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Printed ANFs are indicative only. Wherever required, these are mandatorily to be filed on Portal only. |
ANF 10B
APPLICATION FORM FOR APPROVAL FOR EXPORT OF SCOMET ITEMS FROM STOCKIST ENTITY TO ENDUSER
1. Applicant Details:
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i IEC |
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ii. Name |
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iii. 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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iv. Tele No. |
(1) |
Country Code |
Area Code |
Tel.No. |
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(2) |
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v. Fax No. |
Country Code |
Area Code |
Fax No. |
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vi. E-mail address |
E-mail(1) |
E-mail(2) |
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2. Details of SCOMET items in Appendix 3 to Schedule 2 of ITC (HS) Classifications of port & Import Items applied for export: (If required, attach extra sheet (A4size) in the same format) |
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SI. No. |
SCOMET Category i.e. 1B, 1C, 3, 4, 5 and 7 |
SCOMET Item No |
Description of export item/ including technical specification |
ITC (HS) Code No.(if available) |
Quantity |
Total FOB Value |
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In relevant foreign currency |
In Rupees |
In US$ |
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3. Details of exports of stocked items made previously
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SI. No. |
Approval o. & Date |
Details of items to be exported |
Quantity exported |
Country which the item is to be exported |
DGFT's HQ File number |
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Category |
Description |
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4. Shioment Details: |
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i. Port of Loading/ Shipment |
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ii. Port to Discharge |
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iii. Country to which item to be exported |
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iv. Ultimate Destination Country |
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5. Puroose of Exoort (olease tick and !!ive clarification if anv): |
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I. Trade |
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ii. Sample |
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iii. Display/Exhibition 111. |
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6A. Foreign Buyer Details:
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i. Name |
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ii. Address |
Flat/Plot/Block No. |
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Street/ Area/Locality |
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City |
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Country |
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Postal Code |
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iii. Telephone No. |
(1) |
Country Code |
Area Code |
Tel.No. |
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(2) |
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iv. Fax No. |
Country Code |
Area Code |
Fax No. |
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v. E-mail |
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vi. Export Order No. and date |
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6B. Consi1mee Details :(If same as Forei1m Buver write "SAME As in 6A")
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i. Name |
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ii. Address |
Flat/Plot/Block No. |
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Street/ Area/Locality |
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City |
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Country |
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Postal Code |
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iii. Telephone No. |
(1) |
Country Code |
Area Code |
Tel.No. |
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(2) |
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iv. Fax No. |
Country Code |
Area Code |
Fax No. |
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v. E-mail |
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6C. End User Details : ( If same as Foreign Buyer and/or Consignee write "SAME As in 6A and/or 6B" as the case maybe) |
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I. Name |
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Flat/Plot/Block No. |
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Street/Area/Locality |
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7. 1f aJ!J!lied forre-eXJ!Ort on reJ!eat basis under the same 'Stock & Sale' authorization for same J!roduct 2 same end user and to the same end use nlease furnish: |
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i. Reference Number and date rwhich earlier permission was granted |
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ii. Quantity allowed for export |
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Iii. Quantity exported on the date this application |
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8. Details of' Stock & Sale' authorization under which item was eXJ!Orted: |
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I. Authorization Number |
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ii. Authorization Date |
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iii. DGFT(Hq) file number |
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iv. DGFT(Hq) approval meeting number |
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v. DGFT(Hq) approval meeting date |
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For Use in DGFT office only (To be filled by the aJ!J!licant).
9A. AJ!J!lication Submission Details (if submitted electronically): |
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i. E COM Reference Number |
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ii. Date of Submission on Server |
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iii. Submitted to which Regional Authority |
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iv. File Number & Date oflssue |
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v. Application Fee submission details viz. Amount in Rupees, Demand draft No ./Electronic Fund Transfer no .and Date and the name & branch of the bank on which drawn |
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9B. Jurisdictional Re!!ional Authoritv of ori!!inal 'Stock & Sale' authorization: |
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DECLARATI0N/UNDERTAKING
1. I/ We hereby certify that:
(i) I/We here by declare that the particulars and the stateme nts made in this application are true and correct to the best of my I/our knowledge and belief and nothing has bee n concealed or held there from.
(ii ) I/ We fully understand that any information furnished in the application if found incorrect or false will re nder me liable for any pe nal action or other conseque nce as maybe prescri bed in law or otherwise warranted.
(iii) 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, Appe ndices and Aayat Nryat Forms and ITC(HS).
(iv) I/ We hereby certify that:
A. The entity for whom the application has been made have not been penalized under any of the following Acts (as amended from time to time):
(i) The Customs Act, 1962,
(ii) The Central Excise Act1, 1944
(iii) Foreign Trade (Development & Regulation) Act 1992, as amended, and
(iv) The Foreign Exc hange Manage me nt Act, 1999
(v) The Conservation of Foreign Exchange, Prevention of Smuggling Activities; Act, 1974
(vi) 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 / Kartal/Trustee in any other Company/ firm I entity which is on the Denied Entity L st (DEL) of DGFT or is in the caution list of RBI;
C. Neither the Registered Office of the company I Head Office of the firm I 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 I export under any of the provisions of the Policy;
D. We have neither obtained nor applied for issuance of an Im porter Exporter Code Num ber in the name of our Registered I Head Office to any other Licensing Authority.
(v) I/We hereby declare that I/We have neither obtained nor applied for such be nefits (including issuance of an Im porter Exporter Code Number)in the name of our Registered I Head Office or any of our Branch(s) Unit(s) Division(s) to any other Regional Authority.
(vi) We have complied with the conditions of all pre vious licences/ authorizations issued to us for export of SCOMET items and wherever required have duly inti mated the J/ o DGFT, Ne w Del hi along with docume ntary evide nce regardi ng recei pt of the items of export by the end-user within the stipulated time.
(vii)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 1/We shall liable to action under FT( D&R ) Act, 1992 as amended or rules and orders made the under, and the Customs Act, 1962.
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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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