ANF 4A

Application Form for Advance Authorisation (Including Advance authorisation for Annual Requirement) / Advance Release Order (ARO)/ Invalidation letter

[Please see guidelines (given at the end) before filling the application].

1. Applicant Details
i. IEC Number
ii. Name
iii. Address
iv. Whether endorsement of Co-Authorisation holder sought: Yes / No,
If “Yes”, then furnish the following details of Co-Authorisation holder (a) IEC Number (b) Name (c) Address
2. RCMC Details
i. RCMC Number
ii. Date of Issue
iii. Issuing Authority
iv. valid upto
Products for which registered
3. Type of Exporter (please tick)	( v )
i. Merchant Exporter
ii. Manufacturer Exporter
iii. Service Provider
iv. Merchant cum Manufacturer
v. Others (please specify)
4. Industrial Registration Details
i. SSI / IEM / LOI or IL Registration Number
ii. Date of Issue
iii. Issuing Authority
iv. Products for which registered
5. Excise Details (For those registered with Central Excise Authority)
i. Excise Registration Number
ii. Issuing Authority
6. Status House Details (For Status Holders):
i. EH / SEH / TH / STH / PTH
ii. Certificate Number
iii. Date of Issue
iv. Issuing Authority
v. Valid Upto
7. Application Fee Details
i Amount (Rs)
ii Demand Draft / Bank Receipt / Electronic Fund Transfer No
Iii Date of Issue
iv Name of the Bank on which drawn
v Bank Branch on which drawn
8. Total CIF value of Imports applied for
i. In Rupees
ii. In currency of imports
iii. In US $
9. Total FOB / FOR value of Exports to be made (excluding Foreign Agent commission)
i. In Rupees
ii. In currency of exports
iii. In US $
10. Value Addition (in %):
11. Port of Registration as per paragraph 4.19 of HBP v1 (for the purpose of imports):
12. i. Whether the application is made under SION: Yes / No. If “Yes”, then specify: (a) the Export Product Group: (b) Serial No. of SION: OR Application made under Para 4A.25 of HBP v1 (for G&J sector): Yes / No. OR ii. Whether the application is made under Para 4.7 of HBP v1: Yes / No. If “Yes”, whether Adhoc Norms fixed: Yes / No
13. Details of items to be exported / supplied under the Authorisation:

Sl.No	Item Description	Item Technical Characteristics / Quality etc.	ITC (HS) Code	Quantity	Unit of Measurement	FOB / FOR Value (in Rs)	FOB / FOR value (in freely convertible currency)

14. Details of items sought to be imported duty free under the Authorisation:
Sl. No	Item Description	Item Technical Characteristics / Quality etc.	ITC (HS) Code	Quantity in metric units	CIF Value (in Rs)	CIF value (in freely convertible currency)	Total exemption from Customs duty

15. Details of other materials to be used in the export product and sought to be imported / procured from sources other than the Authorisation on which drawback benefits is to be availed (not to be filled if Drawback benefits are not being claimed):
Sl.No.	Imported Item			Indigenously Procured Item
	Name, Technical Characteristics/ Quality etc	Quantity in metric units	CIF Value	Name, Technical Characteristics / Quality etc	Quantity in metric units	Value

16. Details of Outstanding Export Obligation (E.O.) against Advance Authorisation(s) including Advance Authorisation for Annual Requirements issued already:

Sl. No.	Authorisation No.	Authorisation Issue Date	CIF Value (Rs)	FOB Value (Rs)	%age of EO fulfilled		Expiry Date of EO period
					Qty wise	Value wise

17. Details of exports / deemed supplies (including Intermediate supplies) made in the preceding 3 licensing years:

Licensing Year	FOB Value of exports (Rs Crore)	FOR Value of deemed supplies (Rs Crore)	Total Export Performance (Rs Crore)

18. Applicable in case of applications made for Advance Authorisation for Annual requirements (AAL) :

i. Entitlement of AAL (Rs):

ii. CIF Value of AAL already obtained (Rs) during the current licensing year:

19. In case of exports made under Deemed Exports category (except for supplies to Advance Authorisation / EOU / EHTP / STP / EPCG Authorisation or Intermediate supplies), please furnish:

i. Name of the Project Authority

ii. Address of the Project Authority

iii. Supply Order No

iv. Delivery period of Supply

v. Credit under which, project is financed

vi. Method by which order has been procured (ICB etc.)

20. In case of request for issuance of ARO / Invalidation letter, please furnish:

i. Whether applied for: ARO / Invalidation letter (Please v )

ii. Advance Authorisation No.:

iii. Date of Issue of Advance Authorisation:

iv. Name (s) of the Indigenous producer from where items are to be procured:

v. Address (s) of the Indigenous producer from where items are to be procured:

vi. Regional Authority of the Indigenous producer:

vii. Items to be supplied by the Indigenous producer:

a. Description of individual items:

b. Quantity of individual items to be procured:

c. Value of individual items to be procured:

21. Address of the factory / premises / Project site, where the items to be imported are proposed to be used:

22. Address of the jurisdictional Central Excise Authority under whose jurisdiction the factory / premises / Project site falls:

23. In case the item(s) to be imported, are to be used by the supporting manufacturer, please furnish:

i. Name of the supporting manufacturer

ii. Address of the supporting manufacturer

iii. SSI / LOI / IL regn. no. and date of Supporting Manufacturer

iv. Products endorsed on SSI/IL/IEM

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. If found incorrect or false, it will render me / us liable for any penal action or other consequences as may be prescribed in law or otherwise warranted.

2. I / We undertake to abide by the provisions of FT(D&R) Act, the Rules and Orders framed there under, the FTP, HBP v1, HBP v2 and the ITC(HS) Classification of Export & Import Items.

3. 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.

4. 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.

5. 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 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 HBP v1, irrespective of the scheme under which the item is exported / proposed to be exported (the underlined portion shall be deleted in case an application for export license for SCOMET item is being filed).

6. (Applicable in case of Advance Authorisation applications under paragraph 4.7 of HBP v1 only).

a. I / We hereby declare that I / We shall abide by the final fixation of norms by the Norms Committee (NC) and shall pay to the Government Customs duty together with interest (as notified) reckoned from the date of imports till the date of deposit on the inputs imported in excess of the norms fixed by NC.

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

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

Signature of the Applicant Name Designation Official Address Telephone Residential Address Email Address

Place Date

GUIDELINES FOR APPLICANTS

( Please see paragraphs 4.4, 4.5, 4.13, 4.14, 4.24A and 4A.25 of HBP v1 relevant to the Scheme under which the application is being filed )

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. RCMC details need not be given if the same have already been updated in the IEC.

4. In case of request for ARO / Invalidation letter, applicant may furnish information in respect of Sl No. 1 & 20 of the application only.

5. Imported duty free inputs shall be taken from the port / domestic supplier’s premises to the factory or the premises of the authorisation/co-authorisation holder or the factory of the supporting manufacturer (whose name is endorsed in the authorisation or allowed by Central Excise authority). However, such duty free material imported or procured against advance authorization can also be taken from the port directly to the project site of the project authority, subject to furnishing a bond to the customs authority at the port of import and other documents/declaration and other provisions as per DOR guidelines.

For Advance Authorisation :

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

2. Additional documents required:

I. In case of issue of Advance Authorisation for Annual Requirements:

a. Statement of exports made in the preceding licensing year duly certified by a Chartered Accountant / Cost and Works Accountant in the format given in Appendix 26.

b. Self certified copy of the manufacturing licence of the applicant firm or his supporting manufacturer.

II. Invalidation letter(s) in case of supplies to an advance Authorisation holder. However, in case of switch over from physical exports / deemed exports to intermediate supplies, such invalidation letters can also be furnished at the time of redemption of advance authorisation.

III. In case of Deemed Export:

Project Authority certificate in case of supplies other than (ii) above and to EOU / EHTP / STP / BTP units;

3. In cases where import of fuel has been sought for under Advance Authorisation / Advance Authorisation for Annual Requirements:

a. Self certified 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 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; and

b. Self certified copy of the letter intimating the date of commissioning of the captive power plant from the concerned authority which issued the permission letter is to be submitted.

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

4. Additional documents required in case of issue of Advance Authorisation under Para 4.7 of HBP v1:

a. Information as per Appendix-11A,

b. Technical Details of the export product as per the details given in Appendix 33.

c. Chartered Engineer certificate certifying the import requirements of raw materials in the format given in Appendix 32B.

d. Production and Consumption data of the manufacturer / supporting manufacturer of the preceding three licensing years, duly certified by the Chartered accountant / Cost & Works Accountant / Jurisdictional Excise Authority.

5. Please state ‘Not Applicable’ wherever the information / data is not applicable to the applicant.