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

ANF-10C

APPLICATION F O R M FOR EXPORT OF SCOMET ITEMS INCLUDING S O F T W AR E AND TECHNOLOGY (UNDER GLOBAL AUTHORISATION FOR INTRA COMPANY TRANSFER) LISTED IN APPENDIX 3 TO SCHEDULE 2 OF ITC (HS) CLASSIFICATION

[Please see DGFT’s Public Notice No. 14/2015-20 dated 13.06.2022 before filling the application]

1. Applicant Details:

i IEC

ii. Name

iii. Address

Flat/Plot/Block No.

Street/Area/Locality

City

State

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

viii. Principal Business Activities of the applicant firm:

ix. Is this applicant a parent

company ?

Yes

x. 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)

xi. License exception given by (if applicable)

1. From Foreign parent/subsidiary
2. Name of the country
xii. 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

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.

*Insert additional row or sheet, if required for more number of countries

4.Details of exports of SCOMET items Detailsof 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
iii. 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. Telepho ne No.

(1)

Country Code

Area Code

Tel.No.

(2)

iv. Fax No.

Country Code

Area Code

Fax No.

v. E-mail

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/subisidiary 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 ha been issued IEC or having branch office):

DECLARATION/UNDERTAKING

I/We hereby certify that:
1. 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.
2. 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.
3. 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).
4. I/ We hereby certify that:
  1. 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):
    1. The Customs Act, 1962,
    2. The Central Excise Act1, 1944
    3. Foreign Trade (Development & Regulation) Act 1992, as amended, and
    4. The Foreign Exchange Management Act, 1999
    5. The Conservation of Foreign Exchange, Prevention of Smuggling Activities; Act, 1974
    6. Weapons of Mass Destruction & their Delivery Systems (Prohibition of Unlawful Activities) Act, 2005
  2. None of the Directors/Partners/Proprietor/Karta/Trustees of the company/firm/HUF/Trust, (as the case 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;
  3. 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;
  4. 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.
5. 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.
6. 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.
7. 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:

SECTION B: CRYPTOGRAPHY NOTE (leave, if not applicable)
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 Electronic transactions Telephone call transactions If yes, then provide details Can the user easily change the cryptographic functionality of the item what is specified in the manufacture’s specification? Yes No 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? A “symmetric algorithm” employing a key length in excess of 56 bits, not including parity bits? Yes No If ‘Yes’ please state the following Full name: Key Length / bits: Is it used for any of the following? “Authentication” Digital Signature Data integrity Non-repudiation Digital rights management, including the execution of copy protected software Encryption or decryption support of entertainment, mass commercial broadcasts or medical records management 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 applicable)