Form IGCR-1

[See rule 4(1)]

(Prior information to be provided by the importer)

PART-A

I. Details of importer

S.No Information Details
1 I.E.C No.  
2 Name of the importer :  
3 Principal address of the importer  
4 GSTIN  
5 Port of import  

II. Goods imported at concessional rate intended to be used at premises of importer or job worker:

S.No

 CTH Description of goods imported to be used
(1) (2) (3)
     

III. The exemption benefit availed

S.No

 Notification number Description of goods intended to be manufactured by use of raw materials or components imported at concessional rate of duty
(1) (2) (3)
     

IV. Goods intended to be manufactured

S.No

 CTH Description of goods intended to be manufactured by use of raw materials or components imported at concessional rate of duty
(1) (2) (3)
     

V. Manufacturing facilities intended to be used by importer

S.No

 GSTIN

Address of the manufacturing unit

 Goods produced or process undertaken at the manufacturing facility of the importer.
(1) (2) (3) (4)
       

VI. Manufacturing facilities intended to be used by job worker (in case of more than one job worker, above information should be furnished in respect of each job worker)

S.No

 GSTIN of Job worker or PAN of job worker

Address of the manufacturing unit of job worker

Goods produced or process undertaken at the manufacturing facility of the job worker.
(1) (2) (3) (4)
       

VII. Nature of out-put service to be provided by the importer with use of goods imported

S.No

 SAC Code Description of goods intended to be manufactured by use of raw materials or components imported at concessional rate of duty
(1) (2) (3)
     

PART-B

(To be filled after submission of Part A)

Bond details

1 Continuity bond number and date  
(a) Amount of bond  
(b) Balance amount of bond  

Note:- The amount of bond will be the estimated duty foregone during the financial year