ANF- 5C
(Application Form for Clubbing of EPCG Authorizations)
Please see para 5.27 of HBP
(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. |
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Details of EPCG Authorizations to be clubbed |
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Sl. No. |
EPCG Authorization |
Port of Registration |
Customs Notification No. |
Product(s) to be exported/ Services to be rendered |
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No. |
Date |
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1 |
2 |
3 |
4 |
5 |
6 |
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Duty saved amount (in INR.) |
Duty saved utilized (in INR.) |
Specific EO endorsed on the Authorization (in US $) |
Specific EO as per utilization (in US $) |
EO Fulfilled (in US $) |
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7 |
8 |
9 |
10 |
11 |
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3. |
Details of EPCG Authorization after clubbing |
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a. Total duty saved/Notional duty saved on the imports (in INR.) |
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b. Export Obligation imposed on the Authorization
(i) In Indian Rupees
(ii) In free foreign exchange |
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c. Average Export Obligation imposed (in INR.) |
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d. Description of Export Product(s)/Service(s) to be rendered |
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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 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. 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 have not exported items on the SCOMET list/ items restricted for exports 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.
Place
Date |
Signature of the Applicant
Name
Designation
Official Address
Telephone/Mobile
Residential Address
Email-id |
Guidelines for Applicants
The applicant would need to provide following documents for applying for clubbing of EPCG authorisation and each page of the application would need to be signed by the applicant.
7. Original EPCG authorization along with enclosures.
8. Self certified copies of Bill of Entry in respect of import / invoices in respect of indigenously procured CG.
9. 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.
10. In respect of Third party exports additional documents as required in terms of Para-5.10(d) of HBP 2015-20.
11. Export Obligation fulfillment status duly certified 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.
(Above ANF 5C has been revised vide PUBLIC NOTICE NO.08/2016, DT. 06/05/2016 )
[OLD -
ANF-5C
(Application Form for Clubbing of EPCG Authorizations)
Please see para 5.27 of HBP
(Please see the guidelines before filing the application)
|
1. |
Applicant Details |
|
a. IEC Number |
|
Branch Code |
|
|
b. Name |
|
|
c. Address |
|
|
2. |
Details of EPCG Authorizations to be clubbed |
|
Sl. No. |
EPCG Authorization |
Customs Notification No. |
Product(s) to be exported/ Services to be rendered |
|
|
No. |
Date |
|
|
|
1 |
2 |
3 |
4 |
5 |
|
|
|
|
|
|
|
|
|
|
|
|
|
Duty saved amount (in Rs.) |
Duty saved utilized (in Rs.) |
Specific EO endorsed on the Authorization (in US $) |
Specific EO as per utilization (in US $) |
EO Fulfilled (in US $) |
|
6 |
7 |
8 |
9 |
10 |
|
|
|
|
|
|
|
|
|
|
|
|
|
3. |
Details of EPCG Authorization after clubbing |
|
a. Total duty saved/Notional duty saved on the imports (in Rs.) |
|
|
b. Export Obligation imposed on the Authorization |
|
|
(i) In Indian Rupees |
|
|
(ii) In free foreign exchange |
|
|
c. Average Export Obligation imposed (in Rs.) |
|
|
d. Description of Export Product(s)/Service(s) to be rendered |
|
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 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.
Place
Date |
Signature of the Applicant
Name
Designation
Official Address
Telephone/Mobile
Residential Address
Email-id |
Guidelines for Applicants
1. Only One copy of the application must be submitted unless otherwise mentioned.
2. Application must be accompanied by the EPCG Authorizations in original.]