ANF-6A

APPLICATION FROM FOR SETTING UP OF NEW EOU/EHTP/STP/BTP UNIT OR CONVERSION OF EXISTING DTP/EHTP/STP/BTP/UNIT

______________________________________________________________________________________

NOTE:

1. Please see Paras 6.01 (a),(b) and (c) of the Chapter 6 of the HBP.

2. Please read the general instructions given in EOU scheme before filling this application and also some important guidelines given at the end of this application.

3. The application may be sent electronically or otherwise. However the same will be treated as incomplete without the application own permanent e-mail and will not be considered.
_________________________________________________________________________________________________

The application should be submitted to the Development Commissioner of the concerned Special Economic zone (for setting up EOU in 3 copies along with a crossed Demand Draft of Rs. 5,000/- drawn in favour of the Pay & Account Office, Ministry of Commerce & Industry, Department of Commerce, Payable at the Central Bank of India, Udyog Bhavan New Delhi, (NO FEE BE CHARGED FOR RENEWAL/ EXTENSION OF LOP/ BROAD

For Official Use only

Application No. ___________________

Date: ___________________

Date_____ Month_____ Year_____
_____________________________________________________________________________________________________________________________________________________________________________________________

Details of Bank Draft

Amount Rs. ________________

Draft No. _________________

Draft date _________________

Drawn on _________________

(Name of the Bank)

Payable at _________________

-------------------------------------------------------------------------------------------------------------------------------------------------------------------
Indicate ( ) Whether the Application Is For:

AUTOMATIC APPROVAL ☐
Or
BOARD OF APPROVAL ☐
______________________________________________________________________________________________________________________________________________________________________________________________

Application for:
(i) Setting up of new Unit ☐
(ii) Conversion of existing OTA unit into EOU ☐
(iii) Conversion of Existing STP/EHTP to EOU ☐

(In case of conversion, please attach fact sheet as per Annexure)

I. NAME AND ADDRESS OF THE UNDERTAKING IN FULL (Block Letters)

Name of the Applicant Firm ______________________________

Full Address ______________________________

(Regd. Office in case of limited companies & Head Office for others)

Pin Code _______________________________

Tel. No. ________________________________

Fax No. ________________________________

Permanent E-Mail Address ________________________________

Web-Site, if any ________________________________

Passport No., if any _________________________________

Name of Bank with Address & Ale No. _________________________________

Digital Signature _________________________________

Income Tax PAN __________________________________

IEC No., if any __________________________________

The name and address of each __________________________________ of the Director/Partner

II. NATURE OF THE APPLICANT FIRM:

[Please tick ( ) the appropriate entry]

Government Undertaking/Public Limited Company/Private Limited Company/ Proprietor ship/Partnership/LLP/Others (please specify)

Note:- Copy of certificate of incorporation along with Article of Association and Memorandum in case of companies and partnership deed in case of partnership firms may please be attached.

Ill. INDICATE WHETHER THIS PROPOSAL IS FOR
[Please tick( ) the appropriate entry].
Establishment of a New Undertaking
Manufacturing [ ]
Services [ ]

Effecting Substantial Expansion

Manufacturing of New product

IV. (1) Location of the proposed undertaking

Full Address _______________________

Pin code _________________________

(2) ONLY FOR PROJECTS UNDER EOU SCHEME
(In case the unit is proposed to be located on leased premises, then lease should be obtained from Government or any undertaking / authority of Government. However in case lease is obtained from private parties, it shall have a validity period of five years from the date of LUT and the Development Commissioner shall satisfy himself of genuine nature of the lease.)

(a) Please indicate if the proposed location is in a Centrally Notified Backward Area [Please tick ( ) the appropriate entry].

No.______________ Yes____________ if yes, indicate category

(b) Indicate whether it is within 25 Kms from the periphery of the standard urban area limit of city having population above one million according to 1991 census.

Yes____________ No. ______________

(c) Is it located in an Industrial Area/Estate designated/set up prior to issuance of Notification No. 477 (E) dated 25th July,1991.

Yes ___________No. _______________

(d) If not, does it come under the category of non-polluting industries as notified by the Govt.

Yes ____________No. _______________

V ITEM (S) OF MANUFACTURE/SERVICE: (Including By-producUCo-products)
(if necessary, additional sheets may be attached)

ltems(s) Description Capacity (Unit =) Item Code (ITC HS code No) (Not required for service unit)
-------------------- ----------------- ----------------------------
--------------------- ---------------- ----------------------------
--------------------- ---------------- ----------------------------

V-A Intermediate Products, if any, which are to be taken out for job work abroad as part of production process.

ltem(s) Description Quantity Item Code(ITC HS Code No.)
(Not required for service unit)_______________ ______________ _______________________
_______________ ______________ _______________________
_______________ ______________ _______________________

VI. PRODUCTION (In case of more than one item, supplementary sheets may be used)
Quantity (Unit _____________) (Value (In Rupees) (Not required for service unit)

1st year ___________________ ________________
2nd year ___________________ ________________
3rd year ___________________ ________________
4th year ___________________ ________________
5th year ___________________ ________________

VII. Indigenous Requirement:

(Value in Rupees)

a) Capital Goods
b) Raw material, components, consumables, packing material, fuel etc. during the period of 5 years

TOTAL:

VIII. FOB VALUE OF EXPORTS(1 $ = Rs.) Rupees (lakhs) US $ (Thousand)

IX INVESTMENT:

(RS. IN LAKHS)

(a) Land _______________________

(b) Building _______________________

(c) Plant and Machinery _______________________

(i) Indigenous _______________________
(US $ Thousand)
(ii) Import CIF value _______________________

(iii) Total (i) + (ii) _______________________

(d) Details of source(s) of finance, (both Indian as well as foreign) for the above investments

X. WHETHER FOREIGN TECHNOLOGY AGREEMENT IS ENVISAGED

(Please tick ( V ) the appropriate entry )

Yes___ ___ No ___ ___

(I) Name and Address of foreign collaborator_______________
(ii) Terms of collaboration (Rupees lakhs)

(Gross of Taxes)

(a) Lumpsum payment ________________
(b) Design & Drawing fee ________________
(c) Payment to foreign technician ________________
(d) Royalty (on exports) ________________%
(e) Royalty (on DTA sales if envisaged)
(f) Duration of agreement ______________(No .of years)

XI. EQUITY INCLUDING FOREIGN INVESTMENT

(i)
($ Thousand) (Rs.lakhs)

(a) Authorized ____________ ____________

(b) Subscribed ____________ _____________

(c) Paid up Capital _____________ _____________

Note: If it is an existing company, please give the break up of the existing and proposed capital structur

(ii) Pattern of share holding in the paid-up capital (Amount in Rupees)

(Rs. in lakhs) (US $ Thousand)

(a) Foreign holding ______________ ______________________

(b) Non Resident Indian company/ Individual holding

(i) Repatriable_____________________________________________

(ii) Non-repatriable__________________________________________

(c) Resident holding_____________________________________________

(d) Total (a+b (i+ii)+c) equity_______________________________________

(e) (iii) External commercial Borrowing______________________________

Foreign Exchange Balance sheet:

XIV. REJECTS (Only for EOU manufacturing units.)

Generation of Rejects/Sub-standard__________ ___________________
finished goods __________ ___________________
(percentage of 5 yrs production)

Goods (In case rejects are more (Qty.(Unit = )
than 5% estimated percentage _____________ ________________
with justification may be given _____________ ________________
Value (Rs. Lacs)

XV. EMPLOYMENT

(All figures in number)

Existing Proposed

----------- -----------

a) Supervisory Men_______________ _____________
Women_____________ _____________

b) Non-supervisory Men________________ ______________
Women_____________ ______________

XVI. NET FOREIGN EXCHANGE EARNING

Average NFE on FOB value of exports in
Block period, as per para 6.04 of FTP.

XVII. MARKETING

a) Whether marketing tie-up/Buy-back______ _______
envisaged/finalized (Attach documents, ____ _______
if any) Yes No
G.C.A. R.P.A.
______ ______

b) Destination of exports (in percentage) _______ _______

XVIII OTHER INFORMATION

i) Any special features of the project proposal ______________ which you want to highlight ________________

(please attach the project report, for new units)
___________________
___________________
___________________

ii) (a) Whether the applicant has been issued any ______________ Industrial license or LOI/LOP under EOU/ ______________ STP/EHTP scheme if so, please ______________ give full particulars especially reference number, date of issue, items of manufacture and progress of implementation of each project.

(b) Whether the applicant has submitted any ________________ other application for LOI/LOP which is ________________ pending with the Board of Approvals. If so, please give particulars like reference number, name under which application made, items of manufacture etc.

iii) Whether the applicant or any of the ________________ partners/Directors who are also partners ________________ /Directors of another company or its associate concerns are being proceeded  against or have been debarred from getting any License/Letter of Intent/ Letter of Permission under the Export and Import (Control) Act, 1947/Foreign Trade (Development and Regulation) Act, 1992, as amended/ FEMA / CGST/SGST/UTGST/IGST Acts of 2017 I Custom/Central Excise Act.

Place __________ Signature of the Applicant ____________

Date ______ Name in Block Letters ___________

Designation _____________

Official Seal/Stamp ___________ Tel. No. ______________
e-mail ______________
Web-Site, if any _______________
Full Residential Address _________

DECLARATION/ UNDERTAKING

1 I/We hereby declare and 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 Act 1944,

(iii) Foreign Trade (Development & Regulation) Act 1992,

(iv) The Foreign Exchange Management Act,1999, and

(v) Under the relevant provisions of GST /CGST/SGST / UTGST/IGST Acts of 2017

B. 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 I Trustee in any other firm/ Company which is on the Denied Entity List (DEL) of DGFT;

C. neither the Registered Office/ Head Office of the firm/ company 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/ export under any of the provisions of the Policy;

D. we have not obtained nor applied for issuance of an Importer Exporter Code Number in the name of our Registered/ Head Office or any of our Branch(s) / Units(s) / Division(s) to any other Licensing Authority

2. I/We undertake to abide by the provisions of the Foreign Trade (Development and Regulation) Act, 1992, as amended from time to time, the Rules and Orders framed there under, the Foreign Trade Policy, the Handbook of Procedures and the ITC (HS) Classification of Export & Import Items.

3. I/We hereby declare that the above statements are true and correct to the best of my/our knowledge and belief. I/We will abide by any other condition, which may be stipulated by the concerned Development Commissioner. I/We fully understand that any Permission Letter granted to me/us on the basis of the statement furnished is liable to cancellation or any other action that may be taken having regard to the circumstances of the case if it is found that any of the statements or facts therein are incorrect or false. An affidavit duly sworn in support of the above information is enclosed.

4. I/We fully understand that any information furnished in the application 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.

5 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.

6 I hereby certify that I am authorized to verify and sign this declaration as per Paragraph 11.06 of the Policy

Place:__________ Signature of the Applicant _______________

Date:___________ Name in Block Letters _________________
Designation _________________
Official Full Official address _________________
_________________

Seal/Stamp ____________ Tel. No. __________________
e-mail Address __________________
Web-Site __________________
Full Residential address __________________

Tel. No __________________

SOME IMPORTANT GUIDELINES

1. Additional Information may be furnished by existing domestic units seeking conversion into the EOU Scheme as per annexure.

2. Normally raw material tie-ups are not insisted upon but this may be necessary in cases, such as granite/marble/sandstone products where availability of raw materials is contingent upon Government leases etc.

3. Normally lumpsum amount up to US$ 2 Million and 8% royalty (net of taxes) as amended from time to time over a period of five years from the commencement of production is allowed as per the current EOU Scheme on account of foreign technology agreement as per the norms of Department of Industrial Policy and Promotion. In addition selling agency commission is permitted as per RBI norms.

ANNEXURE

PROFORMA TO BE FILLED IN BY THE EXISTING DTA UNITS SEEKING CONVERSION INTO THE EOU SCHEME

Date________

Place________

Signature_________________

Name ___________________

Address of the Applicant______