APPENDIX - 10B

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APPLICATION FORM FOR GRANT OF ADVANCE LICENCE UNDER THE DUTY EXEMPTION SCHEME

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1. Please see paragraph 4.1.1 of the Policy and Paragraph 4.4, 4.42, 4.5, 4.7 of this Handbook (Vol.I).

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

3. Please submit 2 copies of this application (5 copies if no Standard input-output norms are fixed).

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FOR OFFICIAL USE

File No...........................

Date.........................

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1. Name and address of the applicant	: ........................... ............................. .............................
2. IE Code No.	:...........................
3. Exports/deemed exports during the preceding three licencing years:

S.No	Year	FOB value of exports (Rs crore)	FOR value of supplies (Rs crore)
1.
2.
3.

4.	(a) Name and address of the manufacturer/ supporting/co-manufacturer		:......................... ......................... .........................
	(b) Type of unit .........	Registration No. .........	Date ........

4A.	Total FOB value of exports including commission.	Rs.......... of exports	In currency of exports	...........	In US$ .......
5.	Total CIF value of imports:	Rs.......... of exports	In currency of exports	...........	In US$ .......
6.	Value Addition	:

7.	Application fee:	a) Bank Receipt/D.D No.and date:	..........................
		b) Issued by:	..........................
8.	Port of Registration:	:.........................................................

9.	a) Application under SION or under paragraph 4.7:	:............................................................
	b) If under SION, please specify serial number of SION :	:............................................................
10	FOR DEEMED EXPORTS CATEGORY (except for supplies to Advance Licence, EOU/ SEZ/ EHTP/ STP and EPCG), PLEASE FURNISH THE FOLLOWING:
a)	Supply Order No	:......................... Date .................................
b)	Name and address of the Project Authority.	:............................................. ...................................................
c)	Delivery period of supply	: ...................................
d)	Credit under which Project is financed	: ....................................
e)	Method by which the order is procured. (International Competitive Bidding etc.)	: ....................................

10A.

Whether supply is to EOU/SEZ/EHTP/STP : (Please tick the appropriate column)

c Yes

c No

(S. No. 10A. has been added vide PN. No. 8/2003, Dt. 14/05/2003)

10B	If the application is for Advance Licence for deemed export; indicate:
i)	Credit under which Project is financed	: ....................................
ii)	Method by which the order is procured. (International Competitive Bidding etc.)	: ....................................

11. Details of outstanding export obligation against Advance Licence including Annual Advance Licence/pre-export DEPB issued under Duty Exemption Scheme.

S.No.	Licence No. and Date	CIF value (Rs.)	FOB value (Rs.)	Percentage of export obligation fulfilled		Date of expiry of export obligation period
				Quantity wise	Value wise

12. Details of the products to be exported/supplied (Resultant Products).

S.No.	Resultant product(s)		Total quantity	Unit of measurement		FOB value
	Name, Technical Characteristics and quality	ITC(HS) Code		Name	Code	In rupees	In freely convertible currency (FCC)

13. Details of Items sought to be Imported Duty free (Arranged Item wise)

c

S.No.	Import item		Total quantity	Unit of measurement		Total CIF value		Total exemption from Customs duty
	Name, Technical characteristics and quality	ITC(HS)Code		Name	Code	Rs.	In free foreign exchange

14. Details of other materials to be used in resultant product and sought to be imported/procured from sources other than the licence on which drawback benefits is to be availed.

(This column need not be filled if benefit of drawback is not being sought)

S.No	Resultant product(s)(Name, Technical characteristics and quality)	Total quantity	Imported item			Indigenously procured item
			Name, Technical Characteristics and Quality	Quantity and unit of measure-ment	CIF value	Name, Technical Character-istics and Quality	Quantity and unit of measurement	Value

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/We further declare that no export proceeds are outstanding beyond the prescribed period as laid down by the RBI, or such extended period for which RBI permission has been obtained.

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

Place :
Date :

Signature of the Applicant: ........................
Name: ........................
Designation: ........................
Official Address: ........................
........................
Tele No: ........................
E-Mail Address ........................

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Documents to be enclosed with the application form:

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1. Bank Receipt (in duplicate)/Demand Draft evidencing payment of application fee in terms of Appendix-29

2. In cases of application for Advance Licence for deemed exports, a Project Authority Certificate excepting

a) in case of supplies to an EPCG licence holder wherein an invalidation letter is to be submitted;

b) supplies against Advance Licence

c) supplies to EOU/EHTP/STP/SEZ.

and a copy of invalidation letter in case of application for Advance Licence for intermediate supply.

2A. In case of application for Advance Licence for intermediate supplies, an invalidation letter is to be submitted

3.In cases where import of fuel has been sought for the grant of Advance Licence (excluding applications for adhoc norms and those under paragraph 4.7 of Handbook), the applicant would be required to submit the following additional documents:

(a) Copy of the permission issued to the manufacturer exporter by the competent authority (concerned State Electricity Board or Power Corporation or Regulatory Commission of the concerned State) under Section 44 of the Electricity (Supply) Act, 1948 for the installation of captive power plant based on the specified fuel unless the permission is specifically waived by the State Electricity Board.

(b) Copy of the letter intimating the date of commissioning of the Captive Power Plant to the concerned authority, which issued the permission letter.

Note: The import of only such fuel(s) shall be allowed which have/has been specified in the said permission .

Annexure to Appendix- 10B

Note: To be submitted only in cases where Standard Input Output Norms are not fixed and application is preferred under paragraph 4.42 and 4.7 of Handbook (Vol.1).

1. 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, consumables 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 Characteristics	ITC(HS) Code				Name	Quantity	value

2. 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*):

* In case there is no past production, the jurisdictional central excise authority shall certify the production and consumption data on the basis of production batch sheets and for this purpose the firm shall maintain separate record of batch data for inputs consumed in the manufacture of the export product.

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

3. Particulars of the licences obtained in the past and ratified by ALC (with or without modification) for the same export product covered under this application.

S.No.	Licence No & Date	Description of export product	Description of import items	Import item qty per unit of export product (as applied for)	Import item qty per unit of export product (as approved by ALC while ratifying licence)	ALC meeting No & Date when approved
(1)	(2)	(3)	(4)	(5)	(6)	(7)

4.	Please furnish technical details as per Annexure-I of Appendix-10 depending upon the resultant product. Please confirm.
5.	a) FOB value of exports in the preceding licensing years	:
	b) CIF value of licences already obtained under paragraph 4.7:	:
	c) Balance entitlement as per paragraph 4.71.	:

CHARTERED ENGINEER CERTIFICATE

I have examined the applicant company"s import requirements of raw materials, components etc with regard to their technical description/ specification and the quantity against each item of import and having 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/supply contracts for .........................

The list of Items covers _________ pages and contains __________ items for a total value of Rs._____________ (in free foreign exchange __________ )

Signature...........................
Name in Block letters................
Designation..........................
Address..............................

Place: ....................	Name and Address of the Institution under which Chartered	: .......................
Date: ....................	Ref No. and date of Corporate Membership	: ......................

DECLARATION/UNDERTAKING

I/We hereby declare that in respect of product for which Standard Input Output norms are not fixed, we shall abide by the final fixation of norms by ALC and shall pay to the Government Customs duty together with 15% interest on the unutilised inputs as per norms fixed by ALC.

Signature of the Applicant:....................................
Name :....................................
Designation :....................................
Official address :....................................
.....................................
.....................................
Tel.no. :....................................

Place:
Date :

E-Mail Address :....................................

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