APPENDIX - 19
APPLICATION FOR GRANT OF EXPORT HOUSE/TRADING HOUSE/STAR TRADING HOUSE/SUPER STAR TRADING HOUSE
Note:
- Please see Paragraph 12.5 of the Policy and Paragraph 12.2 of this Handbook.
- Please read the general instruction given at Appendix 1 before filling this application.
- Please submit 2 copies of this application form.
FOR OFFICIAL USE
File No.:-------------------------------- Date:--------------------
1. Name and address :
2. I E Code Number :
3. Application for EH/TH/STH/SSTH :
4. Branches (In India/Abroad) :
S.No. Name of the Place/Country Code
5. Subsidiary Company:
S.No. Company Name
- Details of Last three Export House/Trading House/ Star Trading House/Super Star Trading House Certificates issued earlier (if any).
|
| S.No. | Certificate number and date | Validity |
| | | From | To |
Part - I
7. Statement of Export (Licensing year wise) : (applicable for FOB criterion only).
| Licensing year | Category of Exports | Export product group | Description of items exports | Country wise exports | FOB value of exports |
| | Non SSI | | | | |
| | Items reserved for SSI | | | | |
| | Handloom | | | | |
| | Handicraft | | | | |
| | Hand knotted carpet | | | | |
| | Silk products | | | | |
| | Exports to notified countries | | | | |
| | Exports of products manufactured in North East | | | | |
| | Exports of products manufactured in Jammu & Kashmir | | | | |
| | Exports of fruits/vegetables/floriculture/horticulture products | | | | |
| | Export of ISO 9000 (series) or equivalent product. | | | | |
| | Export of products with international bar code | | | | |
| | Items not reserved for the SSI but manufactured by SSI units
(This row has been added vide Public Notice 11/(RE-01)/97-02, Dt. 1/5/2001) | | | | |
Note:The export performance of the Subsidiary Company of the exporter should be indicated separately in the above format. If such cases the applicant shall produce documentary evidence as per the Company Law substantiating that the company whose exports are taken into account is actually the applicant"s subsidiary Company.
PART - II
8. Statement of Export (Licensing yearwise) (applicable for NFE criterion only)
| Licensing year | Category of exports | Export product group | Description of items exported | Export product code | Countrywise exports | For value of exports |
| 1 | 2 | 3 | 4 | 5 | 6 | 7 |
| | Non SSI | | | | | |
| | Items reserved for SSI | | | | | |
| | Handloom | | | | | |
| | Handicraft | | | | | |
| | Hand knotted carpet | | | | | |
| | Silk products | | | | | |
| | Exports to notified countries | | | | | |
| | Exports of products manufactured in North East | | | | | |
| | Exports of products manufactured in Jammu & Kashmir | | | | | |
| | Exports of fruits/ vegetables/Floriculture/horticulture products | | | | | |
| | Export of ISO 9000 (series) or equivalent products | | | | | |
| | Export of products with international bar code | | | | | |
| | Items not reserved for the SSI but manufactured by SSI units
(This row has been added vide Public Notice 11/(RE-01)/97-02, Dt. 1/5/2001) | | | | |
| CIF value of all licences issued (licensing yearwise) plus 2.5 times of the DEPB value issued plus CIF value of duty free gold/silver/ platinum obtained from nominated agencies except EPCG licences and licences surrendered within the period of their validity | Total of columns (8+9) | NFE as per paragraph 12.6 of the Policy (col.7-10) | Admissible wastage (Apply Single/double/ triple as per category of exports | NFE after weightage |
| By the firm | By Subsidiary Company | | | | |
| (8) | (9) | (10) | (11) | (12) | (13) |
| | | | | | |
DECLARATION
===========
I/We hereby declare that this application is based on the export performance of the preceeding three licensing years / preceeding licensing year on FOB/NFE basis.
I/ We hereby declare that the FOB value of Exports of Products shown above are our direct exports and also the direct exports of our subsidiary company and are true and correct and are in accordance with the accounts maintained by me/ us.
I/We hereby further declare that for the export product for which double/triple weightage has been claimed are classified as products manufactured by and reserved for SSI or belonging to handloom/ handicrafts including sports goods/hand-knotted carpets/Silk products/Notified countries in terms of Appendix-33 and items manufactured in North-Eastern states/Jammu & Kashmir(Strike out whichever is not Applicable).
- **
- I/ We hereby declare that FOB value of exports/ Net Foreign Exchange of products shown above are our direct exports. I/ We hereby further declare that for the items of exports for which double/triple weightage has been claimed have been Manufactured by and reserved for the small scale industry and for which the triple weightage has been claimed for the export products viz. hand-knotted carpets, silk products have been manufactured by the handlooms and handicrafts sector.
I/ We further certify that I/We am/are authorised to verify and sign the statement on behalf of the applicant.
I/We fully understand that any information furnished in the above statement, if proved incorrect or false, will render me/us liable to face any penal action or other consequences as may be prescribed in law or otherwise warranted.
I/ We further declare that I/We has/have not applied nor obtained any recognition certificate as Export House/Trading House/ Star Trading House/Super Star Trading House from any other authority.
Signature______________________
Name in Block letters ____________
Designation____________________
Place___________ Full Official
Address_______________________
Official
Date____________ Stamp/ Seal
Full Residential Address__________
E.Mail No._____________________
* applicable for FOB criterion
** applicable for NFE criterion
CERTIFICATE OF CHARTERED ACCOUNTANT/COST AND WORKS ACCOUNTANT/COMPANY SECRETARY
I/We hereby confirm that I/We have examined the prescribed registers and also the relevant records of M/s......................... and their subsidiary company (applicable for FOB criterion only) namely M/s.............. for the licensing period(s) ............. and hereby certify that :
- M/s ................................ and their subsidiary company applicable for FOB criterion only) namely M/s....................(full name and address of the applicant) have made the exports for each of the three preceding licensing years/ during the preceding licensing year as specified in the statement of exports at Sl.No.7.
- The following documents/ records have been furnished by the applicant and their above mentioned subsidiary company and have been examined and verified by me/us namely :-Export Order/Contract, Shipping Bills, Bill of Lading (and/or Airways Bills/PP Receipts), Customs/Bank attested Invoices, Bank Certificates of exports made in their own name and connected books of accounts.
- The net foreign exchange has been arrived at by deducting the following from the FOB value: (applicable for NFE criterion only)CIF value of all licences issued (licensing yearwise) plus 2.5 times of the DEPB/DFRC issued plus CIF value of duty free gold/silver/ platinum obtained from nominated agencies both by the exporter and its Subsidiary Company except EPCG licences and licences surrendered within the period of their validity To this effect, I/We have examined and verified all the relevant documents like import licences, Bills of Entry, invoices, letters of credit etc.’
- The relevant register has been authenticated under my/our seal/ signature.
- The FOB value of products manufactured by and reserved for SSI , Handloom, Handicraft Sub-Sectors including Sports Goods, Hand-Knotted Carpets, Silk Products, North Eastern state, Jammu & Kashmir and Exports Notified Countries in Appendix-33, fruits, vegetables, floriculture, horticulture, products with ISO 9000 9( series)or equivalent quality, bar coded products as shown in the statement of exports at Sl.No.7/8 is correct.
- The financial information given in the above statement is in agreement with the relevant register and records; the same has been incorporated in the books of accounts maintained by M/s.............and their above mentioned subsidiaries ; and is also true and correct.
- It has been ensured that the information furnished is true and correct in all respect; no part of it is false or misleading and no relevant information has been concealed or withheld;
- Neither I, nor any of my partners is a partner, director, or an employee of the above-named entity or its associated concerns;
- I/We further certify that M/s.................... has realised 95% or more of the export proceeds in respect of exports made by him in the preceding three licensing years (excluding the export made during last six months from the date of filing of application) on the basis of which recognition is being claimed. I/We hereby certify that the total value of outstanding export proceeds beyond a period of 6 months from the date of export made by the applicant
- I/we fully understand that any statement made in this certificate, if proved incorrect or false, will render me/us liable to face any penal action or other consequences as may be prescribed in law or otherwise warranted.
Signature.............................
Place..........
Registered............................
Official
Date........... Stamp/ Seal
Regn. No. and Date of the
Corporate
Membership..........
If any of the documents of record mentioned in item (ii) of the certificates have not been
maintained/furnished, examined or verified, they may please be specified below:-
1.
2.
3.
Documents to be enclosed with the application form:
1. Self certified copy of valid RCMC.
2. A certificate from Chartered Accountant/Cost and Works Accountant certifying the export/
import performance in the prescribed format.
3. Self declaration regarding irrevocable option to claim the benefit either on FOB or on NFE basis.
Current residential address : Current official address :
Phone No. : Phone No. :
Fax No. : Fax No. :
E-Mail address : E-Mail address :