DGFT Hand Book of Procedures Forms & Appendix (wef 01/04/2023) ANF 10G

Printed ANFs are indicative only. Wherever required, these are mandatorily to be filed on Portal only.

ANF-10G

APPLICATION FORM FOR EXPORT OF SCOMET ITEMS COVERED UNDER GAED POLICY AND LISTED IN CATEGORY 5B(a)(ii) of APPENDIX 3 TO SCHEDULE 2 OF ITC (HS) CLASSIFICATION OF EXPORT AND IMPORT ITEMS

[Please see guidelines at the end before filling the application]

1. Applicant Details:

i. IEC

ii. Name

iii. Address

Flat/Plot/Block No.

Street/Area/Locality

City

State

PIN Code

iv. Tele No.

(1)

Country Code

Area Code

Tel. No.

(2)

v. Fax No.

Country Code

Area Code

Fax No.

vi. E-mail address where authorization to be sent

E-mail(1)

E-mail(2)

2. Details of SCOMET items in Appendix 3 to Schedule 2 of ITC (HS) Classifications of Export & Import Items applied for export: (If required, attach extra sheet (A4 size) in the same format)
Sl.	SCOMET	SCOMET	Description	ITC (HS)	Quantity	Total FOB Value
No.	Category i.e. 1B, 1C, 2, 3, 4,5 and 7	Item No	of export item/s including technical specification	Code No.(if available)
						In relevant Foreign Currency	In Rupees	In US$

3.Details of exports of SCOMET items in the preceding 3 licensing years .(Details of the export last made ,if no export was made during the preceding licensing year): ( If required, attach extra sheet (A4 size) in the same format)
Sl. No.	Export License No. & Date and Issuing Regional Authority	Details of items exported		Quantity exported	Country To which exported	DGFT’s(HQ’s) File Number
Sl. No.	Export License No. & Date and Issuing Regional Authority	Category	Description	Quantity exported	Country To which exported	DGFT’s(HQ’s) File Number

4. Shipment Details:
i. Port of Loading/Shipment
ii. Port of Discharge
iii. Country to which item to be exported
iv. Ultimate Destination Country

5. Purpose of Export (please tick and give clarification if any):
Trade
Sample
Display/Exhibition

6A. Foreign Buyer Details:

i. Name

ii. Address

Flat/Plot/Block

No.

Street/Area/Loca

lity

City

Country

Postal Code

iii. Telephone No.

(1)

Country Code

Area Code

Tel .No.

(2)

iv. Fax No.

Country Code

Area Code

Fax No.

v. E-mail

vi. Export Order No. and date

6B. Consignee Details: (If same as Foreign Buyer write “SAME” as in 6A”)

i. Name

ii. Address

Flat/Plot/Block No.

Street/Area/ Locality

City

Country

Postal Code

iii. Telephone No.

(1)

Country Code

Area Code

Tel. No.

(2)

v. Fax No.

Country Code

Area Code

Fax No.

vi. E-mail

6C. End User Details:(If same as Foreign Buyer and /or Consignee write “Same as” in 6A and/or 6B”as the case

maybe)

i. Name

ii. Address

Flat/Plot/Block No.

Street/Area/Locality

City

Country

Postal Code

iii. Telephone No.

(1)

Country Code

Area Code

Tel .No.

(2)

iv. Fax No.

Country Code

Area Code

Fax No.

v. E-mail

vii. End product for which the item of export will be used by the end user

viii. Purpose for which the end product will be utilized

ix. Is end user an entity of Government of destination country?

x. Manufacturing / Business

/other activity of the end user

7. Details of Banks through which financial transactions relating to this export will be executed:

a. In Destination Country

i. Name of the Bank

ii. Address of the Bank

Flat/Plot/Block No.

Street/Area/Locality

City

Country

Postal Code

ii. SWIFT Code:

iii. IBANK

B. In India

i. Name of the Bank

ii. Address of the Bank

Flat/Plot/Block No.

Street/Area/Locality

City

State

Code

ii. IFSC Code

8. If applied for export on repeat basis in the same licensing year for same product , same end use and to The same end user, please furnish:

i. Reference Number and date vide which earlier permission was granted

ii. Export License number and date

iii. Quantity allowed for export

iv. Quantity exported on the date of this application

9. Details of Producer / Manufacturer of the item to be exported:
i. Name
ii. Address	Flat/Plot/Block No.
	Street/Area/Locality
	City
	State	PIN Code

10. Period during which the item is proposed to be exported from India

For Use in DGFT office only (To be filled by the applicant). 11 A. Application Submission Details(if submitted electronically):
i. ECOM Reference Number
ii. Date of Submission on Server
iii. Submitted to which Regional Authority
iv. File Number & Date of Issue
v. Application Fee submission details viz. Amount in Rupees, Demand Draft No./Electronic Fund Transfer No. and Date and the name & branch of the bank on which drawn
11B. Jurisdictional Regional Authority:

11.C Specifications
(i) Aerosol dispensing system/mechanism capacity of the Product (in litres)
(ii) Range of the Product
(iii) Payload capacity of the Product
(iv) Altitude of the Product
(v) Endurance and Speed of the Product
(vi) Communication System
(vii) Encrypted or Unencrypted, GPRS or satellite based
(viii) Accuracy
(ix) Type/Use of the Product such as Surveillance, Reconnaissance drone etc.
(x) Other relevant details/description of the items that are intended to be exported under this authorization with relevant technical details / specifications, such as model, part number and other parameters etc.
(xi) The list of countries where the export is expected to be done under GAED

11.D The EUCs in prescribed Performa (Appendix 10N) are to be filled by all the entities involved in the chain of supply e.g. foreign buyer / consignee / end user / intermediary (ies) on the letterhead of the respective entity, duly signed in ink and stamped by the authorised signatory of the company. In case of any additional sheet used along with the EUC, the same must be on the letterhead of the company and signed by the same person who signs the EUC.

DECLARATION / UNDERTAKING

I/We hereby certify that:
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 there from.
2. 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.
3. I/We undertake to abide by the provisions of the FT (D & R) Act, 1992, as amended, the Rules and Orders framed there under, FTP, HBP, Appendices and Aayat Niryat Forms and ITC (HS).
4. I/ We hereby certify that:
  1. The entity for whom the application has been made have not been penalized under any of the following Acts (as a mended from time to time):
    1. The Customs Act, 1962,
    2. TheCentralExciseAct1944,
    3. Foreign Trade (Development & Regulation) Act 1992, as amended , and
    4. The Foreign Exchange Management Act, 1999;
    5. The Conservation of Foreign Exchange, Prevention of Smuggling Activities Act, 1974
    6. Weapons of Mass Destruction& their Delivery Systems (Prohibition of Unlawful Activities) Act, 2005
  2. None of the Directors/Partners/Proprietor/Karta/Trusteesofthecompany/firm/HUF/Trust, (as the case may be), is/areaDirector(s)/Partner(s)/Proprietor/Karta/TrusteeinanyotherCompany/firm/entitywhichis on the Denied Entity List (DEL) of DGFT or is in the caution list of RBI;
  3. Neither the Registered Office of the company / Head Office of the firm / 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;
  4. We have neither obtained nor applied for issuance of an Importer Exporter Code Number in the name of our Registered/Head Office to any other Licensing Authority.
5. I / We hereby declare that I / We have neither obtained nor applied for such benefits (including issuance of an Importer Exporter Code Number) in the name of our Registered / Head Office or any of our Branch(s)/Unit(s)/Division(s) to any other Regional Authority.
6. We have complied with the conditions of all previous licences/ authorisations issued to us for export of SCOMET items and wherever required have duly intimated the o/o DGFT, New Delhi along with documentaryevidenceregardingreceiptoftheitemsofexportbytheend-userwithinthestipulatedtime.
7. I / We undertake to abide by the provisions of the FT (D & R) Act, 1992, as amended, the Rules and Orders framed there under, FTP, HBP and ITC (HS)and submit all requisite documents to the o/o DGFT (SCOMET Section), failing which I/We shall be liable to action under FT (D & R) Act, 1992 as amended or rules and orders made there under, and the CustomsAct,1962.
8. I hereby certify that I am authorized to verify and sign this declaration as per Paragraph 9.6 of the Policy.