Eximkey - India Export Import Policy 2004 2013 Exim Policy
APPENDIX - 36B

STATEMENT OF UTILISATION OF SERVED FROM INDIA SCHEME
(Please see paragraph 3.6.4 of the Policy and 3.18 of the Handbook)


Reference File Number under whichduty free credit entitlement was issued:

.......................................................
.......................................................

Date of issue of entitlement:....................................................


 
1.Name and address

:................................................
.................................................
2.I E Code Number

:...................................
3.Category of service provider.(Please specify description and serial number as per Appendix-36)

:
4.Credit value of the Duty Free Credit Entitlement (in rupees lakhs)

:
5.Credit value utilised (in rupees lakhs) 

 
6.Details of imports made under the duty free credit entitlement

:


Sl.No.Description of import itemEffective Customs duty (in %age) Value debited (in rupees lakhs)
(1)
(2)
(3)
(4)
1.
2.
3.
4.
   


DECLARATION


1. I/We further certify that I/We am/are authorised to verify and sign the statement on behalf of the applicant.

2. 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.

3. I/We further declare that I/We has/have made imports against the duty entitlement certificate issued under paragraph 3.6.4 of the Policy based on average exports in the preceding three licensing years.

4. The imports under the Duty Credit Entitlement number …………………. are those of spares, office equipment and furniture, professional equipment and consumables which are freely importable and which are required in my/our line of business.

Signature:..............................................

Name in Block Letters:..............................................
Designation:..............................................
Place:..............................................
Date:..............................................
Full Official Address:..............................................
Residential Address:..............................................
E.Mail address:..............................................
 OfficialStamp/ Seal


Annexure I to Appendix 36 B


Affidavit to be submitted by the applicants who are hotels (1 star and above, heritage hotels) and stand alone restaurants.

1. I/ We verify that our hotel/ restaurant has passed on the benefit of the duty free credit entitlement to the consumer who has availed of the services in our establishment.

2. The pricing of our products prior and post availment of the duty free credit entitlement for service providers was as under:

Date of availment of Duty Free Credit Entitlement for Service Providers : _________

S.NoService/ Product served/ providedPrice per unit quantity prior to availment of DFECPrice per unit quantity after availment of DFEC
1   
     
     
     


3. I/We further certify that I/We am/are authorised to verify and sign the statement on behalf of the applicant.

4. 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.

 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 relevant records of M/s................. for the validity period of Duty Free Credit Entitlement Certificate ............ and hereby certify that:

M/s............................... (Name and address of the applicant) who is a service provider under the category .......... at S.No. ......... of Appendix-36 have made imports under the Duty Free Credit Entitlement Certificate and has passed on the entire benefits as per details given in S.No 2 of this Appendix.

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;

I/we fully understand that any statement made in this annexure, 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.

(* Strike out whichever are not applicable)

Signature.............................
Place.............................
Tel.No. .............................


Official Date...........

Stamp/ Seal


Regn. No. and Date of the Corporate Membership..........

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