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DGFT Hand Book of Procedures Forms & Appendix (wef 08/04/2006) Sub Section No IIIA (AAYAAT- NIRYAAT FORM)

For Export Licence for SCOMET Items

GUIDELINES FOR APPLICANTS
1. Two copies of the application must be submitted unless otherwise mentioned.

2. Each individual page of the application has to be signed by the applicant.

3. a. Part 1 & Part 4 has to be filled in by all applicants. In case of applications submitted electronically, no hard copies of Part 1 may be submitted. However in cases where applications are submitted otherwise, hard copy of Part 1 has to be submitted.

b. Only relevant portions of Part 2 need to be filled in.

4. Application must be accompanied by documents as per details given below:

III A. For Export Licence for SCOMET Items

2. For Export of Special Chemicals in Categories 1B and 1C of Schedule 2 Appendix 3 of ITC (HS) Classification of Export & Import items:

3. For Export of all other category items of Schedule 2 Appendix 3 of ITC (HS) Classification of Export & Import items except those given in serial no 2 above :

PART 1

Note: Please state ‘Not Applicable’ wherever the information/data is not applicable to you.

1. IEC Details

i. IEC Number

ii. Date of Issue

iii. Issuing Authority

2. Applicant Firm Details

i. Name

ii. Address(Registered Office in case of Companies andHead Office in case of Others)

iii. Address of all Branches/Divisions/Units/Factorieslocated in India & abroad (attach extra sheet if required)

iv. Telephone

v. Email address (for correspondence with DGFT)

3. Details of Proprietor/Partners/Directors/Karta/Trusteeof the applicant firm (attach extra sheet if required)

i. Name

ii. Father"s Name

iii. Residential Address

iv. Telephone

4. Nature of Concern (please tick)	( ü )
i. Government Undertaking
ii. Public Limited Company
iii. Private Limited Company
iv. Proprietorship
v. Partnership
vi. Others

5. Type of Exporter (please tick)	( ü )
i. Merchant Exporter
ii. Manufacturer Exporter
iii. Service Provider
iv. Others (please specify)
v. Merchant cum Manufacturer

6. Industrial Registration Details

i. SSI/IEM/LOI or IL Registration Number

ii. Date of Issue

iii. Issuing Authority

iv. Products for which registered

7. Service Tax Registration Details (in case of Service providers)

i. Service Tax Registration Number

ii. Issuing Authority

iii. Services for which registered

8. RCMC Details

i. RCMC Number

ii. Date of Issue

iii. Issuing Authority

iv. Valid upto

v. Products for which registered

9. Status House Details

i. One/Two/Three/Four/Five Star

ii. Certificate Number

iii. Date of Issue

iv. Issuing Authority

v. Valid Upto

10. PAN Details

i. PAN Number

iii. Issuing Authority

11. Excise Details

i. Excise Registration Number

ii. Issuing Authority

12. VAT Details

i. VAT Registration Number

ii. Issuing Authority

13. Turnover Details for the preceding three licensing years

FY	Annual Domestic Turnover (Rs Lakhs)	Annual Export Turnover (Rs Lakhs)

PART 2

1. IEC Number

2. Applicant Details

i. Name

ii. Address

3. Application for (please tick the category for which the application is being made) :	( ü )
I. Importer Exporter Code Number (IEC)
II. Import Licence for Restricted Items
IIA. Import Certificate under Indo - US Memorandum
III. Export Licence for Restricted Items
IIIA. Export Licence for SCOMET Items	( ü )
IV. Star Export House Certification
V. Advance Authorisation / DFRC
VA. Gem Replenishment Authorisation
VB. Diamond Imprest Authorisation
VC. DEPB
VD. Duty Free Import Authorisation
VI. EPCG Authorisation
VII. Served from India
VIII. Vishesh Krishi And Gram Udyog Yojana (VKGUY)
IX. Target Plus Scheme
X. Claiming Duty Drawback on All Industry Rates/Fixation of Drawback Rates/Refund of Terminal Excise Duty
XA. Focus Market Scheme
XB. Focus Product Scheme

4. Application Submission Details (in case of electronically submitted applications)

i. ECOM Reference Number

ii. Date of Submission on Server

iii. Submitted to which Regional Authority

iv. File Number

v. Date of Issue

5. Application Fee Details

Amount (Rs)

Demand Draft/Bank Receipt/Electronic Fund Transfer No

Date of Issue

Name of the Bank on which drawn

Bank Branch on which drawn

Note;
1. Only one category of application may be made in the Form.
2. In case of application for issue of IEC number, information at Serial No 1 may be left blank.

SUB SECTION III A

(For Export Licence for SCOMET Items)
Part A

For Export of Special Chemicals in Categories 1B and 1C of Schedule 2 Appendix 3 of ITC (HS) Classification of Export & Import items

1. Total FOB value applied for

i. In Rupees

ii. In Foreign Currency

2. Details of items applied for export

S No	Description	ITC(HS) Code	Quantity	Total FOB Value (US $)	FOB Value per unit (US $)

3. Details of exports of Category 1B and 1C items in the preceding 3 licensing years

S No	Year	Export Licence Details				Quantity Exported	FOB Value of Exports (US $)	Country to whom exported	Name of the End User
		No.	Date	Qty	Value (US $)

4. Shipment Details

i. Port of Loading/Shipment

ii. Port of Discharge

iii. Country of Export

iv. Ultimate destination

5. In case of export of samples, please furnish

i. Ceiling Limit

ii. How much in excess of Ceiling Limit

iii. Justification for Excess

6. Foreign Buyer Details

i. Name

ii. Address

iii. Export Order no

iv. Export Order date

7. End user Details

i. Name

ii. Address

iii. End product for which the item of export will be used by the end user

iv. Purpose for which the end product will be utilised

8. Purpose of Export (please tick)	( ü )
i. Trade
ii. Personal
iii. Sample

9. If applied for export on repeat basis in the same licensing year for same product and end use and to the same end user,
please furnish

i. Reference Number and date vide which earlier permission was granted

ii. Export Licence number and date

iii. Quantity allowed for export

iv. Quantity exported on the date of this application

Part B

For Export of all other category items of Schedule 2 Appendix 3 of ITC (HS) Classification of Export & Import items except those covered by Part A above

1. Total FOB value applied for

i. In Rupees

ii. In Foreign Currency

2. Details of items applied for export

3. Details of exports licences under Schedule 2 Appendix 3 of ITC (HS) Classification of Export & Import items

S No	Date of application	Export Licence Details(see note below)				Items exported	Qty exported	Date of Shipment	FOB Value of Exports (US $)	Country to whom exported	Name of the End User
		No.	Date	Qty	Value (US $)

Note: State ‘Denied’ if the licence was denied. A false statement will invite prosecution.

4. Shipment Details

i. Port of Loading/Shipment (identify only one Port)

a. Delhi

b. Mumbai

c. Kolkatta

d. Chennai

ii. Port of Discharge

iii. Country of Export

iv. Ultimate destination

5. Foreign Buyer Details

i. Name

ii. Address

iii. Export Order no

iv. Export Order date

6. Consignee Details

i. Name

ii. Corporate Address

iii. Telephone

iv. Fax

v. Headquarters Address

vi. Citizenship of Consignee (if individual)

7. End user Details

i. Name

ii. Address

iii. Telephone

iv. Fax

v. Location (Country) of end user

vi. End product for which the item of export will be used by the end user

vii. Purpose for which the end product will be utilised

viii. Is end user an entity of Government of destination country?

ix. Manufacturing/Business/other activity of the end user

8. Details of Banks through which financial transactions relating to this export will be executed

a. In destination Country

i. Name of the Bank

ii. Address of the Bank

b. In India

i. Name of the Bank

ii. Address of the Bank

9. Foreign Collaborator Details *(as registered with GOI/RBI)

i. Name

ii. Address

* If No foreign collaboration exists, please state ‘None’

10. Details of Producer/Manufacturer of the item to be exported

i. Name

ii. Address

11. Period during which the item is proposed to be exported from India:

12. If Revalidation sought, please furnish

i. Period of Extension sought

ii. Reasons thereof

PART 4

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 there from.

2. I/We fully understand that any information furnished in the application if found 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 there under, the Foreign Trade Policy, the Handbook of Procedures and the ITC(HS) Classification of Export & Import Items.

4.

5. I/We hereby declare that I/We have not obtained nor applied for such benefits (including issuance of an Importer Exporter Code Number) in the name of our Registered/Head Office or any of our Branch(s)/Unit(s)/Division(s) to any other Regional Authority.

5A. I/ We hereby declare that I/we have perused the list of SCOMET items as contained in the Appendix 3 to the Schedule 2 of the ITC (HS) Classifications of Export-Import Items, 2004-09 and that the item(s) exported / proposed to be exported does not fall within this list and that I/ We agree to abide by the provisions of the Policy for export of SCOMET items contained in the Foreign Trade Policy, Schedule 2 of ITC (HS) and the Handbook of Procedures (Vol.1), irrespective of the scheme under which the item is exported / proposed to be exported (the underlined portion will be deleted in case an application for export license for SCOMET item is being filed).

6. I/We solemnly declare that I/We have applied for / obtained a RCMC to the Export Promotion Council which pertains to our main line of business. In case we have applied to any other council, the application has been made within the purview of the provisions of Para 3.12 and Para 3.12.1 of the Handbook of Procedures (Vol 1).

9. (applicable in case of SCOMET applications only)

a. I/We further undertake to submit to the o/o DGFT (PC-III Section), Udyog Bhavan, New Delhi a copy of the bill of entry into the destination state party within 30 days of delivery, failing which I/We shall be liable to action under Foreign Trade (Development & Regulation) Act, 1992 or rules and orders made there under, and the Customs Act, 1962.

b. I/We also hereby inform that we have complied with the conditions of all previous licences / authorisations issued to us for export of SCOMET items and have duly intimated the o/o DGFT, New Delhi along with documentary evidence in the stipulated time regarding receipt of the items of export by only the end-user as per the respective applications.

18. I hereby certify that I am authorised to verify and sign this declaration as per Paragraph 9.9 of the Policy.

Signature of the Applicant

Name

Designation

Official Address

Telephone

Residential Address

Email Address

Place

Date

Description

Schedule 2 Appendix 3 of ITC(HS) Classification of Export & Import Items

Total FOB Value (US $)

FOB Value per unit (US $)

Item Number

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