Application Details | |||
Basic Details | ||||
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Excise/GST Details | |||
Industrial Registration Details | |||
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Bill | ||||||||||
FOB value in USD | FOB value realized in the foreign currenc y code | Foreign Currenc y Code | Repositor y Data | Description of Item of Exports | ||||||
Total FOB(ln INR) | Total FOB(ln USD) | |||||||||
!Replenishment/Entitlement Details
Details as per Appendix - 4F
s r N 0 | Shippin g Bill No. | Shippin g Bill Date | LEO Date | Latest Date of Realisat ion as per selecte d Export Month | Invoice Number | Export Item Serial No. as per Shippin g Bill | Export Product | ITC HS Code of Export Product | Repleni shment Rate(% of FOB) | Import Item | FOB value Realise d (INR) | FOB value Realise d (USD) |
Repleni shment Authori sation Claimed (INR) | Export Item Oescrip tion | Repleni shment Authori sation Claimed (USD) | Applica ble Late cut Rate (%) | Repleni shment Authori sation Claimed (INR) After Late cut | Repleni shment Authori sation Claimed (USD) After Late cut |
Sub Total as per Export Product as per Appendix 4F
Sr N o. | Import Item | Replenishment Rate (% of FOB) | FOB value Realised (INR) | FOB value Realised (USO) | Replenishment Authorisation Claimed (INR) After Late cut | Replenishment Authorisation Claimed (USO) After Late cut |
Value of Authorisation Claimed as per Appendix 4F (in USD) | Value of Authorisation Claimed as per Appendix 4F (in INR) |
Details as per Appendix - 4G
s r N 0 | Shippin g Bill No. | Shippin g Bill Date | LEO Date | Latest Date of Realisat ion as per selecte d Export Month | Invoice Number | Export Item Serial No. as per Shippin g Bill | Export Product | ITC HS Code of Export Product | Repleni shment Rate(% of FOB) | Import Item | FOB value Realise d (INR) | FOB value Realise d (USD) |
Repleni shment Authori sation Claimed (INR) | Export Item Descrip tion | Repleni shment Authori sation Claimed (USD) | Applica ble Late cut Rate (%) | Repleni shment Authori sation Claimed {INR) After Late cut | Repleni shment Authori sation Claimed {USD) After Late cut |
Sub Total as per Export Product as per Appendix 4G
Sr N o. | Import Item | Replenishment Rate(% of FOB) | FOB value Realised (INR) | FOB value Realised (USD) | Replenishment Authorisation Claimed (INR) After Late cut | Replenishment Authorisation Claimed (USD) After Late cul |
Value of Authorisation Claimed as per Appendix 4G (in USD) | Value of Authorisation Claimed as per Appendix 4G (in INR) | |||||
Totals
Total Value of Authorisation Claimed(ln INR) | Total Value of Authorisation Claimed(ln USD) |
Attachment Details
Attachment Type Remark Attachment Name
I/We hereby declare that 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. If 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.
I/We undertake to abide by the provisions of FT(D and R) Act, the Rules and Orders framed there under, the FTP, HBP v1, HBP v2 and theITC(HS) Classification of Export &Import Items.
I / We hereby certify that 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.
I/We hereby certify that the Proprietor/Partner(s)/Director(s)/Karta/Trustee, as the case may be, of the firm/company is/are not associated as Proprietor/Partner(s)/Director(s)/Karta/Trustee in any other firm/company which is in the caution list of RBI.
I/ We hereby declare that 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 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 v1, irrespective of the scheme under which the item is exported / proposed to be exported (the underlined portion will be deleted in case an applicationfor export license for SCOMET item is being filed).
I / We hereby declare that no export proceeds are outstanding beyond the prescribed period as laid down by RBI or such extended period forwhich RBI permission has been obtained.
I hereby certify that I am authorised to verify and sign this declaration as per Paragraph 11.06 of the FTP.
Place | Date | ||
Name | Designation | ||
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Office Address | |||
Residential Address | |||
DSC / E-Sign Details | |||||||||
S.N o. | E-sign Type | Serial Number | Signed Date | Certificate Type | Certifying Authority | Common Name | Organisa tion | Certificate Issued Date | Certificate Expiry Date |
GUIDELINES FOR APPLICANTS
[Please see paragraph 4.35 of FTP and 4.58 of HBP]
Application will be filed online using digital signature only.
RCMC details need not be given if the same has already been updated in ANF-1.
Please upload following documents:
Bank Receipt (in duplicate)/Credit Card details evidencing payment of application fee in terms of Appendix 2K.
Bank certificate of export and realisation in the format given in Appendix 2U evidencing realisation of exports proceeds/sales proceeds.
Export Promotion (EP) copy of Shipping Bill(s) in Original. (Photocopy of the EP copy of Shipping Bill duly endorsed may be returned for utilization/re-import purposes when the exports are made on consignment basis).
Customs attested invoice.