ANF 5B
(Application Form for Redemption of EPCG Authorization)
(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 (In INR) | Duty Saved Amount utilized (In INR) (including indigenously procured CG) |
| S. No. |
*In case the applicant is registered with Central excise, installation certificate from Central Excise authority is mandatory for authorizations issued prior to 01.04.2015. For authorizations issued after 1.4.2015, applicant may either submit installation certificate issued by Central excise authority/Jurisdictional Export promotion Circle of Customs Authorities/ or independent Chartered Engineer.
| 4. | Export Product Details | ||
| a. | Export product/services allowed as per the EPCG Authorization [with ITC(HS) code of export product] | ||
| b. | Alternate Product/Services (if authorisation has been amended by RA concerned as per FTP 2009-14) with name & ITC(HS) code of the Product | ||
| 5. | Export Obligation Period | ||
| a. | Date of expiry of initial EOP | ||
| b. | Extended EOP date if any | ||
| c. | Actual EO completion date | ||
| 6. | Average Export Obligation imposed** | Specific EO as per actual duty saved amount | |
| In INR | In INR | In US$ | |
**In case of fulfillment of EO by alternate product, Average EO of alternate product should also be given.
7. Are you a Manufacturer/Service provider?
(i) For Physical Exports
| S.No. | Shipping Bill number/Bill of Export | Shipping Bill date | ITC(HS) Code of export item | Export item description | FOB value in USD | Direct Export /Third party? (YES/NO) |
(ii) For SEZ supplies/Deemed Exports / Exports in INR
| S.No. | Invoice number /Shipping Bill number/Bill of Export | Date | ITC(HS) Code of export/Supplied item | Export item description | FoR/FOB value |
(iii) For Service Provider
| S.No. | Invoice Number/FIRC Number | Date | CPC Code of Services rendered | Name of Service rendered | FOB value |
For third party exports made on or after 1.4.2015, documents as per Para 5.10(d) of HBP, 2015-20/ HBP, 2023 are required to be submitted.
| 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 (INR) | Average maintained (INR) | |
**** The exports indicated at S.No. 8 do not include exports covered under S.No. 7 above and do not include exports rendered for maintaining specific EO of any other EPCG Authorisation(s).
9. Details of Average Export Obligation fulfilled:
Are you a Manufacturer/Service provider?
(i) For Physical Exports
| S.No. | Shipping Bill number/Bill of Export | Shipping Bill date | Export item description | FOB value in USD | Direct Export /Third party? (YES/NO) |
(ii) For SEZ supplies/Deemed Exports / Exports in INR
| S.No. | Invoice number /Shipping Bill number/Bill of Export | Date | ITC(HS) Code of export/Supplied item | Export item description | FoR/FOB value |
(iii) For Service Provider
| S.No. | Invoice Number/FIRC Number | Date | CPC Code of Services rendered | Name of Service rendered | FOB value |
For third party exports made on or after 1.4.2015 documents as per Para 5.10(d) of HBP 2015-20/HBP2023 are required to be submitted
| Attachment Details | |||
| Attachment Type | Remark | Attachment Name | |
| CA/CE Details | |||
| Sl. No. | Application Number | CA/CE Membership Number | Appendix Type |
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 maybe prescribed in law or otherwise warranted.
3. I/we have not exported items on the SCOMET list/items restricted for exports for which permission has not been taken.
4. I/We hereby declare that exports counted towards Specific Export Obligation against this authorization have not been claimed /counted for fulfillment of annual average export performance /specific export obligation against any other EPCG Authorization.
5. It is certified that (a) F.I.R.C.(s) have been checked by me and (b) payments received are for export of services allowed for E.O. fulfillment against the EPCG Authorization
6. All physical exports made as shown in S.No. 7 and 8 are in freely convertible currency or as permitted by FTP.
7. We hereby declare that Freight, Insurance and Commission values as mentioned in the application are based on actual transaction values.
8. We further declare that for the purpose of calculating entitlement, commission has been excluded.
9. The application contains-------------------------nos. of EDI Shipping Bills and ------------------------nos. of Non EDI Shipping Bills
10. I am authorized to verify and sign this declaration as per Paragraph 11.06 of the Foreign Trade Policy
| You have ticked the box as acceptance of declaration/ undertaking details. | |||
| Place | Date | ||
| Name | Designation | ||
| Mobile | |||
| Office Address | |||
| Residential Address | |||
Guidelines for Applicants
The application must be accompanied with the following documents:
1. Appendix 5C duly signed by Chartered Accountant/Cost Accountant/Company Secretary along with a statement giving details of the documents submitted by the authorization holder towards evidence of EO fulfillment.
2. Original/Self certified copy of EPCG authorization along with enclosures. As may be applicable
3. Self certified copies of Bill of Entry in respect of import/ invoices in respect of indigenously procured CG.
4. Proof of submission of installation certificate within time limit
5. In respect of Third party exports additional documents as required in terms of Para-5.10(d) of HBP 2023
6. Application has to be filed online.