Printed ANFs are indicative only. Wherever required, these are mandatorily to be filed on Portal only.

ANF 10B

APPLICATION FORM FOR APPROVAL FOR EXPORT OF SCOMET ITEMS FROM STOCKIST ENTITY TO ENDUSER

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. Fax No.

Country code

Area Code

Fax No.
                         

   

  vi . E-mail address

E-mail(1)

E-mail(2)
   

 

2. Details of SCOMET items in Appendix 3 to Schedule 2 of ITC (HS) Classifications of port & Import Items applied for export:(If required, attach extra sheet (A4size) in the same format)

Sl. No.

SCOMET Category i.e. 1B, 1C, 3, 4 , 5 and 7

SCOMET Item No

Description of export item/ including technical specification

ITC(HS) Code No.(if available)

Quantity

Total FOB Value

In relevant foreign currency

In Rupees

In US$
                 

3. Details of exports of stocked items made previously

Sl. No.

Approval o. & Date

Details of items to be exported

Quantity exported

Country which the item is to be exported

DGFT’s HQ File number

   

Category

 Description

  
   

 

4. Shipment Details:

i.        Port of Loading/Shipment

 

ii.       Port to Discharge

  

iii.     Country to which item to be exported

  

iv.     Ultimate Destination Country

  

 

5. Purpose of Export (please tick and give clarification if any):

i.         Trade

  

ii.         Port to Discharge

  

iii.        Country to which item to be exported

  

iv.       Ultimate Destination Country

  

 

6A. Foreign Buyer Details:

I.        Name

 

ii.   Address

Flat/Plot/BlockNo.

 

Street/Area/Locali

  

City

  

Country

 

Postal No.

           

iii.Telephone



(1)

Country Code

Area Code

Tel. No
           

 

 

                

 

(2)

            

 

 

                

iv.   Fax No.

Country Code


Area Code


Fax No.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

v.   E-mail

 

vi. Export Order No. and date

 

 

6B. Consignee Details :(If same as Foreign Buyer write “SAME As in 6A”

i.                Name

 

ii. Address

Flat/Plot/Block No.

 

Street/Area/Locali

 

City

 

Country

 

Postal Code

 

 

 

 

 

iii. Telephone No.


(1)

Country Code

Area Code

Tel.No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(2)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

v.   FaxNo.

Country Code

Area Code

FaxNo.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

vi.  E-mail

 

 

6C. End User Details : (If same as Foreign Buyer and/or Consignee write “SAME As in 6A and/or 6B” as the case maybe)

i.           Name

 

 

Flat/Plot/Block No.

 

Street/Area/Locality

 

 

7. 1f applied forre-export on repeat basis under the same 'Stock & Sale' authorization for same product, same end user and to the same end use, please furnish:

i. Reference Number and date which earlier permission was granted

 

ii. Quantity allowed for export

 

Iii. Quantity exported on the date this application

 

 

8. Details of' Stock & Sale' authorization under which item was exported:

i.  Authorization Number

 

ii. Authorization Date

 

iii. DGFT(Hq) file number

 

iv. DGFT(Hq) approval meeting number

 

v. DGFT(Hq) approval meeting date

 

 

For Use in DGFT office only (To be filled by the applicant).

9A. Application Submission Details (if submitted electronically):

i.          E COM Reference Number

 

ii          Date of Submission on Server

 

iii. Submitted to which Regional Authority

 

iv. File Number & Date of Issue

 

 v.    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 of original 'Stock & Sale'
authorization:

 

DECLARATION/UNDERTAKING

1.   I/We hereby certify that:

(i)   I/We hereby declare that the particulars and the statements made in this application are true and correct to the best of my I/our knowledge and belief and nothing has been concealed or held there from.

(ii) I/We fully understand that any information furnished in the application if found incorrect or false will render me liable for any penal action or other consequence as maybe prescribed in law or otherwise warranted.

(iii) I/We undertake to abide by the provisions of the FT(D&R)Act,1992, as amended, the Rules and Orders framed there under, FTP, HBP, Appendices and Aayat Nryat Forms and lTC{HS).

(iv) I/ We hereby certify that:

A. The entity for whom the application has been made have not been penalized under any of the following Acts (as amended from time to time):

(i) The Customs Act, 1962,
(ii) The Central Excise Act1, 1944
(iii) Foreign Trade (Development & Regulation) Act 1992, as amended, and
(iv) The Foreign Exchange Management Act, 1999
(v) The Conservation of Foreign Exchange, Prevention of Smuggling Activities; Act, 1974
(vi) Weapons of Mass Destruction & their Delivery Systems (Prohibition of Unlawful Activities) Act, 2005

 B.   None of the Directors/Partners/Proprietor/Karta/Trustees of the company/firm/HUF/Trust, (as the ca se may be), is/are a Director(s)/Partner(s)/Proprietor/KartaI/Trustee in any other Company/ firm I entity which is on the Denied Entity L st (DEL) of DGFT or is in the caution list of RBI;

 C. Neither the Registered Office of the company I Head Office of the firm I nor any of its Branch Office(s)/ Unit(s)/ Division(s) has been declared a defaulter and has otherwise been made ineligible for undertaking import I export under any of the provisions of the Policy;

 D. We have neither obtained nor applied for issuance of an Importer Exporter Code Number in the name of our Registered I Head Office to any other Licensing Authority.

 (v) I/We hereby declare that I/We have neither obtained nor applied for such benefits (including issuance of an Importer Exporter Code Number)in the name of our Registered I Head Office or any of our Branch(s) Unit(s) Division(s) to any other Regional Authority

 (vi) We have complied with the conditions of all previous licences/authorizations issued to us for export of SCOMET items and wherever required have duly intimated the J/o DGFT, New Delhi along with documentary evidence regarding receipt of the items of export by the end-user within the stipulated time.

 (vii)I/We undertake to abide by the provisions of the FT(D&R)Act,1992, as amended, the Rules and Orders framed there under, FTP, HBP and lTC (HS) and submit all requisite documents to the o/o DGFT(SCOMET Section),failing which 1/We shall liable to action under FT(D&R)Act,1992 as amended or rules and orders made the under, and the Customs Act,1962.

 Signature of the Applicant

 

 Name

 

 Designation

 

 

Official Address

 Flat/Plot/Block No.

 Street/Area/Locality

City

 

 

State

 

PIN Code

 

 

 

 

 

 

 Telephone

Country Code

 Area Code

Tel.No.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 Place:

 

 Date: