The Chamber through its branches may issue Certificate of Origin (Non-Preferential) for the units located in Chandigarh, Chhattisgarh, Delhi, Haryana, Himachal Pradesh, Jammu & Kashmir, Madhya Pradesh, Punjab, Rajasthan, Uttarakhand and U.P.

Note:
An application for grant of a Certificate of Origin- Non Preferential may be made by the Registered/Head Office/Branch Office/Factory of the applicant to the licensing authority under whose jurisdiction such office/factory falls.
 

On behalf of M/s _____________________________________________ with its registered / head office located at __________________________________.

1) I hereby certify that I am authorised to sign this declaration cum undertaking.

2) 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 therefrom.

3) I/We full understand that any information furnished in the application if proved incorrect or false will render me/us liable for any penal action or other consequences as may be prescribed in law or otherwise warranted.

4) I/We undertake to abide by the provisions of the Foreign Trade (Development and Regulation) Act, 1992, the Rules and Orders framed thereunder, the Foreign Trade Policy and the Handbook of Procedures.

5) I undertake that the applicant has not been de-listed earlier on account of violation of any of the provisions of the FTDR Act, 1992, or any misrepresentation or fraud.

6) That I/we would be liable for the penal action or other consequences as may be prescribed and taken by the Ministry of Commerce or the Directorate General of Foreign Trade for any violation of the undertaking or procedures that are prescribed by the Government.

7) That I/ we shall not charge more than Rs 100/- for the issue of each Certificate of Origin (Non Preferential).

8) That I/ We undertake not to issue any Preferential Certificate of Origin including those of GSP, SAPTA and Bangkok Agreement.
 

Name:_______________________________
Designation:_______________________________
Address:_______________________________
Contact Nos:_______________________________
Fax:_______________________________
Email:_______________________________
Signature and seal of Agency:_______________________________

I. Criteria for recognition of Agencies authorized to issue Certificate of Origin (Non- Preferential):

a. Applicant Chamber of Commerce, Industry Associations etc. must be registered as a Company, a Society or a Trust under the relevant Act of the Government and should not have been set up for profit. Proprietorship / partnership firms shall not be entitled for this recognition

b. The applicant must have a minimum office space of 1000 Sq. ft.

c. The applicant must have a minimum of 5 employees (excluding support in form of Group D employees) on its pay rolls. At least 2 of such employees should be technically qualified.

d. The applicant seeking recognition should regularly be conducting export promotion activities and should present a proof of having conducted at least 3 events in one licensing year through some reputed agency of trade promotion.

II. Guidelines for Regional Authorities to carry out inspections:

a. The inspection shall be carried out by at least an officer of the rank of FTDO / Asstt. DGFT who shall be assisted by at least another official.

b. (b)The inspection report will precisely cover all the details given in the application form and verify the same before recommending enlistment.

c. The inspection report will give the details of the Agency about meeting the criteria for enlistment as given in the guidelines.

III. List of documents that should accompany the application for enlistment under Appendix 4C

a. Documentary proof evidencing that the Chamber/Agency meets the criteria as per Para I above.

b. Fee of Rs. 5000/- in favour of DGFT, New Delhi or concerned RA in case the application is filed at RA. (Fee is non-refundable.)

c. Declaration cum Undertaking To be given on a stamp paper (Minimum of Two Rupees)

d. List of the authorized signatories along with their signature attested.

e. Application form is to be submitted in duplicate.