ANF 3F
For Incremental Export Incentivisation Scheme applications
(for exports during 1st Jan-31st March 2013 vis-a-vis 1st Jan-31st March 2012)
(Please note that export shipments from all EDI ports can be filed in one application while for export shipments from each Non-EDI ports, separate application is required to be filed. Such applications have to be filed in same RA.)
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1. Applicant Details [Company /firm] |
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I. IEC Number |
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ii. Name |
iii. Address
House Number/Site Number/Block Number: _______________________________________
Locality/Street Detail/Area Detail: _______________________________________________
District Detail:_______________________________________________________________
Indicate State and PIN Code ___________________________________________________ |
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iv. Telephone No. |
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Alternate telephone no: |
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v. Email id. ________________@ _______________ |
Alternate email id:_________________@ __________________ |
2. Export Performance [ In US$]
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Export during FY 2011-12 |
Export during FY 2012-13 |
Incremental growth absolute terms |
growth In % terms |
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3. Export Eligibility (To eligible destinations i.e. USA, Europe & Asia) – detailed list is inserted in the last which is part of the form)*
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2011-12 (1st Jan-31st March 2012) |
2012-13 (1st Jan-31st March 2013) |
Incremental growth |
Entitlement @ 2% |
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in US Dollar |
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In Rupees |
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This is for reference |
4. Port of Registration (for purpose of Imports):
5. In case, split certificates are required, then please indicate number of Split Certificates required (in multiples of Rs 5 lakhs each):
DECLARATION/UNDERTAKING
1. I hereby declare that particulars and statements made in this application are true and correct and nothing has been concealed or held therefrom. I fully understand that any information furnished in application if found incorrect or false will render my firm / company and me liable for any penal action or other consequences as may be prescribed under FTDR Act or under any other law or otherwise warranted.
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Place: ________________ |
Telephone No. _______________(Personal) |
Signature: __________________________ |
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Date: _________________ |
e-mail: _____________________(personal) |
Name: _____________________________ |
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Documents to be submitted |
Designation: ________________________ |
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CA Certificate certifying the exports for 2011-12 and 2012-13 to specified markets. CA will also certify incremental exports for each quarter as per annexure to ANF 3F |
Telephone No. ____________________(Official)
e-mail: __________________________(Official) |
* List of countries in the eligible destinations:
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Destination |
Destination (Europe) |
Destination (Asia) |
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USA |
(i) Albania
(ii) Andorra
(iii) Armenia
(iv) Austria
(v) Azerbaijan
(vi) Belarus
(vii) Belgium
(viii) Bosnia & Herzegovina
(ix) Bulgaria
(x) Croatia
(xi) Cyprus
(xii) Czech republic
(xiii) Denmark
(xiv) Estonia
(xv) Finland
(xvi) France
(xvii) Georgia
(xviii) Germany
(xix) Greece
(xx) Hungary
(xxi) Iceland
(xxii) Ireland
(xxiii) Italy
(xxiv) Kosovo
(xxv) Latvia
(xxvi) Liechtenstein
(xxvii) Lithonia
(xxviii) Luxembourg
(xxix) Macedonia
(xxx) Malta
(xxxi) Moldova
(xxxii) Monaco
(xxxiii) Montenegro
(xxxiv) The Netherlands
(xxxv) Norway
(xxxvi) Poland
(xxxvii) Portugal
(xxxviii) Romania
(xxxix) Russia
(xl) San Marino
(xli) Serbia
(xlii) Slovakia
(xliii) Slovenia
(xliv) Spain
(xlv) Sweden
(xlvi) Switzerland
(xlvii) Turkey
(xlviii) Ukraine
(xlix) United Kingdom
(l) Vatican City (Holy See)
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(i) Afghanistan
(ii) Bahrain
(iii) Bangladesh
(iv) Bhutan
(v) Brunei
(vi) Cambodia
(vii) China
(viii) East Timor
(ix) Indonesia
(x) Iran
(xi) Iraq
(xii) Israel
(xiii) Japan
(xiv) Jordan
(xv) Kazakhstan
(xvi) Korea North
(xvii) Korea South
(xviii) Kuwait
(xix) Kyrgyzstan
(xx) Laos
(xxi) Lebanon
(xxii) Malaysia
(xxiii) Maldives
(xxiv) Mongolia
(xxv) Myanmar (Burma)
(xxvi) Nepal
(xxvii) Oman
(xxviii) Pakistan
(xxix) Palestine
(xxx) The Philippines
(xxxi) Qatar
(xxxii) Saudi Arabia
(xxxiii) Sri Lanka
(xxxiv) Syria
(xxxv) Taiwan
(xxxvi) Tajikistan
(xxxvii) Thailand
(xxxviii) Turkmenistan
(xxxix) Uzbekistan
(xl) Vietnam
(xli) Yemen
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ANNEXURE TO ANF 3F
(Annexure needs to be certified by a Chartered Accountant)
1. Details of export made during the period 1st Jan-31st March 2012
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S No |
SB no |
SB date |
Date of Let Export |
BRC No |
BRC date |
Destination country |
ITC(HS) code |
Item Description |
FOB Value in free foreign exchange (Inclusive of commission) |
Exchange Rate on date of let export |
FOB Value (in Rs) |
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(1) |
(2) |
(3) |
(4) |
(5) |
(6) |
(7) |
(8) |
(9) |
(10) |
(11) |
(12) |
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2. Details of export made during the period 1st Jan-31st March 2013
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S No |
SB no |
SB date |
Date of Let Export |
BRC No |
BRC date |
Destination country |
ITC(HS) code |
Item Description |
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(1) |
(2) |
(3) |
(4) |
(5) |
(6) |
(7) |
(8) |
(9) |
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FOB Value in free foreign exchange (Inclusive of commission) |
Exchange Rate on date of let export |
FOB Value (in Rs) |
Incremental growth 2(10) – 1(10)
(in US $) |
Incremental growth 2(12) – 1(12) (in Rupees) |
Entitlement (2%)(without cut)
(in Rupees) |
Cut applicable (if any)
(in %) |
Entitlement (in Rupees) |
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(10) |
(11) |
(12) |
(13) |
(14) |
(15) |
(16) |
(17) |
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Signature of applicant:___________________
Name: ____________________________________
Designation :_____________________________
Address, Tel no &email____________________
__________________________________________
Date: ____________________________________
CERTIFICATE
(To be issued by Chartered Accountant)
This is to certify that:
1. I am the official auditor of the firm / not the official auditor of the firm.
2. I have personally verified ...............no. of shipping bills /_____ Let Export Date /………BRC details / destination country and the item description as annexed to ANF3F.
3. The IEC holder has an incremental growth in exports (in free foreign exchange) during the year 2012-13 with respect to total exports eligible as compared to the year 2011-12 to specified markets.
4. I have verified the destinations which are eligible for benefit under Incremental Export Incentive Scheme from the shipping bills and also I have examined the proof of landing of each export consignment in specified market as per the documents prescribed under para 3.8.2 of Handbook of Procedures Vol. I.
5. Based on these I hereby certify that there is an incremental exports of …………… (%) in free foreign exchange, under this Scheme and the firm is entitled for incentive under this scheme.
Signature .............................
Name ..................................
Registration No .......................
Address ...............................
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Seal: .................................
Place: ................................
Date: ................................. |
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Tel. No ...............................
Email ................................. |
(Above ANF 3F has been vide PN. NO.13/2013, DT. 17/05/2013)
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