APPENDIX 5A

Application for Recognition as Pre-shipment Inspection Agency for metal scrap

( Refer Para 2.32.2 A of HBP vol.1)

1.1	Name of the Agency
1.2	Address
1.3	Details of application fee paid	D.D./Bank Receipt No.________ Date _________ Amount ___________ Name of Bank and its Branch on which drawn

2 Mandatory Testing equipments/Machinery for testing metal scrap:

Table 2.1

S No	Description of Equipment	Make and Model No.	Nos.
i	Hand held Radiation Survey Meters
ii	Radio Nuclear Identifier
iii	Explosives Detection System having ability to detect Liquid / Plastic / Powder / Particles / Solid / Metallic and Non-Metallic Scrap / Waste

Attach additional information, if required, on separate paper

2.2 List out any other equipment(s) available including laboratory facilities

Table 2.2

S No	Equipment / Laboratory Facility	Capability	Nos
i
ii
iii

3. Membership:

S No	Name of the Organisation	Member since
i	International Federation of Inspection Agencies (IFIA), London
ii	Institute of Scrap Recycling Industries (ISRI) Washington DC
iii	Bureau of International Recycling, Belgium
iv	Metal Recycling Association of India

Please attach a copy of such document to show membership.

4 Experience in metal inspection:

Quantity of metal scrap inspected (in MTs) in the last five years/ destination country–wise

Table 4.1 For Ferrous scrap

S No	Exporting Country	Destination Country	Quantity of Ferrous Scrap inspected in preceding Years
			Year 5	Year 4	Year 3	Year 2	Year 1	Total
i
ii
iii
iv
	Grand Total

Table 4.2 For Non Ferrous scrap

S No	Exporting Country	Destination Country	Quantity of Non-Ferrous Scrap inspected in preceding Years
			Year 5	Year 4	Year 3	Year 2	Year 1	Total
i
ii
iii
iv
	Grand Total

5. Attach copy of last Annual Report / balance sheet of the Company.

6 Intended Area of Operations for issuance of certificate

1. Address of Head Office. __________________________________

2. Address(es) of Branch Offices __________________________________
(from where the Inspection would be carried out) __________________________________

(a) The area of operation of PSIA would be as per the territory location of the agency and the Agency is required to declare all its office addresses coming in the area of its jurisdiction.

(b) The Agency shall be authorised to issue the certificate for the country in which it is located and not for any country in which it is not physically present.

(c) In addition to the territory / location of the inspection agency, the jurisdiction would also cover those countries in which the Inspection Agency has its branch offices.

7. Manpower: Details of Inspecting persons / inspectors who would carry out inspection:

The minimum qualification of the Inspecting officer should not be less than 10 + 2 / Senior High School with Science (physics and Chemistry).

S No	Names of Technical person(s)	Address	Nationality	Phone No.	E Mail Address	Qualification	Experience in inspection of metal scrap

7.1 Whether you have been debarred /de-listed by Indian Government or other Governments for carrying out inspection activities. If yes, details thereof.

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7.2 Whether any judicial / quasi judicial proceedings are pending against you in any country / legal authority. If yes, details thereof.

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Declaration

(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 hereby undertake that the in case it is found that the consignment is not scrap or prohibited items are present in it, I would be liable to pay a penalty of Rs.10 lakhs, (if based in India) or US$20,000 (if based in foreign country), in addition to suspension / cancellation of recognition certificate.

(4) I / We undertake to abide by the provisions of the FT (D & R) Act, 1992, the Rules and Orders framed there under, FTP, HBP v 1 and HBP v2 and ITC (HS).

(5) I / We hereby certify that none of the Proprietor / Partner(s) / Director(s) / Karta / Trustee of 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 adverse notice of DGFT.

(6) 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 Reserve Bank of India.

(7) I hereby certify that I am authorised to verify and sign this declaration as per Paragraph 9.9 of the Foreign Trade Policy.

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

Place Date

SEAL

(Revised APPENDIX 5A vide PN. NO. 104/2010, DT. 23/03/2012)

[OLD- APPENDIX 5A

Enlistment as Pre-shipment Inspection Agency for metal scrap

1.1 Name of the Agency and Address

1.2 Purpose of Enlistment : Fresh Enlistment/ Renewal

2 Testing equipments available for testing metal scrap:

2.1 List out specific equipments available

Table 2.1

S No	Equipment for detecting following materials in metal scrap	Description of Equipment	Make and Model No.	Nos
i	Radioactive substances
ii	Explosive material
iii	Nuclear goods
iv	Arms
v	Ammunition
vi	Mines, Shells and Cartridges
vii	Others - specify

2.2 List out any other equipment(s) available including laboratory facilities

Table 2.2

S No	Equipment / Laboratory Facility	Capability	Nos
i
ii
iii
iv
v
vi
vii

3 Membership: If accredited with other international organizations dealing with metal scrap/waste trade, addresses of each of those international organizations may be given as under:

Table 3

S No	Accreditation with	Accredited since when
i
ii
iii
iv
v
vi
vii

4.1 Experience in metal inspection:

Quantity of metal scrap inspected (in MTs) in the last five years/ destination country–wise

Table 4.1.1 For Ferrous scrap

S No	Exporting Country	Destination Country	Preceding
			Year 5	Year 4	Year 3	Year 2	Year 1	Total
i
ii
iii
iv
v
	Grand Total

Table 4.1.2 For Non Ferrous scrap

S No	Exporting Country	Destination Country	Preceding
			Year 5	Year 4	Year 3	Year 2	Year 1	Total
i
ii
iii
iv
v
	Grand Total

4.2 Scrap inspected, which was exported to India. Details of such inspection:

Table 4.2

Sl.No. 1	Date of inspection 2	Exporter (outside India) 3	Indian Importer 4	Scrap		Value (in US$) 7	Date of		Remarks 10
				Material description 5	Quantity (in MTs.) 6		Despatch 8	Arrival in India 9

5 Operations

5.1 Countries (where metal scrap inspection certification will be carried out) for which this enlistment is sought:

1.
2.
3.

5.2 Logistical arrangements for inspections at different locations.

Please cite collaborations, if any, with other agencies for carrying on inspections, in the following format:

Table 5

Port Location 1	Country 2	Collaborator Name & Address 3	Collaboration operating since 4	Quantity of Export Inspected in last 3 years (Qty.in MTs) yearwise 5		Quantity of Export inspected on behalf of applicant 6	Remarks 7
				2005-06
				2006-07
				2007-08
				Total

6 Manpower: Number and name of technical persons who carry out inspection with their qualification & experience:

Table 6

S No	Names of Technical person(s)	Qualification	Experience in inspection of metal scrap
i
ii
iii
iv
v
vi

7 What is your Inspection and sampling procedure? Please outline different steps.

Step 1
Step 2
Step 3
…….

8 Information about your audited turnover and financial standing (for last 5 financial years)

Table 8

Year	Audited annual turnover (Rs crores)
2007-08
2006-07
2005-06
2004-05
2003-04
2002-03

9.1 Whether you have been debarred /de-listed by Indian Government or other Governments for carrying out inspection activities. If yes, details thereof

9.2 Whether any judicial proceedings are pending against you in any country / legal authority. If yes, details thereof ]