1. Please see Paragraph 14.4 of the Policy and paragraph 14.5 of the Handbook.
2. Please read the general instructions given at Appendix-1 before filling this
application.
3. Please submit 5 copies of this application form.
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FOR OFFICIAL USE
File No.................... Date:...................
.....................................................
1 Name and address of the applicant :......................
2. (a) IEC Number :......................
(b) PAN Number :......................
3. (i) Specify the export product(s) for, which :......................
brand is to be approved. .......................
(ii) Export Product Group :......................
(iii) S. No. of DEPB rate list
(As given in Appendix-28A
(iv) Value Cap for export product (per unit) :......................
(v) FOB value of export product (per unit) :......................
4. Name of the brand :......................
5. Year of establishment of brand :......................
6. FOB value of exports during the preceeding 1997-98, Rs.___________
three licensing year 1998-99, Rs.___________
1999-2000 Rs.____________
7. FOB value of export product(s) under the brand 1997-98, Rs.___________
name 1998-99, Rs.___________
1999-2000 Rs.___________
8. (i) Address of the factory
(ii) Type of unit________________ Registration no.___________ date __________
9. Whether manufacturing unit holds 9000 Yes. _____ No. _______
(series) or equivalent quality
certification.
10. If yes, give details of the same. Number _________ Date __________ Issuing
authority.
DECLARATION / UNDERTAKING
1. 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.
2. I/We fully 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.,
3. I/We undertake to abide by the provisions of the Foreign Trade (Development and
Regulation) Act, 1992, the Rules and Orders framed thereunder, the Export and
Import Policy and the Handbook of Procedures.
4. I hereby certify that I am authorised to verify and sign this declaration as
per Paragraph 3.8 of the Policy.
(SIGNATURE OF APPLICANT)
Name in Block letters ...........................
Designation ...........................
Official Address ...........................
Residential address ...........................
...........................
...........................
E-Mail address ...........................
Place ..............
Date ...............
LIST OF DOCUMENTS TO BE ATTACHED.
1. Photocopy of manufacturing registration certificate.
2. CA Certificate in Appendix 26 certifying the FOB value of exports in
preceeding three licensing year as well as a certificate certifying the FOB
value of experts under the brand exports in preceeding three licensing year.
3. Photocopy of ISO 9000 (Series) or any equivalent quality certificate, if
applicable.
4. Brand registration certificate issued under Trade and Merchandise Marks Act;
1958.
Or
Acknowledgment of application filed for the registration of brand under Trade
and Merchandise Marks Act, 1958.
Or
A certificate of registration for foreign brands in their respective country
provided the exports are made under the legend "Made in India"
(Sr. No. 4 has been added to the list of documents to be attached vide Public Notice
No. 11(RE-00)/1997-2002, Dt. 1-6-2000)