APPENDIX - 36B

---

STATEMENT OF UTILISATION OF DUTY FREE CREDIT ENTITLEMENT FOR SERVICE PROVIDERS

---

(Please see paragraph 3.8 of the Policy and 3.18 of the Handbook)

Reference File Number under which duty free credit entitlement was issued:	.................................................... ....................................................
Date of issue of entitlement:	....................................................

---

1.	Name and address	:	...................................................... ...................................................
2.	I E Code Number	:	...................................
3.	Category of service provider.(Please specify description and serial number as per Appendix-36)	:
4.	Credit value of the Duty Free Credit Entitlement (in rupees lakhs)	:
5.	Credit value utilised (in rupees lakhs)
6.	Details of imports made under the duty free credit entitlement:

Sl.No.	Description of import item	Effective Customs duty (in %age)	Value debited (in rupees lakhs)
(1)	(2)	(3)	(4)
1. 2. 3. 4.

DECLARATION

1. I/We further certify that I/We am/are authorised to verify and sign the statement on behalf of the applicant.

2. 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.

3. I/We further declare that I/We has/have made imports against the duty entitlement certificate issued under paragraph 3.8 of the Policy based on average exports in the preceding three licensing years.

4. The imports under the Duty free Credit Entitlement number …………………. are those of spares, office equipment and furniture, professional equipment and consumables which are freely importable and which are required in my/our line of business.

(Above S. No. 4. has been amended vide PN. No. 17/2003, Dt. 16/07/2003)

[OLD-
4. The imports made under the Duty Free Credit Entitlement number ............. are those of capital goods/office equipment and inputs which are freely importable and which are required in my/our line of business.]

Signature	:..............................................
Name in Block Letters	:..............................................
Designation	:..............................................
Place	:..............................................
Date	:..............................................
Full Official Address	:..............................................
Residential Address	:..............................................
E.Mail address	:..............................................
	Official Stamp/ Seal

---

Annexure I to Appendix 36 B

Affidavit to be submitted by the applicants who are hotels (1 star and above, heritage hotels) and stand alone restaurants.

1. I/ We verify that our hotel/ restaurant has passed on the benefit of the duty free credit entitlement to the consumer who has availed of the services in our establishment.

2. The pricing of our products prior and post availment of the duty free credit entitlement for service providers was as under:

Date of availment of Duty Free Credit Entitlement for Service Providers : _________

S.No	Service/ Product served/ provided	Price per unit quantity prior to availment of DFEC	Price per unit quantity after availment of DFEC
1

(Note: In the case of services offered by restaurants (either standalone or part of the main hotel), menu cards prior to and after the date of availment of the Duty Free Credit Entitlement for Service Providers duly authenticated by the Manager/ Incharge can be enclosed in lieu of this table)

3. I/We further certify that I/We am/are authorised to verify and sign the statement on behalf of the applicant.

4. 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.

Signature :.............................
Name in Block Letters :.............................
Designation :.............................
Place :.............................

Date .........

Full Official Address :.............................
Residential Address :.............................
E.Mail address :.............................

Official                    

Stamp/ Seal                    

CERTIFICATE OF CHARTERED ACCOUNTANT/COST AND WORKS ACCOUNTANT/ COMPANY SECRETARY

I/We hereby confirm that I/We have examined the relevant records of M/s................. for the validity period of Duty Free Credit Entitlement Certificate ............ and hereby certify that:

M/s............................... (Name and address of the applicant) who is a service provider under the category .......... at S.No. ......... of Appendix-36 have made imports under the Duty Free Credit Entitlement Certificate and has passed on the entire benefits as per details given in S.No 2 of this Appendix.

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;

I/we fully understand that any statement made in this annexure, 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.

(* Strike out whichever are not applicable)

Signature.............................

Place..........
Tel.No. ............................

                   Official
Date........... Stamp/ Seal

Regn. No. and Date of the
Corporate Membership..........

(Above Annexure 1 has been added vide PN NO. 57/2003, Dt. 31/03/2004)

Presented by eximkey.com