APPENDIX - 11I

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FORM OF APPLICATION FOR APPROVAL OF BRAND

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1.	Please see Paragraph 14.4 of the Policy and paragraph 14.5 of the Handbook. 

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

3.	Please submit 5 copies of this application form.

FOR OFFICIAL USE

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


1.	Name and address of the applicant 		:	......................................
							......................................
							......................................	

2.	IEC Number				:	.................................................

3.	(i)	Specify the export product(s) for 	:	.................................................
		which brand is to be approved.	
	(ii)	Export Product Group		:	.................................................
	
	(iii)	S.No. in the DEPB rate list  		:	.................................................
		(As given in Appendix–28A)

	(iv)	Value Cap for export product  	:	.................................................
		(per unit)

	(v)	FOB value of export  product 	:	.................................................
		(per unit)

4.	Name of the brand(s)			:	.................................................

5.	Year of establishment of brand(s)		:	.................................................

6.	FOB value of exports during   		:	1998-1999    	Rs. _____________
	the preceding three				1999-2000    	Rs. _____________
	licensing year					2000-2001    	Rs. _____________

7.	FOB value of export  				1998-1999    	Rs. _____________
	product(s)under					1999-2000    	Rs. _____________
	the brand name					2000-2001    	Rs. _____________

8.	i)	Address of the factory		:	....................................................
							....................................................
							....................................................

	ii)	Type of unit ______________	Registration no ____________ date ____________

9.	Whether manufacturing unit  holds ISO 	:		Yes             	No.
	9000 (series) or equivalent quality certification.			c		c

10.	If yes, give details of the same.		:     Number __________________ date __________ 
						      Issuing authority __________________________

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 hereby certify that I am authorised to verify and sign this declaration as per Paragraph 3.8 of 
	the Policy.

(SIGNATURE OF APPLICANT)

Name in Block Letters  :...................
Designation       :...................
Official address     :...................
...................
Place : ...................
Date :        	
Residential address  : .................

E-Mail address: .........................

LIST OF DOCUMENTS TO BE ATTACHED

1.	Photocopy of manufacturing registration certificate.

2.	CA certificate in Appendix–26 certifying the FOB value of exports in preceding three licensing year 
	as well as a certificate certifying the FOB value of exports under the brand in preceding three 
	licensing year.

3.	Photocopy of ISO 9000 (Series) or any equivalent quality certificate, if applicable.  

4. 	Photocopy of the registration certificate or the receipt of submission of the application filed for 
	registration under the Trade and Merchandise Marks Act, 1958.