ANF- 5B
(Application Form for Redemption of EPCG Authorization / Post Export EPCG Duty Credit Scrip)
(Please see the guidelines before filing the application)
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1. |
Applicant Details
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a. IEC Number |
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Branch Code |
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b. Name |
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c. Address |
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2. |
EPCG Authorization No. and Date |
Duty Saved Amount Allowed(In INR) |
Duty Saved Amount utilized(In INR)
(including indigenously procured CG) |
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3 |
Details of installation Certificate
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BE No. |
Date of BE |
*Date of Installation of CG |
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Sl. No. |
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* In case the applicant is registered with Central excise, installation certificate from Central Excise authority is mandatory for authorisations issued prior to 1.4.2015. For authorisations issued after 1.4.2015, applicant may either submit installation certificate issued by Central excise authority or independent Chartered Engineer.
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4. |
Export Product Details |
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a. Export product/services allowed as per the EPCG Authorization[ with ITC(HS) code of export product] |
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b. Alternate Product/Services (if permitted) with name & ITC(HS) code of the Product |
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5. |
Export Obligation Period |
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a. Date of expiry of initial EOP |
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b. Extended EOP date if any |
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c. Actual EO completion date |
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6. |
Average Export Obligation imposed** |
Specific EO as per actual duty saved amount |
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In INR |
In INR. |
In US$ |
** In case of fulfilment of EO by alternate product, Average EO of alternate product should also be given.
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7 |
Details of Physical Exports/Deemed Exports of goods which are manufactured by authorisation holder or his supporting manufacturer / services rendered for fulfilment of Specific EO |
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Sl. No. |
Products Exported/ Supplied/Servic es Rendered with ITC(HS) Code |
Details of Shipping Bill/Bill of Export/Voucher/Invoice/CT3/ARE3/ Lorry Receipt/ Railway Receipt/FIRC in case of service providers, etc.*** |
FOB (in FFE)/FOR value |
Same Product/Services
Alternate Product/Services |
No. |
Date |
Direct Exports |
Third Party Exports*** |
Deemed Exports |
By Group Company |
Other (R&D Services/ Royalty) |
Total |
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***For third party exports made on or after 1.4.2015 documents as per Para 5.10(d) of Hand book of procedures, 2015-2020 are required to be submitted.
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8. |
I/We further declare that I/we have made exports as under for maintenance of Average Export Obligation:**** |
Details of shipping bills for fulfillment of average export obligation |
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Financial Year |
Average to be maintained(INR) |
Average maintained(INR) |
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****The exports indicated at Sl No.8 do not include exports covered under Sl No.7 above and do not include exports rendered for maintaining specific EO of any other EPCG Authorisation.
Declaration/Undertaking
I/We hereby declare/certify that:
1. I/We have updated my/our profile in ANF -1.
2. 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 withheld there from. If anything is 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.
3. I/we have not exported items on the SCOMET list/items restricted for exports for which permission has not been taken.
4. I/We hereby declare that exports counted towards Specific Export Obligation against this authorisation have not been claimed /counted for fulfillment of annual average export performance / specific export obligation against any other EPCG Authorization.
5. It is certified that (a) F.I.R.C.(s) have been checked by me and (b) payments received are for export of services allowed for E.O. fulfilment against the EPCG Authorization
6. All physical exports made as shown in column 7 and 8 are in freely convertible currency.
7. We hereby declare that Freight, Insurance and Commission values as mentioned in the application are based on actual transaction values.
8. We further declare that for the purpose of calculating entitlement, commission has been excluded.
9. I am authorized to verify and sign this declaration as per Paragraph 9.06 of the Foreign Trade Policy.
10. The application contains ___________ nos. of EDI Shipping Bills and _____________________ nos, of Non-EDI Shipping Bills.
(Above S.No. 10 has been added vide PUBLIC NOTICE NO. 66/2018, DT. 03/01/2019)
Place
Date |
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Signature of the Applicant
Name
Designation
Official Address
Telephone/Mobile
Residential Address
Email-id |
10. Signature with Seal of the Chartered Accountant / Cost Accountant / Company Secretary.
Guidelines for Applicants
The application must be accompanied with the following documents:
1. Appendix 5C duly signed by Chartered Accountant / Cost Accountant / Company Secretary along with a statement giving details of the documents submitted by the authorization holder towards evidence of EO fulfillment.
2. Original EPCG authorization along with enclosures.
3. Self certified copies of Bill of Entry in respect of import / invoices in respect of indigenously procured CG.
4. Installation Certificate issued by Central Excise /Independent Chartered Engineer as the case may be. Wherever, installation of imported / indigenously procured CG was beyond 6 months, documentary evidence/reasons for delay.
5. In respect of Third party exports additional documents as required in terms of Para-5.10(d) of HBP 2015-20.
6. Each page of the application should be signed by the applicant.
(Above ANF 5B has been revised vide PUBLIC NOTICE NO.08/2016, DT. 06/05/2016 )
[OLD-
ANF-5B
(Application Form for Redemption of EPCG Authorization /Issuance of Post Export EPCG Duty Credit Scrip)
(Please see the guidelines before filing the application)
|
1. |
Applicant Details |
|
a. IEC Number |
|
Branch Code |
|
|
b. Name |
|
|
c. Address |
|
|
2. |
EPCG Authorization No. and Date |
Duty Saved Amount allowed |
Duty Saved Amount utilized
(including indigenously procured CG) |
|
|
|
|
|
|
3. |
Installation Certificate No. and Date |
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|
4. |
Export Product Details |
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a. Export product/services allowed as per the EPCG Authorization |
|
|
b. Alternate Product/Services (if permitted) name & ITC(HS) code |
|
|
5. |
Export Obligation Period |
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a. Date of expiry of initial EOP |
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|
b. Extended EOP date |
|
|
c. Actual EO completion date |
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6. |
Average Export Obligation imposed* |
EO as per actual duty saved amount |
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In Indian Rs. |
In Indian Rs. |
In US$ |
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|
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* In case of fulfilment of EO by alternate product, Average EO of alternate product should also be given.
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7. |
Details of Physical Exports/Deemed Exports made/Services rendered for fulfilment of specific EO |
|
Sl. No. |
Products Exported/ Supplied/Services Rendered with ITC(HS) Code |
Details of Shipping Bill/Voucher/Invoice/CT3/ARE3/Lorry Receipt/ Railway Receipt etc. |
FOB (in FFE)/FOR value |
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Same Product/Services
--------------------
Alternative Product/Services |
No. |
Date |
Direct Exports |
Third Party Exports |
Deemed Exports |
By Group Company |
Other (R&D Services/Royalty) |
Total |
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8. |
I/We further declare that I/we have made exports as under for maintenance of Average Export Obligation: |
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Financial Year |
Average to be maintained |
Average maintained |
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Declaration/Undertaking
I/We hereby declare/certify that:
1. I/We have updated my/our profile in ANF -1.
2. 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 withheld therefrom. If anything is 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.
3. None of the Partners(s)/Director(s)/ Trustee/ Karta/ Proprietor of the firm/company has come under the adverse notice of DGFT or is in the caution list of RBI.
4. None of the Partners(s)/Director(s)/ Trustee/ Karta/ Proprietor of the firm/company, as the case may be, is/are a Proprietor/Partner/Director/Karta/Trustee in any other firm/Company which has come under the adverse notice of DGFT or is in the caution list of RBI, to the best of my knowledge.
5. 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 or has otherwise been made ineligible for undertaking import/export under any of the provisions of the Policy.
6. I/we have not exported items on the SCOMET list for which permission has not been taken.
7. I am authorized to verify and sign this declaration as per Paragraph 9.06 of the Foreign Trade Policy.
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Place |
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Signature of the Applicant |
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Date |
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Name |
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Designation |
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Official Address |
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Telephone/Mobile |
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Residential Address |
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Email-id |
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8. All physical exports made as shown in item No. 7 and 8 above are in freely convertible currency.
(Signature with Seal of the Chartered Accountant / Cost Accountant / Company Secretary)
Guidelines for Applicants
1. Application must be accompanied by the certificate in Appendix 5C duly signed by Chartered Accountant / Cost Accountant / Company Secretary. ]