APPENDIX- 4E TECHNICAL DETAILS &DATA SHEET FOR ADVANCE AUTHORISATION APPLICATION ON SELF DECLARATION UNDER PARA 4.04 & 4.07) OF HBP.

A. Imported Inputs

S

No

Required import item

Quantity required for each of export product

UOM

Purpose of requirement

Wastage Claimed (%age) on net content basis / yield, if applicable

Name of the country from where imported

Description

Technic al Charact eristics

ITC(HS)

Code

Raw mate rial

Comp onent

s

B. Indigenous Inputs

Sl.

No

Required indigenous item

Quantity required for each unit of export product

UOM

Purpose of requirement

Wastage Claimed (%age) on net content basis/ yield, if applicable

Description

Technical

Characteristics

ITC(HS)

Code

Raw material

Components

CHARTERED ENGINEER CERTIFICATE

I have examined the applicant company's import requirements of raw materials, components etc with regard to their technical description/ specification and the quantity against each item of import and having regard to proper technical norms of consumption and after technical scrutiny of relevant designs and drawings, I hereby certify that they are correct in all respects and are actually required for the execution of the export/supply contracts for.........................The list of Items covers

pages and contains items for a total value of Rs. (in free foreign exchange )

Signature of the Applicant or Chartered Engineer or both..................................

Name in Block letters................

Designation...............................

Address....................................

Place: .............

Date: ..............

Technical Details

Please furnish technical details, as applicable:

IMPORT ITEMS

A. COMPONENTS

a) Technical characteristics/part numbers, if any.

applied.

(VI)PAINTS/ SURFACE COATINGS/ PRINTING INKS

recovery.

Value of by product generated.