Note: 1. Please see Para 8.10 of the Policy and Para 8.21 of this Handbook. 2. Please read general instructions given at Appenedix - 1 before filing this application. ........................................................................... FOR OFFICIAL USE File No. :............................................. Date :............. ........................................................................... 1. Name and address of the :.................................... applicant ..................................... ..................................... 2. IEC No. ...................................... 2(A)PAN Number :..................................... 3. In case the applicant is an 100% subsidiary company applying in lieu of a company eligible for Bulk licence, indicate:- (a) Name and address of the :.................................... eligible Company (b) Name of Directors of :.................................... the eligible Company ..................................... ..................................... ..................................... Year FOB value FOB value (in Rs.) (in US$) 4. The f.o.b. value of export ....................................... of cut and polished diamonds during the preceding three ....................................... licencing years. ..................................... ..................................... Year Turnover Turnover in Rs. in US$ ..................................... 4A. In case of an overseas company with its Branch Office in India, the value ..................................... of turnover in diamonds during the preceding 3 ...................................... licensing years Lic.No. date CIF value 5. Particulars of the bulk ..................................... licence, if any already ..................................... obtained by the eligible ..................................... company and the applicant. ..................................... 6. If answer to (5) above is in Against Against Dia- To EOU / EPZ affirmative, indicate the REP Lic. mond Imprest value of Rough Diamond servi- ced against such licence. 7. The cif value of the licence Rs.................................... applied for. 8. Application fee Rs........... Bank Receipt / Demand Draft No...................... Date ......................... Issued by .......................... 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 declare that the total fob value of exports indicated above are our direct exports. 5. *That the limited company M/s......................... and I / We as an 100% subsidiary of said company have given a joint declaration with the company binding towards liability of both the companies for the servicing of bulk licence. 6. I / We declare that outstanding realisation of export proceeds beyond 180 days does not exceed 10% of average exports of preceding three licensing years. I / We further declare that no export proceeds are outstanding beyond the period of one year or such extended period for which RBI permission has been obtained. 7. I hereby certify that I am authorised to verify and sign this declaration as per Paragraph 3.8 of the Policy. *Applicable in case the applicant is a 100% subsidiary of the company. Place : Signature of the Applicant :................ Date : Name: ...................... Designation: ....................... Official Address: ....................... ....................... Email Address :......................... Tele.No.: Residential Address: ....................... ........................................................................... Documents to be enclosed with the application form: ........................................................................... 1. Bank Receipt (in duplicate) / Demand Draft evidencing payment of application fee in terms of Appendix-34. 2. Statement of exports of cut and polished diamonds made during the preceding three licensing years duly certified by a Chartered Accountant / Cost and Works Accountant. 3. Proof of servicing of rough diamonds against the previous bulk licence . 4. Memorandum of Understanding and Article of Association of both the eligible company for bulk licence and its 100% subsidiary company which is the applicant applying for bulk licence. 5. Joint declaration in the format given in the Annexure attached to this Appendix. 6. Statement of turnover of Cut & Polished diamonds during the preceding three licensing years duly certifiedby the Chartered Accountant / Cost & Works Accountant (in case of overseas companies) ANNEXURE TO APPENDIX-15 C ................................. (PROFORMA OF THE JOINT DECLARATION TO BE FURNISHED UNDER PARAGRAPH 8.21 OF THIS HANDBOOK) We, M/s .......................................... (Name and address of the exporting company) hereby declare that M/s. ............................................. (Name and address of the applicant) is fully owned by us and is our 100% subsidiary company. 2. Our average export performance of cut and polished diamonds during the preceding three licensing years is Rs...................... We are entitled for issue of Bulk l icence for rough diamonds. 3. We hereby renounce our eligibility under the Export and Import Policy 1997-2002 for grant of Bulk Licence for the licensing year and authorise M/s............................. (Name and address of the applicant) to apply for issue of Bulk Licence in lieu of our making an application for Bulk Licence. 4. We hereby undertake to fulfill all the conditions of the Bulk Licence and the Export and Import Policy 1997-2002 and Handbook of Procedure (Vol.1), 1997-2002 if given to M/s..................... (Name and address of the applicant). 5. We hereby undertake that, in addition to the applicant, we shall also be liable to action if any information furnished by the applicant or ourselves is found to be false or misleading or concealed. We shall also be liable for penal action in case there is any violation or contravention or non-fulfilment of the condition of the Bulk licence. 6. I hereby certify that I am authorised to verify and sign this declaration as per Paragraph 3.8 of the Policy. Signature :.......................................... Name :.......................................... Official Address and Tel.No. :.......................................... Residential address :.......................................... E. Mil Address :.......................................... (For the eligible company) Date :........ Place :........ 7. We, M/s............................... (Name and address of the applicant) hereby declare that this company is an 100% subsidiary of M/s.............................. (Name and address of the exporting company). We hereby declare that the a foresaid information / declaration, etc., is correct to be best of our knowledge and belief. 8. I hereby certify that I am authorised to verify and sign this declaration as per Paragraph 3.8 of the Policy. Signature of the Applicant :............................... Name :............................... Designation :............................... Official Address :............................... E.Mail Address :............................... Tel.No. Residential address :............................... Date :........ Place :........