For Import Certificate under Indo-US Memorandum
GUIDELINES FOR APPLICANTS
1. Two copies of the application must be submitted unless otherwise mentioned.
2. Each individual page of the application has to be signed by the applicant.
3. a. Part 1 & Part 4 has to be filled in by all applicants. In case of applications submitted electronically, no hard copies of Part 1 may be submitted. However in cases where applications are submitted otherwise, hard copy of Part 1 has to be submitted.
b. Only relevant portions of Part 2 need to be filled in.
4. Application must be accompanied by documents as per details given below:
II A. For Import Certificate under Indo-US Memorandum
1. Bank Receipt (in duplicate)/Demand Draft/EFT details evidencing payment of application fee in terms of Appendix 21B.
2. Self certified copy of letter from US supplier in support of request for Import Certificate.
PART 1
Note: Please state ‘Not Applicable’ wherever the information/data is not applicable to you.
| 1. IEC Details |
| i. IEC Number |
| ii. Date of Issue |
| iii. Issuing Authority |
| 2. Applicant Firm Details |
| i. Name |
ii. Address
(Registered Office in case of Companies and
Head Office in case of Others) |
iii. Address of all Branches/Divisions/Units/Factories
located in India & abroad (attach extra sheet if required) |
| iv. Telephone |
| v. Email address (for correspondence with DGFT) |
| 3. Details of Proprietor/Partners/Directors/Karta/Trusteeof the applicant firm (attach extra sheet if required) |
| i. Name |
| ii. Father"s Name |
| iii. Residential Address |
| iv. Telephone |
| 4. Nature of Concern (please tick) | ( ü ) |
| i. Government Undertaking | |
| ii. Public Limited Company | |
| iii. Private Limited Company | |
| iv. Proprietorship | |
| v. Partnership | |
| vi. Others | |
| 5. Type of Exporter (please tick) | ( ü ) |
| i. Merchant Exporter | |
| ii. Manufacturer Exporter | |
| iii. Service Provider | |
| iv. Others (please specify) | |
| v. Merchant cum Manufacturer | |
| 6. Industrial Registration Details |
| i. SSI/IEM/LOI or IL Registration Number |
| ii. Date of Issue |
| iii. Issuing Authority |
| iv. Products for which registered |
| 7. Service Tax Registration Details (in case of Service providers) |
| i. Service Tax Registration Number |
| ii. Issuing Authority |
| iii. Services for which registered |
| 8. RCMC Details |
| i. RCMC Number |
| ii. Date of Issue |
| iii. Issuing Authority |
| iv. Valid upto |
| v. Products for which registered |
| 9. Status House Details |
| i. One/Two/Three/Four/Five Star |
| ii. Certificate Number |
| iii. Date of Issue |
| iv. Issuing Authority |
| v. Valid Upto |
| 10. PAN Details |
| i. PAN Number |
| iii. Issuing Authority |
| 11. Excise Details |
| i. Excise Registration Number |
| ii. Issuing Authority |
| 12. VAT Details |
| i. VAT Registration Number |
| ii. Issuing Authority |
13. Turnover Details for the preceding three licensing years
| FY | Annual Domestic Turnover (Rs Lakhs) | Annual Export Turnover (Rs Lakhs) |
| | | |
| | | |
| | | |
PART 2
| 2. Applicant Details |
| i. Name |
| ii. Address |
| 3. Application for (please tick the category for which the application is being made) : | ( ü ) |
| I. Importer Exporter Code Number (IEC) | |
| II. Import Licence for Restricted Items | |
| IIA. Import Certificate under Indo - US Memorandum | ( ü ) |
| III. Export Licence for Restricted Items | |
| IIIA. Export Licence for SCOMET Items | |
| IV. Star Export House Certification | |
| V. Advance Authorisation / DFRC | |
| VA. Gem Replenishment Authorisation | |
| VB. Diamond Imprest Authorisation | |
| VC. DEPB | |
| VD. Duty Free Import Authorisation | |
| VI. EPCG Authorisation | |
| VII. Served from India | |
| VIII. Vishesh Krishi And Gram Udyog Yojana (VKGUY) | |
| IX. Target Plus Scheme | |
| X. Claiming Duty Drawback on All Industry Rates/Fixation of Drawback Rates/Refund of Terminal Excise Duty | |
| XA. Focus Market Scheme | |
| XB. Focus Product Scheme | |
| 4. Application Submission Details (in case of electronically submitted applications) |
| i. ECOM Reference Number |
| ii. Date of Submission on Server |
| iii. Submitted to which Regional Authority |
| iv. File Number |
| v. Date of Issue |
| 5. Application Fee Details |
| Amount (Rs) |
| Demand Draft/Bank Receipt/Electronic Fund Transfer No |
| Date of Issue |
| Name of the Bank on which drawn |
| Bank Branch on which drawn |
Note;
1. Only one category of application may be made in the Form.
2. In case of application for issue of IEC number, information at Serial No 1 may be left blank.
SUB SECTION II A
(For Import Certificate under Indo US Memorandum)
| 1 US Exporter Details |
| i. Name |
| ii. Address |
2. Name of the Sponsoring Directorate in ICIA:
3. Items of Import for which Import Certificate is required
| S No | Item details | ITC(HS) Code | Quantity | CIF Value (Rs) | Whether capital good or raw material |
| | | | | | |
| | | | | | |
| | | | | | |
| 4. Purpose of Import |
| a. If required for Manufacture please furnish |
| i. IL/SIA/DGTD/SSI registration number |
| ii. End Product as given in registration certificate |
| iii. Actual items of manufacture |
| b. If required for Research & Development, please furnish |
| i. Registration details with Department of Science & technology |
| ii. Validity of Registration |
| iii. Specific project for which items required |
| c. If required for Other Actual Users (Non Industrial), please furnish |
| i. Registration Certificate details |
| ii. Permission details of local/municipal body |
| 5. | i. Whether the items of import are under Restricted List of ITC(HS)
| Yes/No |
| ii. File number of application submitted to Regional authority for Import Licence |
6. Reference Number of the Controlled commodity/munitions list of US Export Administration Regulations:
7. Address of the factory/premises where the items to be imported are proposed to be used
PART 4
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 there from.
2. I/We fully understand that any information furnished in the application if found 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 there under, the Foreign Trade Policy, the Handbook of Procedures and the ITC(HS) Classification of Export & Import Items.
4.
a. I/We hereby certify that the firm/company for whom the application has been made has not been penalized under the Customs Act, Excise Act, Foreign Trade (Development & Regulation) Act 1992 and FERA/FEMA.
b. I/We hereby certify that none of the Proprietor/ Partner(s)/ Director(s)/Karta/Trustee of the firm/company, as the case may be, is/are a Proprietor/Partner(s)/Director(s)/Karta/Trustee in any other firm/Company which has come to the adverse notice of DGFT.
c. I/We hereby certify that the Proprietor/Partner(s)/Director(s)/Karta/Trustee, as the case may be, of the firm/company is/are not associated as Proprietor/Partner(s)/Director(s)/Karta/Trustee in any other firm/company which is in the caution list of RBI.
d. I/We hereby certify that neither the Registered Office/Head Office of the firm/company nor any of its Branch Office(s)/Unit(s)/Division(s) has been declared a defaulter and has otherwise been made ineligible for undertaking import/export under any of the provisions of the Policy.
5. I/We hereby declare that I/We have not obtained nor applied for such benefits (including issuance of an Importer Exporter Code Number) in the name of our Registered/Head Office or any of our Branch(s)/Unit(s)/Division(s) to any other
Regional Authority.
5A. I/ We hereby declare that I/we have perused the list of SCOMET items as contained in the Appendix 3 to the Schedule 2 of the ITC (HS) Classifications of Export-Import Items, 2004-09 and that the item(s) exported / proposed to be exported does not fall within this list and that I/ We agree to abide by the provisions of the Policy for export of SCOMET items contained in the Foreign Trade Policy, Schedule 2 of ITC (HS) and the Handbook of Procedures (Vol.1), irrespective of the scheme under which the item is exported / proposed to be exported (the underlined portion will be deleted in case an application for export license for SCOMET item is being filed).
6. I/We solemnly declare that I/We have applied for / obtained a RCMC to the Export Promotion Council which pertains to our main line of business. In case we have applied to any other council, the application has been made within the purview of the provisions of Para 3.12 and Para 3.12.1 of the Handbook of Procedures (Vol 1).
8. (applicable in case of Issue of Import Certificate under Indo-US Memorandum)
I _________________ (Name of the Organization), a Government entity/Government controlled entity/ private sector entity (Delete whichever is not applicable) hereby undertake
i) To import the item into India and not to redirect it or any part of it, to another destination before its arrival in India;
ii) To provide, if asked, verification that possession of item was taken;
iii) Not to re-export the item without any written approval of Certificate Issuing Authority;
iv) Not to retransfer within India the item(s) specified in this certificate without the written approval of the Certificate Issuing Authority;
v) 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;
vi) The items being imported will/will not be integrated into Indian end-products to be exported.
18. 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
Designation
Official Address
Telephone
Residential Address
Email Address | Place
Date |
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