ANF 3E
"Application for No Incentive Certificate"

(please read para 3.24 of the Handbook of Procedures 2015-20)

1. Applicant Details:
i. IEC No. (10 Digit alphanumeric PAN from 01.07.2017)  
ii. Name of the firm with address for dispatch of Certificate  
  Applicants are required to please chose from 2, 3,4 and 5 as per requirement, and cut across non-applicable portions
2

I declare that for the following shipping bill (s) I have already obtained MEIS benefit and has utilized the scrip. I also declare that for these shipping bill(s), I have paid an amount equal to the proportionate duty benefit availed along with the applicable interest as per the section 28 AA of the Customs Act, 1962 as updated from time to time. I also declare that the challan no. as mentioned by me are pertaining to the payments for the concerned shipping bill(s)

  SI no. Shipping Bill no. File no in which MEIS was granted Authorisation no. and date Challan No Challan Date
  1          
  2          
  ...          
             
3 I declare that for the following shipping bill (s) I have already obtained MEIS scrip but scrip have not utilized the scrip. I am surrendering the original MEIS scrip and I have no objection , if the concerned the MEIS scrips are cancelled by the Regional Authority concerned shipping and bill(s) is/ are barred from applying for MEIS in the future.
  SI no. Shipping Bill No File no in which MEIS was granted Authorisation no. and date Remarks, if any
           
           
           
4 I declare that the following shipping bill have been applied for claim under MEIS but scrip has not been issued to me. For these shipping bills I have no objection , If the concerned applications are cancelled by the Regional Authority he file closed and the concerned shipping bill(s) is/ are barred  from applying for MEIS in the future.
  SI no Shipping Bill No Let Export Date FOB Value in INR File no. in which applied
  1        
  2        
           
5 I declare that the shipping bill(s) mentioned as below have not been applied for claim under MEIS and will not be applied for claim under MEIS in future by me. I am aware that in case an application is made for the same shipping bills, I am liable for action under FT(D&R) Act.
 
  SI no. Shipping Bill No Let Export Date FOB Value in INR Remarks, if any
           
           
           


DECLARATION/UNDERTAKING

1 I hereby declare that the information provided in this application is correct and no information has been withheld.
2 I hereby declare that I will not claim MEIS incentive for any shipping bills mentioned in 3, 4 and 5 above in the future.
3 I hereby certify that I am authorized to verify and sign this declaration as per Paragraph 9.06 of the Foreign Trade Policy.
4 I declare that I have read the provisions under para 3.06 (a) and (b) of the Handbook of Procedures and I have made all MEIS applications to the Concerned RA only in the Financial year, for which this application for No Incentive Certificate is being submitted.

 

Name and address of the Regional Authority to which the Application is being submitted  
Date of Submission  

Signature of the Applicant