
2. Please read the general instructions given in EOU scheme before filling this application and also some importent guidelines given at the end of this application.
3. The application may be
sent electronically or otherwise. However the same will be treated as incomplete
without the application own permanent e-mail and will not be considered.
_________________________________________________________________________________________________
The application should be submitted to the Development Commissioner of the concerned Special Economic zone (for setting up EOU in 3 copies along with a crossed Demand Draft of Rs. 5,0000/- drawn in favour of the Pay & Account Office, Ministry of Commerce & Industry, Department of Commerce, Payable at the Central Bank of India,Udyog Bhavan New Delhi, (NO FEE BE CHARGED FOR RENEWAL/ EXTENSION OF LOP/ BROAD
For Official Use only
Application No. ___________________
Date: ___________________
Date_____ Month_____ Year_____
_____________________________________________________________________________________________________________________________________________________________________________________________
Details of Bank Draft
Amount Rs. ________________
Draft No. _________________
Draft date _________________
Drawn on
_________________
(Name of the Bank)
Payable at
_________________
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Indicate ( ) Whether the Application Is For:
AUTOMATIC APPROVAL
☐
Or
BOARD OF APPROVAL
☐
______________________________________________________________________________________________________________________________________________________________________________________________
Application for:
(i) Setting up of new Unit
☐
(ii) Conversion of existing OTA unit into EOU
☐
(iii) Conversion of Existing STP/EHTP to EOU
☐
(In case of conversion, please attach fact sheet as per Annexure)
I.
NAME AND ADDRESS OF THE
UNDERTAKING IN FULL
(Block Letters)
Name of the Applicant Firm ______________________________
Full Address ______________________________
(Regd. Office in case of limited companies & Head Office for others)
Pin Code
_______________________________
Tel. No. ________________________________
Fax No. ________________________________
Permanent E-Mail Address ________________________________
Web-Site, if any ________________________________
Passport No., if any _________________________________
Name of Bank with Address & Ale No. _________________________________
Digital Signature _________________________________
Income Tax PAN __________________________________
IEC No., if any __________________________________
The name and address of each
__________________________________
of the Director/Partner
II. NATURE OF THE APPLICANT FIRM:
[Please tick ( ) the appropriate entry]
Government
Undertaking/Public Limited Company/Private Limited Company/
Proprietor
ship/Partnership/LLP/Others (please specify)
Note:- Copy of certificate of
incorporation along with Article of Association and Memorandum in case of
companies and partnership deed in case of partnership firms may please be
attached.
Ill.
INDICATE WHETHER THIS PROPOSAL IS FOR
[Please tick( ) the
appropriate entry].
Establishment of a New
Undertaking
Manufacturing [ ]
Services
[ ]
Effecting Substantial Expansion
Manufacturing of New product
IV. (1)
Location of the proposed undertaking
Full Address _______________________
Pin code _________________________
(2)
ONLY FOR PROJECTS UNDER EOU SCHEME
(In case the unit is proposed
to be located on leased premises, then lease should be obtained from Government
or any undertaking / authority of Government. However in case lease is obtained
from private parties, it shall have a validity period of five years from the
date of LUT and the Development Commissioner shall satisfy himself of genuine
nature of the lease.)
(a) Please indicate if the proposed location is in a Centrally Notified Backward Area [Please tick ( ) the appropriate entry].
No.______________ Yes____________ if yes, indicate category
(b) Indicate whether it is within 25 Kms from the periphery of the standard urban area limit of city having population above one million according to 1991 census.
Yes____________ No. ______________
(c) Is it located in an Industrial Area/Estate designated/set up prior to issuance of Notification No. 477 (E) dated 25th July,1991.
Yes ___________No. _______________
(d) If not, does it come under the category of non-polluting industries as notified by the Govt.
Yes ____________No. _______________
V
ITEM (S) OF MANUFACTURE/SERVICE: (Including By-producUCo-products)
(if necessary, additional
sheets may be attached)
ltems(s) Description
Capacity (Unit =)
Item Code (ITC HS code No) (Not required for service unit)
-------------------- -----------------
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--------------------- ---------------- ----------------------------
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V-A Intermediate Products, if any, which are to be taken out for job work abroad as part of production process.
ltem(s) Description
Quantity
Item Code(ITC HS Code No.)
(Not required for service unit)_______________
______________
_______________________
_______________
______________
_______________________
_______________
______________
_______________________
VI.
PRODUCTION (In case of more than one item, supplementary sheets may be used)
Quantity (Unit _____________) (Value
(In Rupees)
(Not required for service unit)
1st year
___________________
________________
2nd year
___________________
________________
3rd year
___________________
________________
4th year
___________________
________________
5th year
___________________
________________
VII. Indigenous Requirement:
(Value in Rupees)
a)
Capital Goods
b) Raw material,
components, consumables,
packing
material, fuel etc. during the
period
of 5 years
TOTAL:
VIII. FOB VALUE OF EXPORTS(1 $
= Rs.
)
Rupees (lakhs) US $ (Thousand)
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1st year |
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2nd year |
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3rd year |
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4th year |
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5th year |
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Total: |
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IX INVESTMENT:
(RS. INLAKHS)
(a) Land _______________________
(b) Building _______________________
(c) Plant and Machinery _______________________
(i) Indigenous
_______________________
(US $ Thousand)
(ii) Import CIF value
_______________________
(iii) Total (i) + (ii) _______________________
(d) Details of source(s) of finance,
(both Indian as well as foreign)
for the above investments
X. WHETHER FOREIGN TECHNOLOGY AGREEMENT IS ENVISAGED
(Please tick (
V ) the appropriate entry )
Yes___ ___ No ___ ___
(I) Name and Address of foreign collaborator_______________
(ii) Terms of collaboration
(Rupees lakhs)
(Gross of Taxes)
(a) Lumpsum payment
________________
(b) Design & Drawing fee ________________
(c) Payment to foreign technician
________________
(d) Royalty (on exports)
________________%
(e) Royalty (on DTA sales if envisaged)
(f) Duration of agreement
______________(No .of years)
XI. EQUITY INCLUDING FOREIGN INVESTMENT
(i)
($ Thousand)
(Rs.lakhs)
(a) Authorized ____________ ____________
(b) Subscribed ____________ _____________
(c) Paid up Capital _____________ _____________
Note: If it is an existing company, please give the break up of the existing and proposed capital structur
(ii) Pattern of share holding in the paid-up capital (Amount in Rupees)
(Rs. in lakhs) (US $ Thousand)
(a) Foreign holding ______________ ______________________
(b) Non Resident Indian company/ Individual holding
(i) Repatriable_____________________________________________
(ii) Non-repatriable__________________________________________
(c) Resident holding_____________________________________________
(d) Total (a+b (i+ii)+c) equity_______________________________________
(e) (iii) External commercial Borrowing______________________________
Foreign Exchange Balance sheet:
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1st |
2nd |
3rd |
4th |
5th |
(5 yrs) |
(5 yrs) Total in Rs. |
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XII. |
FOB value of |
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XIII. |
Foreign Exchange outgo on |
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(I) |
Import of machinery |
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(ii) |
Import of raw materials and components |
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(iii) |
Import of spares and consumables |
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(iv) |
Repatriation of
dividends and |
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(v) |
Royalty |
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(vi) |
Lump sum know-how fee |
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(vii) |
Design and drawing fee |
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(viii) |
Payment of foreign |
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(ix) |
Payment on training
of |
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(x) |
Commission on |
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(xi) |
Foreign Travel |
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(xii) |
Amount of interest to
be |
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(xiii) |
Any other |
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Total (i)to(xiii) |
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Net Foreign |
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XIV. REJECTS (Only for E0U manufacturing units.)
| (vi) | Lump sum know-how |
Generation of Rejects/Sub-standard__________
___________________
finished goods
__________ ___________________
(percentage of 5 yrs production)
Goods (In case rejects are more
(Qty.(Unit = )
than 5% estimated percentage
_____________ ________________
with justification may be given
_____________ ________________
Value (Rs. Lacs)
XV. EMPLOYMENT
(All figures in number)
Existing
Proposed
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a) Supervisory Men_______________
_____________
Women_____________
_____________
b) Non-supervisory
Men________________
______________
Women_____________
______________
XVI. NET FOREIGN EXCHANGE EARNING
Average NFE on FOB value of exports in
Block period, as per para 6.04 of FTP.
XVII. MARKETING
a) Whether marketing tie-up/Buy-back______ _______
envisaged/finalized (Attach documents, ____
_______
if any)
Yes No
G.C.A. R.P.A.
______ ______
b) Destination of exports (in percentage) _______ _______
XVIII OTHER INFORMATION
i) Any special features of the project proposal
______________
which you want to highlight ________________
(please attach the project report, for new units)
___________________
___________________
___________________
ii) (a) Whether the applicant has been issued any
______________
Industrial license or LOI/LOP under EOU/ ______________
STP/EHTP scheme if so, please ______________
give
full particulars especially reference number,
date of issue, items of manufacture and
progress of implementation of each project.
(b) Whether the applicant has submitted any
________________
other application for LOI/LOP which is
________________
pending with the Board of Approvals.
If so, please give particulars like reference
number, name under which application
made, items of manufacture etc.
iii) Whether the applicant or any of the
________________
partners/Directors who are also partners
________________
/Directors of another company or its
associate concerns are being proceeded
against or have been debarred from
getting any License/Letter of Intent/
Letter of Permission under the Export and
Import (Control) Act, 1947/Foreign Trade
(Development and Regulation) Act, 1992, as amended/ FEMA /
CGST/SGST/UTGST/IGST Acts of 2017 I Custom/Central Excise Act.
Place __________ Signature of the Applicant ____________
Date ______ Name in Block Letters ___________
Designation _____________
Official Seal/Stamp
___________ Tel. No.
______________
e-mail
______________
Web-Site, if any _______________
Full Residential Address _________
DECLARATION/ UNDERTAKING
1 I/We hereby
declare and certify that :
A. the entity for whom the application has been
made have not been penalized under any of the following Acts (as amended from
time to time):
(i) The Customs Act,
1962,
(ii) The Central Excise
Act 1944,
(iii) Foreign Trade
(Development & Regulation) Act 1992,
(iv) The Foreign Exchange
Management Act,1999, and
(v) Under the relevant
provisions of GST /CGST/SGST / UTGST/IGST Acts of 2017
B. 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 I Trustee in any other firm/
Company which is on the Denied Entity List (DEL) of DGFT;
C. 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;
D.
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) / Units(s) /
Division(s) to any other Licensing Authority
2. I/We undertake to abide by the
provisions of the Foreign Trade (Development and Regulation) Act, 1992, as
amended from time to time, 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 declare that the above statements are true and
correct to the best of my/our knowledge and belief. I/We will abide by any other
condition, which may be stipulated by the concerned Development Commissioner.
I/We fully understand that any Permission Letter granted to me/us on the basis
of the statement furnished is liable to cancellation or any other action that
may be taken having regard to the circumstances of the case if it is found that
any of the statements or facts therein are incorrect or false. An affidavit duly
sworn in support of the above information is enclosed.
4. 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.
5 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.
6 I hereby certify that I am authorized to verify and sign this
declaration as per Paragraph 11.06 of the Policy
Place:__________ Signature of the Applicant _______________
Date:___________
Name in Block Letters _________________
Designation
_________________
Official
Full Official address _________________
_________________
Seal/Stamp
____________ Tel. No. __________________
e-mail Address __________________
Web-Site __________________
Full Residential address __________________
Tel. No __________________
SOME IMPORTANT GUIDELINES
1. Additional Information may be furnished by existing domestic units seeking conversion into the EOU Scheme as per annexure.
2. Normally raw material tie-ups are not insisted upon but this may be necessary in cases, such as granite/marble/sandstone products where availability of raw materials is contingent upon Government leases etc.
3. Normally lumpsum amount up to US$ 2 Million and 8% royalty (net of taxes) as amended from time to time over a period of five years from the commencement of production is allowed as per the current EOU Scheme on account of foreign technology agreement as per the norms of Department of Industrial Policy and Promotion. In addition selling agency commission is permitted as per RBI norms.
ANNEXURE
PROFORMA TO BE FILLED IN BY
THE EXISTING DTA UNITS SEEKING CONVERSION INTO THE EOU SCHEME
| a) | Whether
conversion of OTA Unit into the EOU has been sought for the full existing capacity of the unit or the proposal is for partial conversion. (Please give details of the existing capacity etc.) |
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| b) | Whether
any expansion of the OTA unit proposed to be converted into EOU has been envisaged, if so the extent thereof. (Please give details of the existing capacity and the enhanced capacity etc). |
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| c) | What is
the level of existing exports of the unit proposed to be converted into EOU. (Please give details of export performance item wise for a minimum of three previous years) |
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| d) | Whether
the OTA unit is already under obligation to export, under: i) Advance Licensing Scheme; ii) Import of machinery under EPCG scheme; iii) Any other Scheme. (Give all relevant details including total E.O. imposed, the E.O. discharged till date etc.) |
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| e) | Whether
your unit is registered with the Customs/ Excise authorities and GST. (Please give details viz. Reg. No., date etc.) |
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| f) | Deleted. |
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| g) | Whether
you are a merchant exporter or a manufacturer exporter. (Please give details) |
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| h) | What is
the age (year of manufacture) and residual life of items/ machinery
already installed in your unit, whether they are imported or indigenous. (Please attach separate sheets giving item-wise details
with value of the new CG as well as existing value of machinery presently installed). |
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Date________ Signature_________________
Name ___________________
Place________ Address of the Applicant______