ANF- 2 O(b)

1. Applicant Details:

i IEC

ii. Name

iii.Address

Flat/Plot/Block No.

Street/Area/Locality

City

State

PIN Code

iv.Tele No.

(1)

Country Code

Area Code

Tel.No.

(2)

v. Mobile No.

Country Code

Area Code

Fax No.

vi. E-mail address where alerts and notifications to be sent

vii. Company Website

ix. Principal Business Activities of the applicant firm:

x. Is this applicant a parent company?

Yes

xi. If applicant is a subsidiary, then provide following details:

Name

Address

Country of Export (tick the appropriate)

a. Parent Company

b. Other Subsidiaries (to which exports to be made)

xii. License exception given by (if applicable)

1. From Foreign parent/subsidiary

2. Name of the country

Xiii Export license of foreign country (if applicable)

1. Type of Export license of foreign country (for e.g.bulk/general / temporary license/ others)

2. Country of granting such license

Application Fee Details
i. Sr. No.
ii. Pay Mode
iii. Demand Draft/Bank/Bank Receipt/Electronic Fund Transfer
iv. Date of Issue
v. Name of the Bank on which drawn
vi. Bank Branch on which drawn
vii. Amount (Rs)

2A. Details of SCOMET items in Appendix 3 to Schedule 2 of ITC (HS) Classifications of Export & Import Items applied for export: ( If required, attach extra sheet (A4 size) in the same format)

Sl.No.

SCOMET Category

SCOMET Subcategory

Generics Description of export item/s including technical details

Product Model No. / part No.

ECCN/ number on the foreign export control list (If applicable)

ITC (HS) Code No. (if available)

Quantity

Unit of Quantity (G,KG,no., Ltr or MT)

Total FOB Value

End Use Description

In relevant Foreign Currency (other than USD)

In Rupees

In US$

2B. Type of Transaction
Physical Export □	Intangible Transfer of Software/Technology □
Section A: Basic Product Information. i. Name of the manufacturer ii.Brand iii. Model no./ Part No (if applicable).
SECTION B: CRYPTOGRAPHY NOTE (leave, if not applicable)
1. Is the item available and sold from stock at ‘retail selling points’ without restrictions’, to the general public’ through any of the following means? (a) Over-the-counter transactions □ (b) Mail order transactions □ (c) Electronic transactions □ (d) Telephone call transactions □ If yes, then provide details ________________________________________ ii. Can the user easily change the cryptographic functionality of the item what is specified in the manufacture’s specification? Yes □ No □ iii. Is the item designed for installation by the user without further substantial support by the supplier? Yes □ No □
SECTION C: TECHNICAL QUESTION (leave, if not applicable)
Does the item contain the following cryptographic functions? 1. A “symmetric algorithm” employing a key length in excess of 56 bits, not including parity bits? Yes □ No □ If ‘Yes’ please state the following a) Full name: b) Key Length / bits: c) Is it used for any of the following? i. “Authentication” □ ii. Digital Signature □ iii. Data integrity □ iv. Non-repudiation □ v. Digital rights management, including the execution of copy protected software □ vi. Encryption or decryption support of entertainment, mass commercial broadcasts or medical records management □ vii. Key management in support of any of the cryptographic functions in above 1. (i) to (vi)
d) Encryption algorithm
e) Encryption Functionality
Additional Information (if any)
2C. In case of Technology and Software (If applicable) ( If required, attach extra sheet (A4 size) in the same format)

Additional Information (If applicable)

Sl.No.

SCO MET category

Name of the manufacturer / Producer/Service Provider

Brand (If applcable)

Name of Model or Name of Software/ Technology

Model no./ Part No. (If applicable)

Class (If applicable)

Type (If applicable)

Serial No. (If applicable)

Version No. (If applicable)

Encrypt ion algorithm (If applicable)

Encryption Functionality (If applicable)

Value of technology

Additional Information (if any)

2D. Company’s Information
S.No.	SCOMET category	Purpose of export/re-export (e.g Design/encryption /research/development/delivery/validation/testing/repair/demo/display/calibration/ others (Please specify)	Name of the company to which export/re-export to be made	Is it foreign parent company/subsidiary Or Indian Parent/Subsidiary

3. Shipment Details (in case of physical export)
i. Port of Loading/Shipment
ii. Port of Discharge
iii. Countries* to which item to be exported
1.
2.
iv. Ultimate Destination Country*
1.
2.

4. Details of exports of SCOMET items Details of the export last made , if no export was made during the preceding licensing year): (If required, attach extra sheet(A4size)in the same format)
Sl. No.	Export License No. & Date	Details of items exported		Quantity exported	Country to which exported	DGFT’s (HQ’s) File Number
		Category	Description

5. Shipment Details (In case of Intangible Transfer of Technology (ITT))
i. Mode of Export	Over the counter transactions □	Mail Order Transactions □	Electronic transactions □	Telephone call transactions □	Others ----------
ii. Countries to which item to be exported
iv. Ultimate Destination Country

6A. Consignee* Details (If different from ultimate end user)* The DGFT need to be informed in advance in case of any new consignee is involved.

i. Name

ii. Address

Flat/Plot/Block No.

Street/Area/Locality

City

Country

Postal Code

iii. Tele phone No.

(1)

Country Code

Area Code

Tel.No.

(2)

iv. Fax No.

Country Code

Area Code

Fax No.

v. E-mail

*6B. Intermediary Details** (If third party involved) (leave if not applicable) * The DGFT need to be informed in advance in case of any new intermediary is involved.
i. Name
ii. Address	Flat/Plot/Block No.
	Street/Area/Locality
	City
	Country		Postal Code
iii.Telephone No.	(1)	Country Code	Area Code	Tel. No.

	(2)
iv. Fax No.		Country Code	Area Code	Fax No.

v. E-mail

8. Please indicate the type of supporting documents submitted (via email, fax or post) to DGFT (hqrs). Please number all pages of the supporting documents and indicate the total number of pages at the top right corner of every page. Please note that failing to submit the necessary documents will delay the processing.

□ Technical drawings (Information on Product/Technology) , wherever applicable
□ Technical Specifications/Data Sheets/Brochures of the product(s) , wherever applicable
□ Documentary Proof that establishes corporate relationship between Intra companies i.e. between foreign parent company/subsidiary of parent company/Indian parent company/ Subsidiary of Indian parent company
□ Documentary Proof that establishes contractual agreement between foreign parent/subsidiary and/ or Indian parent/subsidiary with the third party involved in the supply chain, wherever applicable.
□ Relevant Undertakings and Declaration, where applicable
□ Purchase Order(s) /Contract Agreement(S) / Copy of Master Service Agreement (MSA)/Warranty Policy Conditions
□ Export Licence(s) from DGFT, wherever applicable.
□ Export request Letter, where applicable
□ Documentary Proof of License Exception granted by the export control licensing authority of country of the foreign parent company with validity (wherever applicable)
□ Export license of foreign country (wherever applicable)
□ A self-certified copy of the ICP of the foreign parent company being adopted by Indian subsidiary/ self-certified copy of ICP of Indian parent company/ ICP certified by Government like AEO Scheme
□ Proof of repair obligation in India (Wherever applicable)
□ Proof of demonstration purpose (wherever applicable)
□ Other, Please specify...................

For Use in DGFT office only (To be filled by the applicant). 9A. Application Submission Details (if submitted electronically):
i. GAICT Registration no.
ii. File Number & Date of Issue
iii. Application Fee submission details viz. Amount in Rupees, Demand Draft No./Electronic Fund Transfer No. and Date and the name & branch of the bank on which drawn
9B. Jurisdictional Regional Authority (from where the company has been issued IEC or having branch office):