APPENDIX - 7
APPLICATION FORM FOR ISSUE OF IMPORT CERTIFICATE UNDER INDO-US MOU
Note : Please see
Para 4.13 of this Handbook.
FOR OFFICIAL USE
File No................ Date..............
1. (a)Name of the Undertaking with
Address of Head Office. ........................................
(b)Location of factory
2. Name of the sponsoring Directorate ........................................
in ICIA
3. Name and address of the US Exporter .......................................
4. Items of import for which Import Certificate is required :
| S.No | Details of item | Quantity | CIF Value |
| | | | |
5. If required for manufacture :
(a) Details of the Industrial Licence / SIA Regn. / DGTD
Regn. / SSI Regn. No. ................................
(b) End Product as given in the Industrial Licence / DGTD /
SSI Regn. No. .......................................
(c) Actual item of manufacture : ........................
6. If required for R&D:
(a) Details of the Registration with Department of Science & Technology alongwith validity.
.....................................................
(b) Specific project for which the item is proposed for import.
.....................................................
7. If required for other Actual Users (Non-Industrial) :
(a) Nature of the concern. ..............................
(b) Type of Registration certificate held with photocopy thereof.
...................................................
(c) Photocopy of permission letter of the local / municipal body.
8. (a) Whether the item given in col.4 above is CG ? Yes / No
(b) Whether the item given in col.4 above is raw-material? Yes / No
(c) Is the item covered under the Restricted list of ITC(HS)? Yes / No
(d) If covered by Restricted List, furnish details of the
application submitted to the licensing authority
concerned for the grant of import licence.
.....................................................
.....................................................
9. Copy of the letter from the US supplier in support of the request for Import Certificate and the
reference No. of the controlled commodity / munitions list of the US Export Administration
Regulations:
..............................................................................................................................
Place .......... Signature ..................
Date .......... Name in Block Letters .....
Designation .................
Full office address .........
Telephone No. ..............
Fax No. .......................
UNDERTAKING BY THE INDIAN IMPORTER
In order to import above items, I Shri.......................... (designation) duly authorised by M/s ................(Name of the Organisation), a Government entity / Government controlled entity / private sector entity (Delete whichever is not applicable) hereby undertake :
- To import the item into India and not to redirect it or any part of it, to another
destination before its arrival in India.
- To provide, if asked, verification that possession of item was taken.
- Not to re-export the item without any written approval of Certificate Issuing Authority.
- Not to retransfer within India the item(s) specified in this certificate without the written
approval of the Certificate Issuing Authority.
- To obtain permission in writing from the Certificate Issuing Authority prior to any change
in end-user which shall be preceded by the new end-user notifying the Certificate
Issuing Authority that he / she agrees to the conditions contained in this document.
- The items being imported will / will not be integrated into Indian end-products to be exported.
Signature
Name in Block letters
Place ........... Designation
Date ............ Office Address
Tele:
Fax :
E. Mail No.
(To be signed by authorised representative)
ANNEXURE TO APPENDIX - 7
No.DGFT ......... /2001-02
GOVERNMENT OF INDIA
IMPORT CERTIFICATE
1. Exporter (Name & Address) ---------------------------------------------------
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2. Importer (Name & Address) ---------------------------------------------------
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| Description of Goods | Quantity | Value |
| | | |
| | | |
| | | |
It is certified that the importer named above has undertaken:
- To import the item into India and not to redirect it or any part of it, to another destination
before its arrival in India.
- To provide, if asked, verification that possession of the item was taken.
- Not to re-export the item without the written approval of the Certificate Issuing Authority.
- Not to retransfer within India the item(s) specified in this Certificate without the written
approval of the Certificate Issuing Authority.
- To obtain permission in writing from the Certificate Issuing Authority prior to any change
in end-user which shall be preceded by the new end-user notifying the Certificate
Issuing Authority that he / she agrees to the conditions contained in this document.
Date Official Seal Signature.................
Designation...............
Note : This import certificate is not a substitute for Import Licence in respect of the items mentioned as
restricted under ITC(HS) and an import licence, in addition to this Certificate, will have to be
obtained wherever required for such items.