Statement of Export/Redemption of EPCG Authorisation
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 3 need to be filled in.
4. Application must be accompanied by documents as per details given below:
XV. Statement of Export/Redemption of EPCG Authorisation
1. a. For Physical Exports:
1. Consolidated statement of exports made or individual statements (bank/authorized dealer wise) in sub section XV duly certified by a Chartered Accountant as per format given in Appendix 26 and bank evidencing exports and realisation in freely convertible. However, in case of exports made under an irrevocable letter of credit or a bill of exchange is unconditionally Avalised/ Co- Accepted/Guaranteed by a bank and the same is confirmed by the exporters bank, realization of export proceeds would not be insisted upon provided the final receipts are in free foreign exchange and a confirmation is given by the Bank in this regard.
b. For Deemed Exports:
1. Copy of ARO/Back to Back Inland letter of Credit or Advance Authorisation for Intermediate Supplies or Supply invoices or CT 3 / ARE 3 duly certified by the Bond Office of EOU concerned showing that supplies have been received.
2. Evidence of having received the payment through normal banking channel in the form given in Appendix 22B or a self certified copy of payment certificate issued by the Project Authority concerned in the form given in Appendix-22C.
c. For Services rendered:
1. Consolidated statement or individual statements (bank/authorised dealer wise) of services rendered as given in sub section XV duly certified by a Chartered Accountant as per format given in Appendix 26A and bank/authorised dealer evidencing foreign exchange earning received through normal banking channel.
(Above Sl.No. c1. has been amended vide
PN NO. 28/2006, DT. 03/07/2006)
[OLD- 1. Consolidated statement or individual statements (bank/authorised dealer wise) of services rendered as given in sub section XV duly certified by a Chartered Accountant as per format given in Appendix 26 and bank/authorised dealer evidencing foreign exchange earning received through normal banking channel.
]
2. Copy of Authorisation showing the date of clearance of the first consignment
3. Customs purpose copy of EPCG Authorisation
1. At the time of redemption, the Authorisation holder shall also submit certificate from the Independent Chartered Engineer confirming the use of spares so imported under the Scheme in the installed capital goods on the basis of stock & consumption register maintained by Authorisation holder.
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 3
| 2. Applicant Details |
| i. Name |
| ii. Address |
| 3. Application for (please tick whichever is applicable) : | ( ü ) |
| XI. Enhancement in CIF/FOB Value or Revalidation or EO extension of Authorisation | |
| XII. Fixation/Modification of Standard Input Output Norms (SION) | |
| XIII. Fixation of DEPB Rates/ Fuel Rates | |
| XIV. Redemption of Advance Authorisation | |
| XV. Statement of Export/Redemption of EPCG Authorisation | ü |
| XVI. EO Refixation under EPCG Scheme | |
| XVII. Clubbing of Authorisations | |
| XVIII. Deleted | |
| XIX. Refund of Application Fee | |
| 4. 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.
SUB SECTION XV
(For Statement of Export/Redemption of EPCG Authorisation)
| 1. EPCG Authorisation Details | |
| i a. EPCG Authorisation Number | |
| I b. Date of Issue | |
| ii. CIF Value/Duty saved value endorsed on the Authorisation | |
| a. In Indian Rupees | |
| b. In free foreign exchange | |
| iii. Export Obligation imposed on the Authorisation | |
| a. In Indian Rupees | |
| b. In free foreign exchange | |
| iv. Average Exports to be maintained | |
| a. In Indian Rupees | |
| v. CIF Value/ Duty saved value utilized | |
| a. In Indian Rupees | |
| b. In free foreign exchange | |
| vi. Export Obligation wrt imports made under Authorisation | |
| a. In Indian Rupees | |
| b. In free foreign exchange | |
| vii a Date of expiry of initial export obligation period | |
| vii b. Date of expiry of extended export obligation period | |
| Vii c. Date of completion of export obligation | |
| viii. Product to be exported/Services rendered | |
2. Details of physical exports/deemed exports made/services rendered
| S No | Products Exported/ Supplied/Services rendered | Shipping Bill/ Voucher/Invoice/ CT 3 / ARE 3/ Lorry Receipt/ Railway Receipt Details + | FOB / FOR value(in FFE/) ++ |
| No | Date | Direct exports | Third Party exports | Deemed Exports | Royalty payments | Forex for R &D Services | Total |
| | | | | | | | | | |
| | | | | | | | | | |
+ not to be filled in by hotel industry
++ Only Exports/ Supplies made/ capable of being made/ services rendered out of capital goods imported under the Authorisation for discharge of export obligation imposed on the Authorisation and export proceeds realized to be included
3. Details of physical exports/deemed exports made/ services rendered for maintaining average exports under the EPCG Authorisation
| Year | Products Exported/ Supplied | Shipping Bill/ Voucher/Invoice/ CT 3 /AR 3/ Lorry Receipt/ Railway Receipt Details * | FOB / FOR value (in FFE) ** |
| No | Date | Direct exports | Third Party exports | Deemed Exports | Royalty payments | Forex for R &D Services | Total |
| | | | | | | | | | |
| | | | | | | | | | |
* not to be filled in by hotel industry
** Exports/Supplies made/services rendered other than those mentioned in serial number 2 above have to be included for counting average exports
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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