ANF- 5B
Application Form for Redemption of EPCG Authorization /Issuance of Post Export
EPCG Duty
Credit Scrip)
(Please see the guidelines before filing the application)
| 1. | Applicant Details | ||||
| a. | IEC Number | Branch Code | |||
| b. | Name | ||||
| c. | Address | ||||
|
2. |
EPCG Authorization No. and Date | Duty Saved Amount allowed | Duty Saved Amount utilized
(including indigenously procured CG) |
|
3. |
Installation Certificate No. and Date |
| 4. | Export Product Details | ||
| a. | Export product/services allowed as per the EPCG Authorization | ||
| b. | Alternate Product/Services (if permitted) name & ITC(HS) code | ||
| 5. | Export Obligation Period | ||
| a. | Date of expiry of initial EOP | ||
| b. | Extended EOP date | ||
| c. | Actual EO completion date | ||
|
6. |
Average Export Obligation imposed* | EO as per actual duty saved amount | |
| In Indian Rs. | In Indian Rs. | In US$ | |
* In case of fulfilment of EO by alternate product, Average EO of alternate product should also be given.
|
7. |
Details of Physical Exports/Deemed Exports made/Services rendered for fulfilment of specific EO | |||||||||
|
Sl. No. |
Products Exported/ Supplied/Services Rendered with ITC(HS) Code |
Details of Shipping Bill/Voucher/Invoice/CT3/ARE3/ Lorry Receipt/ Railway Receipt etc. |
FOB (in FFE)/FOR value | |||||||
| Same Product/Services -------------------- Alternative Product/Services |
No. |
Date | Direct Exports | Third Party Exports | Deemed Exports | By Group Company | Other (R&D Services/ Royalty) | Total | ||
|
8. |
I/We further declare that I/we have made exports as under for maintenance of Average Export Obligation: | ||
|
Financial Year |
Average to be maintained |
Average maintained |
|
Declaration/Undertaking
I/We hereby declare/certify that:
1. I/We have updated my/our profile in ANF -1.
2. The particulars and the statements made in this application are true and
correct to the best of my/our knowledge and belief and nothing has been
concealed or withheld therefrom. If anything is found incorrect or false it will
render me/us liable for any penal action or other consequences as may be
prescribed in law or otherwise warranted.
3. None of the Partners(s)/Director(s)/ Trustee/ Karta/ Proprietor of the
firm/company has come under the adverse notice of DGFT or is in the caution list
of RBI.
4. None of the Partners(s)/Director(s)/ Trustee/ Karta/ Proprietor of the
firm/company, as the case may be, is/are a Proprietor/Partner/Director/Karta/Trustee
in any other firm/Company which has come under the adverse notice of DGFT or is
in the caution list of RBI, to the best of my knowledge.
5. Neither the Registered Office of the company /Head Office of the firm nor any
of its Branch Office(s)/Unit(s)/Division(s) has been declared a defaulter or has
otherwise been made ineligible for undertaking import/export under any of the
provisions of the Policy.
6. I/we have not exported items on the SCOMET list for which permission has not
been taken.
7. I am authorized to verify and sign this declaration as per Paragraph 9.06 of
the Foreign Trade Policy.
| Place | Signature of the Applicant | ||
| Date | Name | ||
| Designation | |||
| Official Address | |||
| Telephone/Mobile | |||
| Residential Address | |||
| Email-id |
8. All physical exports made as shown in item No. 7 and 8 above are in freely convertible currency
(Signature with Seal of the Chartered Accountant / Cost Accountant / Company Secretary)
Guidelines for Applicants
1. Application must be accompanied by the certificate in Appendix 5C duly signed by Chartered Accountant / Cost Accountant / Company Secretary