ANF- 4 R
 

Application Form to Apply for the Scheme for Rebate of State and Central Taxes and Levies (RoSCTL) as notified in the para 4.95 and 4.96 of the Handbook of Procedures 2015-20)
 


Guidelines for Applicants
1. Kindly read Paras 4.95 and 4.96 of the HBP 2015-20 and Gazette Notifications published by the Ministry of Textiles on the ROSCTL before applying
2. Please note that separate applications are required to be filed for exports for separate years (AM 15, AM 16 etc.) based on Let Export date.
3. Applicant is required to select/feed the details of one shipping bill at a time. A maximum of 50 shipping bills can be selected for rebate in one application
 

Part A

1.

 Applicant Details:
i.  I EC No.                    
ii. Name of the IEC  
iii. Address  
iv. Telephone No  
v. Valid/Active Email ID  

 


Part B


2. Application Details:

i. Export Licensing Year (pi. specify the year in which export has been made, based on Let export date (Para 9.12 of HBP):
ii. Date of filing of Application:
iii. Port of Export for this Application:

3. Shipping Bill Details:

i. The Eligible Shipping Bills would be available in the shipping bill repository online. The Exporters are required to select the shipping bills and build their application.
   There is no requirement for filling the details for EDI shipping bills.
ii. The online E com module would auto-calculate the entitlement based on the rates/caps notified by the Ministry of Textiles" Gazette Notification as amended from
    time to time


4. Number of Split Certificates required (in multiples of Rs 5 lakhs each):


5. Port of Registration for the purpose of imports.(The port of registration shall be one of the ports from which exports have taken place)
 

6. Declaration / Undertaking

1  I/We hereby certify that:
A. The entity for whom the application has been made have not been penalized/ have been penalized (choose as applicable) 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) The Conservation of Foreign Exchange, Prevention of Smuggling Activities Act. 1974
B. None of the Directors / Partners / Proprietor / Karta / Trustees of the company /Firm /HUF/ Trust, (as the case may be), is/are a Director(s) / Partncr(s) /
    Proprietor / Karta / Trustee in any other Company/ firm / entity which is on the Denied Entity List (DEL) of DGFT;
C. Neither the Registered Office of the company / 1 lead Office of the firm / nor any of its Branch Ofllcc(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;
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 I landbook of Procedures
3 I/We hereby certify that that particulars and statements made in this application are true and correct and ^ nothing has been concealed or held therefrom. 1/Wc 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.
4 1 hereby certify that I am authorized to verify and sign this declaration as per Paragraph 9.06 of the Foreign Trade Policy.
5  I hereby declare that I have read the provisions of the para 4.96 of the HBP 2015-20 regarding the Recovery Mechanism and I declare that none of the consignment in respect of which claim is filed in this application has been subsequently returned. In case it is returned in future, I undertake to refund the rebate granted with interest rates as prescribed under section 28AA of Customs Act. 1962. I also declare that I have not claimed and shall not claim credit/rebate/rcfund/rc-imbursement of the specified levies and taxes under any other mechanism from State Government/ Central Government.
6 I hereby declare that this application does not contain any exports in contravention provisions as specified in the Ministry- of Textiles Gazette Notifications on ROSCTL in this regard.
7 I have gone through the para 3.06 (b) of the HBP 2015-20 and am submitting this instant ROSCTL application to my jurisdictional Regional Authority as per Appendix 1A
8

 I fully understand that RA or any other agency, at any time, may ask me to provide documents on the basis of which the rebate claimed in this application was granted. I undertake to provide any such details/documents without any delay on my part. In case I am not able to provide such documentary evidence. I undertake to refund the amount of scrip in cash with interest at the rate prescribed under section 28AA of Customs Act, 1962, from the date of such scrip as prescribed in FTP and HBP and shall also be liable for penal action as per FTDR act.

□  Tick the box as acceptance of declaration/ undertaking and submit

Signature of the Applicant To be Digitally Submitted in the E com module with the helo of a Digital Signature