APPENDIX -5A
FORMAT OF CHARTERED ENGINEER CERTIFICATE FOR NEXUS UNDER EPCG SCHEME


(To be furnished on the letterhead of the Chartered Engineer)

A. I have examined the applicant firm’s/company’s import requirement for the Capital Good(s) with respect to their nexus with the pre-production/production/post-production activity undertaken by the firm/company and with reference to their endorsement in MSME/Industrial Licence/IEM/LOI as mentioned in ‘Aayaat Niryaat Form’ and I hereby certify that the Capital Good(s) proposed to be imported under EPCG Scheme by M/s.______________having IEC number______________and PAN number______________ is/are required for use at the pre-production/production/post-production stage for manufacture of the export product (s)/rendering service(s) as per the details given below:-

1. Name, Model Number and Technical Description of the Capital Good (s) to be imported
2. Quantity required with justification thereof
3. Export products /Services rendered to which Capital Good(s) is/are related
4. Stepwise Process/Flow Chart indicating the stages where the capital goods are to be be used

B. I have examined the applicant firm’s/company’s declaration on the wastages anticipated at the time of installation of capital goods and certify that the wastage claimed by the applicant i.e.________(item-wise percentage where wastage is being claimed) is reasonable. (please strike off, if not applicable)

C.   I have necessary competence in the relevant domain / field to issue this certificate.

Signature & Seal of Chartered Engineer

Place
Date

Registration Number
Address
Telephone / Mobile
E-mail:
Name & Address of the Institution with which
registered

Note: -

1. Additional sheets, wherever required, may be attached.
2. Each page of the Certificate has to be signed by the Chartered Engineer.