APPENDIX - 10

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FORM OF APPLICATION FOR FIXATION/MODIFICATION OF STANDARD INPUT/ OUTPUT NORMS

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1. Please see Paragraph 4.9 and 4.10 of this Handbook.

2. Please read the general instructions given at Appendix-1 before filling this application.

3. Please submit 5 copies of this application form.

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FOR OFFICIAL USE

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

Date :....................

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PART 1 TO APPENDIX 10
(Application for fixation of Standard input-output Norms)

1.	Name and address of the applicant	: ........................................... ............................................. .............................................
2.	IEC Number	: ...........................................
3.	Resultant product	:............................................. .............................................
	Export Product Group	: ...........................................
4.	Details of Items required for manufacture of one Unit of Export Product:

(a) Imported inputs:

S.No.	Required import item			Quantity required per unit of resultant product	Purpose of requirement *	Wastage claimed (%age)on net content basis	Recoverable wastage/by product
	Description	Technical Character-istics	ITC(HS) Code				Name	Quantity	value

* Purpose of requirement should be indicated against each item whether the same is required as raw material/components/solvents/catalysts/packing material etc.

(b) Indigenous inputs

S.No.	Required import item			Quantity required per unit of resultant product	Purpose of requirement *	Wastage claimed (%age)on net content basis	Recoverable wastage/by product
	Description	Technical Character-istics	ITC(HS) Code				Name	Quantity	value

5. Production and consumption data of the manufacturer/supporting manufacturer (of preceding three licensing years duly certified by the Chartered Accountant/Cost and Works Accountant/ Jurisdictional Central Excise Authority):

Year	Total production of the resultant product	Quantity of different Items consumed	Quantity consumed/unit production
(1)	(2)	(3)	(4)

6. Details of earlier licences obtained (if any) for the resultant product during the preceding two licensing years.

S.No.	Licence no. date and issuing authority	Whether based on ALC/SALC norms (please specify enclosing a copy of licence	Norms adopted per unit resultant product (items No.in the same order as in S.No.4 above
(1)	(2)	(3)	(4)

7. Please furnish technical details as per Annexure-I depending upon the resultant product. Please confirm the same [ ]

(TO BE FILLED IN BY THE CHARTERED ENGINEER)

8 I have examined the applicant company"s import requirements of raw materials etc. with regard to their technical description/ specification and the quantity against each item of import and having due regard to proper technical norms of consumption and after technical scrutiny of relevant designs and drawings I hereby certify that they are correct in all respects and are actually required for the execution of the export item for which the application is made.

Signature of Chartered Engineer .....................
Name in Block Letters .....................
Designation .....................
Address .....................
Tel.No. .....................

Name and Address of the Institution	............................................................................... ...............................................................................
Ref. No. and Date of Corporate Membership	...............................................................................

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 hereby certify that I am authorised to verify and sign this declaration as per Paragraph 9.9 of the Policy.

(SIGNATURE OF APPLICANT)

Name in Block Letters :...................
Designation :...................
Official address :...................
...................

Place : ...................
Date :

Residential address :........................
........................
........................
E-Mail address: .......................

PART 2 APPENDIX - 10

(Application for Amendment/Modification of Norms)

1.	Name and address of the applicant	:............................................ ..........................................
2.	For amendment of export/import items	: Export item c Import item c
	(a) Specify the product group & Sl.No.in which amendment is required	Product group c
	(b) Amendments required for item of import/export	Sl.No. c

Resultant product	Items allowed	Items ought for inclusion/ deletion	Discrepancy in export/ import item description	Qty. sought for import per unit of export (for new item)
[1]	[2]	[3]	[4]	[5]

(c) For amendment of Quantities permitted

Resultant product	Import item(s) for which quantity sought to be revised	Quantity allowed	Qty. required
[1]	[2]	[3]	[4]

3.	Specific justification for amendment sought including the details referred to against S.No.4,5 and 7 of Part-I of Appendix-10.	: ...........................................
(If required, separate sheet may be attached)

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 hereby certify that I am authorised to verify and sign this declaration as per Paragraph 9.9 of the Policy.

Signature of the Applicant:..............
Name: (in block letters) .........................
Designation: .........................
Official Address: .........................
Residential: Address .........................
.........................
.........................
E-Mail Address : .........................

Place: .................
Date : .................

Annexure-I To Appendix- 10

(I) CHEMICALS PRODUCTS, DRUGS AND PHARMACEUTICALS

a) Step-wise Manufacturing Process.

b) Complete Chemical reactions with molecular and structural formula and molecular weights along with stage-wise % yields on molar basis.

c) Material balance (Stoichiometric Balance Details) for the entire manufacturing process.

d) Requirement and recovery of solvents used in the entire manufacturing process at each step.

e) Authentic technical literature/catalogue in support of percentage yield claimed in the entire manufacturing process.

f) Details of by-product/co-products formed in the above process with their quantities and values

g) Details of solvents charged, recovered and consumed in each step of the manufacturing process in terms of quantity and detailed reasons for the low recovery or non recovery of solvents wherever applicable to be invariably mentioned.

h) Collaborator’s guaranteed norms, if any.

i) Percentage purity of finished product and raw materials and percentage of any diluent/moisture etc. in the export product.

j) End use of the chemical intermediates being exported. In case of the dedicated drug intermediates for use only in bulk drugs, the name of the bulk drug where the same is to be used should be indicated.

k) Copy of the valid Drug Manufacturing Licence (DML) in case of drug formulations/ dosage forms and also for those bulk drugs approved for export purpose.

l) Standard technical literature pertaining to the process as well as yields in case of new drug molecules being exported. This technical material can be by way of standard references-Chemical Abstracts, Journal of Organic Chemistry and the like or copy of the relevant patent showing relevant reactions and yields.

m) Pharmaceutical references whether the export product is of USP, BP etc as per copy of export order showing the pharmacoepial specifications which are as per valid DML where State Drug Licencing Authority mentions the product as BP/ USP.

(II) ENGINEERING PRODUCTS

a) Model number, technical specification and specific quantity-both in terms of number (if any) and/or weight, of each export product (Column 4 of Appendix-10).

b) Details technical Note on manufacturing process.

c) Drawings/catalogues of each export product.

d) Weight of each product (if the inputs includes raw material).

IMPORT ITEMS

A. COMPONENTS

i) Technical characteristics/part numbers, if any.

ii) Assembly drawings/diagrams of the resultant product showing placement of components.

iii) Usage of the components.

iv) Weight of the components

v) Bifurcated quantities of components to be accounted for in the resultant product and the requirement of components as spares.

B. RAW MATERIALS/ CONSUMABLES

i) Grade /composition/ range/ thickness etc.

ii) Detailed calculation for the quantity of each raw material, supporting drawings and net weight of each item to be fabricated/manufactured from the said raw material.

iii) Stage wise details on the net content in the resultant product with complete justification thereof.

(III). TEXTILE PRODUCTS

a) Detailed drawings of the Items of manufacture i.e. export product;

b) Justification for wastages claimed in regard to the items to be imported;

c) Justification for import of particular grade/specification/ dimension etc., of the raw material applied for; etc.

(IV) PLASTIC/ RUBBER PRODUCTS

a) Detailed manufacturing process alongwith technical justification for wastages claimed at each stage of manufacturing process.

b) Technical descriptions/specifications including size, thickness and weight range of plastic/rubber etc. of the products to be exported along with small samples of export product.

c) Chemical name of Processing Aid, Blowing Agent & pigment proposed to be imported.

d) Whether the scrap generated in the process is being reused or not. If not the technical justification for its non-use may be furnished. If the scrap is being sold, the sale value/commercial value may be indicated.

e) Percentage of rubber compound in the export product.

f) Percentage composition of rubber compound in terms of different constituents.

g) Percentage composition by weight of constituents in formulated/ blended products.

(V) PESTICIDES

a) Manufacturing process for pesticides for both technical grade as well as formulation, as the case may be.

b) Detailed chemical reactions and material balance along with molecular weight of the reactants, % yield and wastages at different stages of manufacturing process supported by authentic/printed technical literature.

c) Details of by-products, if any, formed during the reaction alongwith its recovery in terms of quantity and value.

d) Percentage purity of finished product and raw materials and percentage of any diluent/moisture etc. in the export product.

e) Registration Certificate issued from Central Insecticides Board for the manufacture of pesticides (technical grade) and also pesticides formulations.

(VI) PAINTS/ SURFACE COATINGS/ PRINTING INKS

a) Percentage solid resin content in the export product.

b) Percentage pigment content in the export product.

c) Percentage volatile content in the export product.

(VII) DYES & DYE INTERMEDIATES

a) Manufacturing process, material balance and flow chart.

b) Balanced chemical reaction showing all the reactants, product and by-products(s) with their molecular formulas and molecular weights.

c) Stage-wise % yield in respect of each reactant along with justification.

d) Authentic/ printed technical literature in support of yield or quantity of items applied for import.

e) Details of solvents charged during the process, quantity recovered and loss in process and recovery.

f) Details of by products formed during the process and their recovery in terms of quantity and value.

g) Details of standardization and % dye content of export item.

h) Colour Index No. and Hue No. of Dyes

(VIII) PAPER AND PAPER PRODUCTS

a) GSM of item of export/ import

b) Coating composition in case of coated paper and percentage coating weight in the export product.

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