ANF-2Q
APPLICATION FOR EXPORT OF SAMPLES OR EXHIBITS/GIFTS /SPARES /REPLACEMENT GOODS OTHER THAN SCOMET ITEMS
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IEC Number |
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Applicant’s Name and Address |
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3. |
Description of item
Item |
ITC(HS) Code |
Quantity in MT |
FOB Value in INR |
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Destination of export (please specify the name of the recipient and destination) |
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5. |
Purpose of export |
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6. |
Details of RCMC, if any |
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7. |
Any other relevant information |
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DECLARATION/UNDERTAKING
2. I / We hereby certify that:
(ix) 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.
(x) 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.
(xi) I/We undertake to abide by the provisions of the FT (D & R) Act, 1992, as amended, the Rules and Orders framed there under, FTP, HBP, Appendices and Aayat Niryat Forms and ITC (HS).
(xii) I/We hereby certify that:
A. The entity for whom the application has been made has not been penalized under any of the following Acts (as amended from time to time):
a. The Customs Act, 1962,
b. The Central Excise Act 1944,
c. Foreign Trade (Development & Regulation) Act 1992, as amended, and
d. The Foreign Exchange Management Act,1999;
e. The Conservation of Foreign Exchange, Prevention of Smuggling Activities Act, 1974
f. Weapons of Mass Destruction & their Delivery Systems (Prohibition of Unlawful Activities) Act, 2005
B. none of the Directors / Partners / Proprietor / Karta / Trustees of the company /firm /HUF/Trust, (as the case may be), is/are a Director(s) / Partner(s) / Proprietor / Karta / Trustee in any other Company/ firm / entity which is on the Denied Entity List (DEL) of DGFT or is in the caution list of RBI;
C. neither the Registered Office of the company / Head Office of the firm / 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;
D. we have neither obtained nor applied for issuance of an Importer Exporter Code Number in the name of our Registered / Head Office to any other Licensing Authority.
(xiii) I / We hereby declare that I / We have neither 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.
(xiv) we have complied with the conditions of all previous licences / authorisations issued to us for export of SCOMET items and wherever required have duly intimated the o/o DGFT, New Delhi along with documentary evidence regarding receipt of the items of export by the end-user within the stipulated time.
(xv) I / We undertake to abide by the provisions of the FT (D & R) Act, 1992, as amended, the Rules and Orders framed there under, FTP, HBP and ITC (HS) and submit all requisite documents to the o/o DGFT (SCOMET Section), failing which I/We shall be liable to action under FT (D & R) Act, 1992 as amended or rules and orders made there under, and the Customs Act, 1962.
(xvi) I hereby certify that I am authorised to verify and sign this declaration as per Paragraph 9.6 of the Policy.
Signature of the Applicant |
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Name |
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Designation |
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Official Address |
Flat/Plot/Block No. |
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Street/Area/Locality |
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City |
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State |
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PIN Code |
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Telephone |
Country Code |
Area Code |
Tel.No. |
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Place: |
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Date: |
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