APPLICATION FOR GRANT OF STAR TRADING HOUSE/SUPER STAR TRADING HOUSE BY MANUFACTURE UNITS/INDUSTRIAL HOUSES AND INTERNATIONAL SERVICE EXPORT HOUSE FOR DOMESTIC SERVICE PROVIDER Note: 1. Please see Paragraph 12.12A of the Policy and Paragraph 12.12 of this Handbook 2. Please read the general instruction given at Appendix 1 before filling this application. 3. In addition to 2 copies of this application form, please also submit Appendix-1 A (in duplicate) alongwith this application. ---------------------------------------------------------------------------- FOR OFFICIAL USE File No.:-------------------------------- Date:----------------- ---------------------------------------------------------------------------- 1. Name and address : 2. I E Code Number : 2(a) PAN Number : 3. Application for STH/SSTH : 4. Branches (In India/Abroad) :

S.No.	Name of the Place/Country	Code

5. Subsidiary Company:

S.No.	Company Name

6. Details of E H/TH/ Certificates issued earlier (if any).

S.No.	Certificate number and date	Validity
		From	To

7. Annual manufacturing turnover during the preceeding year 19_____ - 19 ____. DECLARATION =========== I/We hereby declare that this application is based on the manufacturing turnover of the preceeding years. I/We further certify that I/We am/are authorised to verify and sign the statement on behalf of the applicant. I/We fully understand that any information furnished in the above statement, if proved incorrect or false, will render me/us liable to face any penal action or other consequences as may be prescribed in law or otherwise warranted. I/We further declare that I/We has/have not applied nor obtained any recognition certificate as Star Trading House / Super Star Trading House from any other authority. Signature___________________________________ Name in Block Letters_______________________ Designation_________________________________ Place___________ Full Official Address_______________________ Full Residential Address____________________ EMail No.___________________________________ Official Date_______________ Stamp / Seal CERTIFICATE OF CHARTERED ACCOUNTANT / COST AND WORKS ACCOUNTANT / COMPANY SECRETARY ---------------------------------------------------------------------------------- I/We hereby confirm that I/We have examined the prescribed registers and also the relevant records of M/s......................... for the year 19-- to 19- i). M/s .....................(full name and address of the applicant) have made an annual manufacturing turnover of Rs. _________ during the preceding licensing year as specified in column 7 above. ii).The relevant register has been authenticated under my/our seal / signature. iii).The information of manufacturing turnover given in the above statement is in agreement with the relevant register and records; the same has been incorporated in the books of accounts maintained by M/s.......... and is also true and correct. iv).It has been ensured that the information furnished is true and correct in all respect; no part of it is false or misleading and no relevant information has been concealed or withheld; v). Neither I, nor any of my partners is a partner, director, or an employee of the above-named entity or its associated concerns; vi).I/We further certify that M/s .................... has realised 95% or more of the export proceeds in respect of exports made by him in the preceding three licensing years (excluding the export made during last six months from the date of filing of application). I/We hereby certify that the total value of outstanding foreign exchange beyond a period of 6 months from the date of export/services rendered by the applicant vii).I/we fully understand that any statement made in this certificate, if proved incorrect or false, will render me/us liable to face any penal action or other consequences as may be prescribed in law or otherwise warranted. Signature : ............................. Place : .......... Registered :............................ Official Date........... Stamp/ Seal Regn. No. and Date of the Corporate Membership.......... (ABOVE APPENDIX HAS BEEN ADDED VIDE PUBLIC NOTICE No. 46 (RE-98)/1997-2002 Dated : 7-10-98) Memorandum of Understanding This MOU has been made on ____________________ day of 19 ________. BETWEEN Government of India acting through Director General of Foreign Trade (herein referred to as DGFT) Udyog Bhavan, New Delhi. AND M/s _______________________________ (hereafter referred to as party which expression shall be deemed to include their executors, successors, administrator and assignee) 1. Whereas the party has sought issuance of a Star/Super Star Trading House certificate (strikeout whichever is not applicable); in accordance with terms and conditions as laid down in paragraph 12.1 of the policy;and 2. Whereas the party intends to achieve an export turnover of Rs._________ (the threshold limit of Star/Super Star trading /ISEH, as applicable); over a period of next three years. 3. Whereas in lieu of the above commitments the DGFT has agreed to recognise the party as a Star/Super Star Trading house/ISEH (as applicable) and extend all benefits conferred upon similar status holders as per Export Import Policy and procedures on this date and as amended henceforth. Name of the Director/Proprietor/ Export Commissioner for Director Partner General of Foreign Trade Signature Signature On behalf of M/s. _____________ (On behalf of Government of India.) Official address Tel. No. (Appendix 19A has been replaced vide Exim Public Notice No. 70(RE-98)/97-02 dt. 5.2.99)