APPENDIX 36-A
APPLICATION FORM FOR SERVED FROM INDIA SCHEME
(Please see paragraph 3.6.4 of the Policy and 3.18 of the Handbook)
1. Name and Address
2. I E Code Number
|
| 3. Category of Service Provider | a) Hotels and other service providers in tourism sector
b) Stand Alone Restaurants
c) Others
(Pl. indicate serial number as per Appendix 36)
|
| 4. Whether holding a Status Certificate | : Yes/No
|
5. Service Tax Registration No
(unless exempted)
| : |
| 6. Details of Services rendered | : |
| Services rendered in free foreign exchange during 2003-04 | Services rendered in the preceding year (in Indian rupees) | Services rendered in the current year (in Indian rupees) | Duty Free Entitlement (Rs) |
| Direct | Indirect | | | |
| (1) | (2) | (3) | (4)
=0.1*(Col 2) for All service providers other than Hotels and Restaurants
=0.05*( Col 2) for Hotels and other service providers in the Tourism sector
=0.2*( Col 2) for Standalone restaurants |
| | | | |
7. Port of Registration(for import purposes) :
8. No. of Split Certificates required (in multiples of Rs 5 Lakhs each):
9. Details of Fee Paid:
DD/TR no: Date: Drawn on:
Declaration/Undertaking
1. I/We hereby declare that this application is based on services rendered in free foreign exchange during the preceding licensing year as per details given at Serial Number 6 above.
2. I/We further certify that I/We am/are authorised to verify and sign the statement on behalf of the applicant.
3. 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.
4. I/We further declare that I/We has/have not applied nor obtained another duty entitlement certificate issued under paragraph 3.6.4 of the Policy based on the exports in free foreign exchange during the preceding licensing year.
5. I/We further declare that I/We shall comply with the provisions of the Policy/Handbook of Procedure (Vol.1) and the relevant Customs notification while importing the goods under the scheme and subsequent use of the same under actual user condition.
6. I/We further declare that in respect of professional equipments, a certificate from jurisdictional Deputy Commissioner Central Excise, Assistant Commissioner of Central Excise or an independent Chartered Engineer, as the case may be, shall be produced confirming installation and use of capital goods in the importers factory or premises, within six months from the date of imports or within such extended period as the said Deputy Commissioner of Customs or Assistant Commissioner of Customs may allow.
7. I/We declare that the receipts of free foreign exchange (including payment through international credit cards for one and two star hotels and stand alone restaurants) are for bona fide service transactions rendered by the applicant and no services have been purchased from third parties for availing the duty free entitlement entitlement.
Place:
Date: | Signature:
Name in Block Letters:
Designation:
Official Address:
Residential Address:
E. Mail address:
Official Stamp/Seal |
Documents to be enclosed with the application form
1. Copy of the service tax registration, wherever applicable.
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 period specified in S. No. (6) above and hereby certify that:
(i) M/s
(Name and address of the applicant) who is a service provider under the category
at S. No.
of Appendix-36 have earned foreign exchange as per the details supplied at Sl. No. 6
(ii) The following documents/records have been furnished by the applicant for services provided against Direct/Indirect foreign exchange and have been examined and verified by me/us:
In respect of direct foreign exchange earnings, we have verified the certified statements from the Banker/ Chartered Accountant of Foreign Exchange Earnings. In respect of indirect forex earnings duly certified by Chartered Accountant such as amount received from Travel agents/ Tour Operators, Foreign Airlines for stay of Crew and Catering, UN Organisations and Diplomatic Missions and Encashment Certificate from authorized dealers and others in terms of DGFT Policy circular no. 60/97-2002 dated 24.12.1998.
(iii) The financial information 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 the Service provider; 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) 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;
(vi) Neither I, nor any of my partners is a partner, director, or an employee of the above-named entity or its associated concerns;
(vii) I/We fully understand that any statement made in this certificate, if approved 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.
(* Strike out whichever are not applicable)
Place:
Date:
Registration No. and Date
of the Corporate Membership | Signature
Name
Official Address
Residential Address
Telephone No
Official Stamp/Seal |
BANKERS CERTIFICATE
(FOR ONE & TWO STAR HOTELS, STANDALONE RESTAURANTS)
I/We hereby confirm that I/We have examined the relevant records of M/s................. for the validity period of Duty Free Credit Entitlement Certificate ............ and hereby certify that:
1. We certify that all payments have been made through international credit cards in free foreign exchange as per RBI guidelines in this regard.
2. We have examined all the Foreign Inward Remittance Certificates (FIRC) relating to the transactions for services rendered.
3. We certify that there has been no violation of FEMA in the case of these inward remittances.
Authorised Foreign Exchange Dealer Code No:
Alloted By RBI, _________________________
Reference No: _________________________
Date:_________________________________
Place:________________________________
Bankers name and Address: _____________________________________________
Signature of banker:_________________________
Official Stamp:
(Appendix 36A has been amended vide
P.N. No.22/2004, DT. 08/11/2004)
[OLD-
APPENDIX 36-A
APPLICATION FORM FOR SERVED FROM INDIA SCHEME
(Please see paragraph 3.6.4 of the Policy and 3.18 of the Handbook)
FOR OFFICIAL USE
| 1. | Name and address | : |
|
| 2. | I E Code Number | : |
|
| 3. | Category of service provider | : | a) Hotels and service providers in tourism sector. c
b) Others c
(Pl. indicate serial number as per Appendix 36)
|
| 4. | Whether holding a status certificate | : | Yes/No. c
|
| 5. | Service Tax Registration No (unless exempted)
| : |
|
| 6. | Details of services | : |
|
| Services rendered in free foreign exchange during 2003-04 | Average service rendered in the preceding year (in Indian rupees) | Duty free entitlement |
| Direct | Indirect | |
| (1) | (2) | (3)
= 0.1*(2) or 0.05*(2) for hotels or 0.2*(2) for standalone restaurants |
| | | |
7. Port of registration(for import purposes):
Declaration
1. I/We hereby declare that this application is based on services rendered in free foreign exchange during the preceding three licensing year.
2. I/We further certify that I/We am/are authorised to verify and sign the statement on behalf of the applicant.
3. 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.
4. I/We further declare that I/We has/have not applied nor obtained another duty entitlement certificate issued under paragraph 3.6.4 of the Policy based on the exports in free foreign exchange during the preceding three licensing year.
5. I/We further declare that I/We shall comply with the provisions of the Policy/Handbook of Procedure (Vol.1) and the relevant Customs notification while importing the goods under the scheme and subsequent use of the same under actual user condition.
6. I/We further declare that in respect of professional equipments, a certificate from jurisdictional Deputy Commissioner Central Excise, Assistant Commissioner of Central Excise or an independent Chartered Accountant, as the case shall be produced confirming installation and use of capital goods in the importers factory or premises, within six months from the date of imports or within such extended period as the said Deputy Commissioner of Customs or Assistant Commissioner of Customs may allow.
7. I/We declare that the receipts of foreign exchange (including payment through international credit cards for one and two star hotels and stand alone restaurants) are for bona fide service transactions rendered by the applicant and no services have been purchased from third parties fro availing of duty free entitlement facility.
| | Signature:..........................................
Name in Block Letters:..........................................
Designation:..........................................
Place:..........................................
| | Date:............................ | Full Official Address:..........................................
Residential Address:..........................................
E. Mail address:..........................................
Official 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 period specified in S. No. (6) above and hereby certify that:
(i) M/s
(Name and address of the applicant) who is a service provider under the category
at S. No.
of Appendix-36 have earned foreign exchange as per the details supplied at Sl. No. 6
(ii) The following documents/records have been furnished by the applicant for services provided against Direct/Indirect foreign exchange and have been examined and verified by me/us:
In respect of direct foreign exchange earnings, we have verified the certified statements from the Banker/ Chartered Accountant of Foreign Exchange Earnings. In respect of indirect forex earnings duly certified by Chartered Accountant such as amount received from Travel agents/ Tour Operators, Foreign Airlines for stay of Crew and Catering, UN Organisations and Diplomatic Missions and Encashment Certificate from authorized dealers and others in terms of DGFT Policy circular no. 60/97-2002 dated 24.12.1998.
(iii)The financial information 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 the Service provider; 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)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;
(vi)Neither I, nor any of my partners is a partner, director, or an employee of the above-named entity or its associated concerns;
(vii)I/we fully understand that any statement made in this certificate, if approved 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.
(* Strike out whichever are not applicable)
| | Signature:..........................................
|
| Place .................... | Tel. No....................................
|
| Date:.................... | Official Stamp/Seal
|
| Regn. No. and Date of the Corporate Membership
|
|
BANKERS CERTIFICATE (FOR ONE & TWO STAR HOTELS, STANDALONE RESTAURANTS)
I/We hereby confirm that I/We have examined the also the relevant records of M/s................. for the validity period of Duty Free Credit Entitlement Certificate ............ and hereby certify that:
1. We certify that all payments have been made through international credit cards in free foreign exchange as per RBI guidelines in this regard.
2. We have examined all the Foreign Inward Remittance Certificates (FIRC) relating to the transactions for services rendered.
3. We certify that there has been no violation of FEMA in the case of these inward remittances.
Authorised Foreign Exchange Dealer Code No:
Alloted By RBI, ________________
Reference No: __________________
Date:___________________________
Place:__________________________
Bankers name and Address: _____________________________________________
Signature of banker:_________________________
Official Stamp:
Documents to be enclosed with the application form
1. Copy of the service tax registration if applicable.
]
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