APPENDIX -10C

APPLICATION FORM FOR DUTY ENTITLEMENT PASS BOOK (DEPB) ON POST EXPORT BASIS



Note:

    1. Please see Paragraph 4.43 of this Handbook

    2. Please read the general instructions given Appendix 1 before filling this application.

    3. Please submit 2 copies of this application form.

FOR OFFICIAL USE


File No........................... Date.........................


IEC Number : …………………... Branch Code : ………………..

1.Name and address of the Applicant :...............................
2.FOB value of exports:In figures: Rs.................
In words : Rs.................
The FOB value of exports at S.No 2 and Columns (10) & (11) of the Table at S.No 7 of Appendix would be inclusive of commission.

(This is to clarify that the DEPB rate would be computed on the FOB value including commission)

(Clarify that the DEPB rate would be computed on the FOB value including commission vide PN. No. 12(RE-02), Dt. 2/5/2002)
3.Total DEPB entitlement claimed :In figures: Rs.................
In words : Rs.................
4.Application feeBank receipt /EFT/DD No. Issued by : Rs. ...........................
Dated .............................
...........................
5.Port of Registration:...............................
6.Application for Transferable License ::Yes/ No

7 Details of exports made

S.No.S.Bill No +Date +Port of ExportDate of Let export orderBRC No + DateInvoice No.S.No. of InvoiceProduct GroupDEPB S.No. Item Description
(1)(2)(3)(4)(5)(6)(7)(8)(9)
         

FOB In Free Foreign Exchange Exchange Rate on the date of let export orderTotal FOB (In Rs.)Computation of Capped Value
Currency CodeValue [(11)*(12)]Unit of Measurement in the unit of Value capExport Qtyin U/MValue CapFOB per U/M[(13)/(15)]Capped Value [minimum of (16) & (17) ] or (17) as the case may be*
(10)(11)(12)(13)(14)(15)(16) (17)(18)
         

(The FOB value of exports at S.No 2 and Columns (10) & (11) of the Table at S.No 7 of Appendix would be inclusive of commission.

(This is to clarify that the DEPB rate would be computed on the FOB value including commission))

(Clarify that the DEPB rate would be computed on the FOB value including commission vide PN. No. 12(RE-02), Dt. 2/5/2002)

DEPB Rate(in %)DEPB Entitlement (without cut)(15)*(18)*(19)/100 Cut Applicable if any (in %)Actual DEPB Entitlement(20)*{1-[(21)/100]}
(19)(20)(21)(22)
    

* In case there is no value cap on the product, the capped value would be equal to the FOB value per unit of measurement (U/M) as at column (17) of the table above. Else it would be the minimum of columns (16) and (17).

DECLARATION/UNDERTAKING


(1) 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 therefrom.

(2) I/We fully understand that any information furnished in the application if proved incorrect or false will render me/us liable for any penal action or other consequences as may be prescribed in law or otherwise warranted.

(3) I/We undertake to abide by the provisions of the Foreign Trade (Development and Regulation) Act, 1992, the Rules and Orders framed thereunder, the Export and Import Policy and the Handbook of Procedures.

(4) I/We hereby declare that no DEPB has been claimed earlier pertaining to the particulars of the Shipping Bills given above.

(5) I/We further declare that no export proceeds are outstanding beyond the prescribed period as laid down by the RBI, or such extended period for which RBI permission has been obtained.

(6) I hereby certify that I am authorised to verify and sign this declaration as per Paragraph 9.9 of the Policy.

(7) I/We further declare that in case of non realisation of export proceeds or lesser realisation of export proceeds, we shall pay, in cash, an amount equivalent to the DEPB entitlement already obtained on the non realised or lesser realised value of export proceeds together with 15% interest reckoned from the date of duty free imports effected under DEPB to the date of payment.

Signature of the Applicant:..............


Name: ..................
Designation: ..................
Official address: ..................
..................
Tele No: ..................
Residential address: ..................
E.Mail address ..................

Date:
Place :

Documents to be enclosed with the application form

    1. Bank Receipt (in duplicate)/Demand Draft evidencing payment of application fee in terms of Appendix-29.

    2. E.P Copy of DEPB shipping Bills. In case of exports through notified land Customs under paragraph 4.40, the Bill of export may be accepted in lieu of shipping bill.

    3. Bank Certificate of Exports and Realisation as given in Appendix 22 or Foreign Inward Remittance Certificate (FIRC) in the case of direct negotiation of documents. In case of FIRC, a declaration from the exporter that the remittance is in respect of Shipping Bill(s) No ____________ dtd _________ shall also be furnished.

    (Above S.No. 3. has been amended vide PN No. 25/2002-07, Dt. 17/07/2002)

    [OLD
    3. Bank certificate of exports and realisation as given in Appendix-22. ]