Appendix-52

---

DATA SHEET FOR DEPB RATES

Note: Please see paragraph 7.53 of the Handbook (Vol. 1)


FOR OFFICIAL USE


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

1. Name of the applicant
   
   
2. IEC No.
   
   
3. Address :
   
   
4. Item of export for which fixation of DEPB rate is sought.
   
   

   Description of Item of export	Sl.No. in Handbook (Vol.2)	Inputs allowed
   		Description	HS(Code)	Basic Customs Duty

   
   
   
5. Total exports effected during preceding three licensing year
   
   

   Year	FOB value ( Rs.)

   
   
   
6. Exports made during past one year of the item for which DEPB rate is applied for.
   
   

   Item of Export	Quantity	FOB value (in Rupees)

   
   
   
7. Details of imports effected during the past one year of inputs allowed under Standard Input Output Norms (Handbook of Procedures -Vol.2)
   
   

   Sl. No.	Item of import	Bill of Entry No. and date	Quantity of import	CIF value	Per unit CIF value

   
   
   
8. Details of international journals/magazine evidencing international price of inputs in support of the data furnished above.

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 hereby declare that I/we have submitted a copy of the data sheet and supporting documents to ______Export Promotion Council/ Commodity Board on ______(Date).
   
   
5. 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.....................
								..............................................

1. Submit in duplicate, Appendix I-A of Handbook of Procedures (Vol.1) alongwith the data sheet.
   
   
2. In support of data furnished at S.No. 7, 8 and 9 of the data sheet, copies of a minimum of 5 Shipping Bills /Bills of Entry need to be submitted for each item of export/ import during the past one year. This may however be restricted to two Shipping Bills /Bills of Entry/ per month for exports/ imports effected during the past one year.
   
   
3. International price of items of import as obtained from international journals/ magazines is to be submitted only in support of actual imports as detailed at S.No.8 and 9 of the data sheet.
   
   
4. 25 copies of the data sheet is to be submitted. However, only two copies of the supporting documents viz. relevant Shipping Bills/Bills of Entry is to be submitted in support of all the data as furnished by the applicant on the data sheet.
   
   
5. If the applicant has insufficient data on the items of import/export, he may also submit data and documents of other exporters of the same export product.
   
   
6. A copy of the Data Sheet and supporting documents should simultaneously be submitted to the concerned Export Promotion Council /Commodity Board.
   
   
7. The DEPB rate shall be fixed only for those products for which Standard Input Output Norms have been notified. In case of an export product for which Standard Input Output Norms is not fixed, the applicant has to first apply for fixation of SION.