ANF- 4C
Application for Clubbing and Closure of Advance Authorisations
[Please see guidelines given at the end before filling the application]
Application Details
| IEC | Entity Name | Application Number | HQ File Number | Applicable Export Foreign Currency | Applicable Foreign Exchange Rate |
Authorisation Details
| Authorisation Number | Authorisation Type | Custom Notification Number | Norm Type | Export Product Group | EO Period | % EO fulfilled |
Export Details
| Export Product Group | Applicable currency for EODC |
As Endorsed in Authorisation
| Authorisation Number | Export Serial No. | SION Serial No. | Item(s) to be exported / supplied | Quantity | UOM | Total FOB / FOR Value (INR) | Total FOB / FOR Value (in USD) | Export FCC in Authorisation | Total FOB / FOR value (in export FCC) |
| ITC(HS ) Code | Export item technical characteristics/Description | ||||||||
As per Shipping Bills/GST Invoice/Bill of Exports
| Authorisation Number | Shipping Bill Number/ Bill of Export s number / GST Invoice Number | Shipping Bill/ Bill of Exports / GST Invoice Date | Invoice Number | Invoice Date | Invoice Serial Number | Quantity | UOM | Total FOB / FOR Value (INR) | Shipping bill currency | Foreign currency exchange rate in INR | Total FOB / FOR value (in foreign currency ) |
| ITC(HS) Code | Export Item Description in invoice/Shipping Bill |
Export As per Importer/Exporter
| Authorisation Number | Type of Export | Shipping Bill Number/ Bill of Exports number / GST Invoice Number | Shipping Bill/ Bill of Export s / GST Invoice Date | Invoice Number | Invoice Date | Invoice Serial Number | Export Serial No. | Quantity | UOM | Total FO B / FO R Value (IN R) | Shipping bill currency | Foreign currency exchange rate in INR | Total FOB / FOR value (in foreign currency) | Port Type | Source |
Export Realisation Details
| Authorisation Number | Shipping Bill no. /Bill of exports/GST invoices | eBRC No. | Currency of Realisation | eBRC Value | eBRC value in applicable export FCC |
Input As endorsed in Authorisation
| Authorisation Number | Export Serial No. | Inputs as per | Input Item Serial no. | Input Description | Input Item technical features/ Description | ITC (HS) Code | Total Quantity Required | Quantity Invalidated | UOM | Total CIF Value (INR) | Export FCC in Authorisation | Total CIF Value (in Foreign Currency) | Total CIF Value (in USD) |
Input As per Bill of Entries/GST Invoices
| Authorisation Number | BOE / GST Invoice Number | BOE / GST Invoice Date | Invoice Serial Number | Input Item Description in invoice | ITC (HS) Code | Quantity | UOM | Total CIF Value (INR) | Foreign Currency as per Invoice | Total CIF Value (in foreign currency) | Foreign currency exchange rate in INR (as per invoice date) | Total CIF Value (in Applicable foreign currency) |
Input As per Importer/Exporter
| Authorisation Number | Type of Input | BO E / GS T Invoice Number | B OE / GS T Invoice Date | Invoice Serial Number | Quantity as per invoice | Quantity Consumed | Balance Quantity (Unutilised ) | U O M | Total CI F Value (I N R ) | Total CIF of unutilised (INR ) | Foreign Currency as per Invoice | Foreign currency exchange rate in INR | Total CIF value (in foreign currency) | Total CIF value (in Applicable foreign currency ) | Additional exports effected in proportion to excss inputs | Input quantity reduced proportionately in the authorisation | Remarks | Port Type | Source | |
| ITC(HS) Code | Input Item Description in invoice | |||||||||||||||||||
Tax Receipt Details
| Challan Number | Challan Date | Challan of amount paid (in Rs) | Challan Interest | Remarks |
Additional Input Details
| Authorisation Number | Claim under reduced benefits of Appendix 4D | Serial Number from Appendix 4D | Remarks |
| Authorisation Number | Item(s) declared do not fall under Appendix 4J | Serial Number from Appendix 4J | Remarks |
Free of Cost As endorsed in Authorisation
| Input Serial No | Export Serial No | Item name | Authorisation Number | Item Description | Source Country | Destination Country | Quantity | UOM | Notional Value (INR) | Notional Value (in foreign currency) | Notional Value (in USD) | FCC as per Authorisation | Notional Value (in Applicable FCC) | ITC( HS ) Code |
Drawback Details As endorsed in Authorisation
| Authorisation Number | Item Description | Quantity Required | Quantity Invalidated | Quantity to be imported | UOM | Type of Import | CIF Value/ Value of Item (In Rs) | CIF Value/ Value of Item (In foreign currency) | CIF Value/ Value of Item (In USD) | FCC as per Authorisation | ITC (HS) Code |
Drawback Details As Per Shipping Bill
| Authorisation Number | Shipping Bill No. | Invoice No | Invoice Serial No. | Item Description | Drawback Quantity | UOM | CIF Value/ Value of Item (INR) | CIF Value/ Value of Item (In foreign currency) | CIF Value/ Value of Item (In USD) | FCC as per Authorisation | CIF value in applicable FCC |
Norms Committee Decision
| Authorisation No | Meeting Number | HQ File Number | Norms Committee Decision |
VALUE ADDITION DETAILS
| Declared | Fulfilled FOB | Minimum FOB Required | Short Fall by Value | Min VA Required | % Fulfilled |
Redemption Matrix
| Of Authorizations | Of Export Items | Of Input Items |
Redemption Details
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Regularization Details
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Bond Waiver Details
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Surrender Details
| Export Item Name | Quantity | UOM | Input Name | Quantity | UOM | |
| Penalty to be paid | ||||||
| Penalty as per Importer / Exporter | ||||||
DECLARATION / UNDERTAKING
I / We hereby declare that:
1. 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 held there from and if found incorrect or false will render me/us liable for any penal action or other consequences as may be prescribed in law or otherwise warranted.
2. We would abide by the provisions of the Foreign Trade (Development and Regulation) Act, 1992, the Rules and Orders framed there under, the Foreign trade Policy, the Handbook Procedure and the ITC(HS) Classification of Export &Import Items, as amended from time to time.
3. None of the Proprietor/ Partner(s) / Director(s) / Karta / Trustee of the firm / company, as the case may be, is / are a Proprietor / Partner(s) / Director(s) / Karta / Trustee in any other firm / Company which has come to the adverse notice of DGFT or in the caution list of RBI.
4. I/we have perused the list of SCOMET items as contained in the Appendix 3 to the Schedule 2 of the ITC (HS) Classifications of Export-Import Items, 2004-09 and that the item(s) exported / proposed to be exported does not fall within this list and that I/ We agree to abide by the provisions of the Policy for export of SCOMET items contained in the Foreign Trade Policy, Schedule 2 of ITC (HS) and the HBP, irrespective of the scheme under which the item is exported / proposed to be exported (the underlined portion will be deleted in case an application for export license for SCOMET item is being filed).
5. No export proceeds are outstanding beyond the prescribed period as laid down by RBI or such extended period for which RBI permission has been obtained.
6. I/We hereby declare that Freight, Insurance and Commission values as mentioned in the application are based on actual transaction values.
7. For the purpose of calculating entitlement, commission amount has been excluded.
8. That I/We have updated the IEC profiles in ANF 1.
9. We 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 Act 1944, (iii) Foreign Trade (Development &Regulation) Act 1992, and (iv) The Foreign Exchange Management Act,1999; (v) The Conservation of Foreign Exchange, Prevention of Smuggling Activities Act, 1974 .
10. I am authorised to verify and sign this declaration as per Paragraph 11.06 of the FTP
✔ Tick the box as acceptance of declaration/ undertaking and fill in the details below.
| Place | Date | ||
| Name | Designation | ||
| Mobile | |||
| Office Address | |||
| Residential Address | |||
| DSC / E-Sign Details | |||||||||
| S.N o. | E-sign Type | Serial Number | Signed Date | Certificate Type | Certifying Authority | Common Name | Organisation | Certificate Issued Date | Certificate Expiry Date |
GUIDELINES FOR APPLICANTS
[Please see paragraph 4.36 of HBP]
1. Application shall be filed online using digital signature only.
2. FOB value of export for the purpose of value addition shall be arrived at after excluding the Foreign Agency Commission, if any.
3. Authorisations should have been issued by the same Regional Authority.