For DEPB applications

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:

VC. For DEPB applications

1. Bank Receipt (in duplicate)/Demand Draft/EFT details evidencing payment of application fee in terms of Appendix 21B.

2. Export Promotion (EP) copy of Shipping Bill(s). In case of exports through notified land customs under Paragraph 4.40 of Handbook of Procedure (Vol.I), Bill of Exports may be accepted in lieu of Shipping Bill. However, in case of exports made by Post Parcels / Speed Post Parcel, the following documents shall be submitted by the applicant :-

(i) Relevant postal receipt.

(ii) Invoice containing the details of the Product Group and the Sl. No. of the DEPB Schedule duly attested by the Customs.

(Above 2. has been substituted vide PN. NO. 45/2006, DT. 24/08/2006)

[OLD-
2. Export Promotion (EP) copy of Shipping Bill(s). In case of exports through notified land Customs under paragraph 4.40, Bill of Export may be accepted in lieu of Shipping Bill.]

3. Bank Certificate of Exports and Realisation as given in Appendix 22A or Foreign Inward Remittance Certificate (FIRC) in the case of direct negotiation of documents or Appendix 22 D in the case of offsetting of export proceeds with the approval of RBI. In case of FIRC, a declaration from the exporter that the remittance is in respect of Shipping Bill(s) No ____________ dated _________ shall also be furnished

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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/Trustee of 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)

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PART 2

1. IEC Number

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
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	( ü )
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.

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SUB SECTION V C

(For DEPB Scheme)

1. FOB Value of exports (inclusive of commission)

i. In Rupees

ii. In freely convertible currency

2. DEPB Claimed

i. In Rupees (in words)

ii. In Rupees (in figures)

3. Port of Registration (for the purpose of imports):

4. Whether application made for transferable duty credit:              Yes/No

5. Details of export made

S No.	SB* / PPR** No.	SB* / PPR** Date	Date of Let Export	BRC No.	BRC Date	Inv-oice No.	S.No. of Inv-oice	Pro-duct Group	DEPB Sr. No.	Item Des-crip-tion	FOB Value in free for-eign exch-ange (inclu-sive of commi-ssion)	Ex-change rate on the date of let export	FOB value (in Rs.)
(1)	(2)	(3)	(4)	(5)	(6)	(7)	(8)	(9)	(10)	(11)	(12)	(13	(14) = (12)x (13)

* SB-Shipping Bill

** PPR-Post Parcel Receipt

(Above Sl.NO.5 has been substituted vide PN. NO. 45/2006, DT. 24/08/2006)

[OLD-
5. Details of export made

S No	SB no	SB date	Date of Let Export	BRC No	BRC date	Invoice No	S No of Invoice	Prod- uct Group	DEPB Sr No	Item Des- crip- tion	FOB Value in free foreign exchange (inclusive of comm- ission)	Exch- ange Rate on date of let export	FOB Value ( in Rs)
(1)	(2)	(3)	(4)	(5)	(6)	(7)	(8)	(9)	(10)	(11)	(12)	(13)	(14)=(12) * (13)
													]

Computation of Capped Value					DEPB rate	DEPB entitlement (without cut)	Cut applicable (if any)	Actual DEPB Entitlement
Unit of Measurement in the unit of value cap	Export Qty in U/M	Value Cap	FOB per U/M	Capped Value	(in %)	(in Rs)	(in %)	(in Rs)
(15)	(16)	(17)	(18)= (14) / (16)	(19)={ minimum of (17) and (18)} or (18) as the case may be	(20)	(21) = (16) * (19) * (20) / 100	(22)	(23) = (21) *{ 1-[(22)/100]}

Note: In case there is no value cap on the product, the capped value would be equal to the FOB value per unit of measurement (U/M) as at Column (18) of the table above. Else it would be the minimum of Columns (17) and (18)

5A. SION Sl.No.of the product exported ...................

(Above Sl.NO. 5A has been added vide PN. NO. 33/2006, DT. 17/07/2006)

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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).

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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