Eximkey - India Export Import Policy 2004 2013 Exim Policy
APPENDIX 11A

DATA SHEET FOR ADVANCE LICENCE APPLICATION ON SELF DECLARATION UNDER PARA 4.4.2 & 4.7 OF HANDBOOK (Vol.I)

1. Details of Items required for manufacture of one Unit of Export Product:

(a) Imported inputs:

S.No.Required import itemQuantity required per unit of resultant productPurpose of requirement *Wastage claimed (%age)on net content basis.Recoverable wastage/by product
 DescriptionTechnical Character-isticsITC(HS) Code   NameQuantityvalue
          


* Purpose of requirement should be indicated against each item whether the same is required as raw material, components, consumables solvents, catalysts, packing material etc.

(b) Indigenous inputs

S.No.Required import itemQuantity required per unit of resultant productPurpose of requirement *Wastage claimed (%age)on net content basis.Recoverable wastage/by product
 DescriptionTechnical Character-isticsITC(HS) Code   NameQuantityvalue
          

1. Production and consumption data of the manufacturer/supporting manufacturer (of preceding three licensing years duly certified by the Chartered Accountant/Cost and Works Accountant/Jurisdictional Central Excise Authority*):

*In case there is no past production, the Jurisdictional Central Excise Authority shall certify the production and consumption data on the basis of production batch sheets and for this purpose the firm shall maintain separate record of batch data for inputs consumed in the manufacture of the export product.

YearTotal production of the resultant productQuantity of different Items consumedQuantity consumed/unit production
(1)(2)(3)(4)
    

3. Particulars of the licences obtained in the past and ratified by ALC (with or without modification) for the same export product covered under this application.

S.No.Licence No & DateDescription of export productDescription of import itemsImport item qty per unit of export product (as applied for)Import item qty per unit of export product (as approved by ALC while ratifying licence)ALC meeting No & Date when approved
(1)(2)(3)(4)(5)(6)(7)
       

4.Please furnish technical details as per Annexure-I of Appendix-10 depending upon the resultant product. Please confirm.          c

5. a) FOB value of exports in the preceding licensing years :

b) CIF value of licences already obtained under paragraph 4.7: :

c) Balance entitlement as per paragraph 4.71. :

CHARTERED ENGINEER CERTIFICATE

I have examined the applicant company"s import requirements of raw materials, components etc with regard to their technical description/ specification and the quantity against each item of import and having regard to proper technical norms of consumption and after technical scrutiny of relevant designs and drawings, I hereby certify that they are correct in all respects and are actually required for the execution of the export/supply contracts for .........................

The list of Items covers _________ pages and contains __________ items for a total value of Rs._____________ (in free foreign exchange __________ )

 Signature..................................
Name in Block letters................
Designation...............................
Address....................................

Place: .............Name and Address of the Institution
under which Chartered : ..................................

Date: .............. Ref No. and date
of Corporate Membership : ..................................

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