APPENDIX - 7

APPLICATION FORM FOR ISSUE OF IMPORT CERTIFICATE UNDER INDO-US MOU

---

NOTE: Please see Paragraph 2.11 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.	:	Yes/No
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 _________________ (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. 

                 

Place ..........	Signature	..........................
Date ..........	Name in Block Letters	..........................
	Designation	..........................
	Full office address	...................................... ........................................
	Telephone No. Fax No.	.......................... ..........................
	E-mail no.	..........................

(To be signed by authorised representative)

---

ANNEXURE TO APPENDIX - 7

No.DGFT ......... /2002-03

GOVERNMENT OF INDIA
IMPORT CERTIFICATE

1. Exporter (Name & Address)

.................................. .................................... ....................

2. Importer (Name & Address)

.................................. ................................... .....................

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