APPENDIX - 12
FORM OF APPLICATION FOR REVALIDATION OF LICENCE/EXTENSION IN EXPORT OBLIGATION PERIOD OF A LICENCE.
Note: Please see
Paragraph 4.16, 6.15, 7.22 and
7.23 of this Handbook.
FOR OFFICIAL USE
File No.:------------------------------------------------- Date:--------------------------------
1. a) Name & address of the licensee : ...............................
...............................
b)IEC No : ...............................
2. (a) Licence No. & Date :................................
(b) CIF value :................................
(c) File No. from which the licence . : ..............................
was issued
3. Details of licence Utilisation of licence
| S.No. | Item | Quantity | Value | In % quantity terms | In % value terms |
| (1) | (2) | (3) | (4) | (5) |
a.
b.
c. | | | | | |
| | | | Total: ............. | |
| Export obligation | Export obligation completed (During initial period ...........) |
| S.No. | Item | Value | Quantity | Value terms (Rs./%) | Quantity terms (%) |
| (1) | (2) | (3) | (4) | (5) |
a.
b.
c. | | | | | |
| | | | | Total: ............................ |
| Export Obligation Completed(During extended period.......) | Unfulfilled Export Obligation |
| (6) | (7) | (8) | (9) |
| Value term(Rs./%) | Quantity term(%) | Value term(Rs./%) | Quantity term |
| | | | |
3 (b) Extension in Export obligation : ...............................
period applied upto
4. Validity of Licence :
| Initial validity | Extended validity | Revalidation applied upto |
| (1) | (2) | (3) |
| | | |
5. Bank Receipt/Demand Draft No : ............................................
Date: .................
Value: .................
Issuing Bank- ..................
Branch
6. Reasons for seeking revalidation/ ..................................
Extension in export obligation period:
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 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.
5. I hereby certify that I am authorised to verify and sign this declaration as per Paragraph 3.8
of the Policy.
Place : Signature of the Applicant:.............
Date : .................
Name : .................
Designation : .....................
Official Address : .....................
Tele.No : .....................
Residential Address : .....................
E.Mail 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 as applicable.
2. Import Licence in original and a self certified copy thereof.
3. DEEC Book (Part I) and (Part II) in original and a self certified copy thereof the licence is under
Duty Exemption Scheme.