APPENDIX - 11B
APPLICATION FORM FOR GRANT OF ADVANCE LICENCE UNDER THE DUTY EXEMPTION SCHEME
- Please see paragraph 7.3 of the Policy and Paragraph 7.2, 7.3, 7.4, 7.5 and 7.11 of this Handbook (Vol.I).
- Please read the general instructions given at Appendix 1 before filling this application.
- Please submit 2 copies of this application (10 copies if no Standard input-output norms are fixed).
FOR OFFICIAL USE
File Number:----------------------------------------------- Date:----------------------
1. Name and address of the applicant : ...........................
...........................
...........................
2. I.E.Code No.: ...........................
3. (a) Name and address of the manufacturer/ .........................
supporting/co-manufacturer: .........................
.........................
(b) Type of ......... Registration ......... Date ..............
unit No.
4. Total FOB value of Rs.......... In currency ........... In US$ ....
exports excluding of exports
commission: of exports
5. Total CIF value of Rs.......... In currency ........... In US$ .....
imports: of exports
of exports
6. VALUE ADDITION :
7. Application fee: a) Bank Receipt/D.D No. ..........................
and date:
b) Issued by: ..........................
8. Port of Registration: : ...................................................
9. Sr.No. of Standard Input-Output Norms:
10. Export product group :
11. Supply Order No : ............................. date ...........................
(Applicable for Advance Licence for intermediate supply and Advance Licence for deemed exports)
12. Name and address of the :
Project Authority/Ultimate
Exporter
13. Delivery period of supply :
14. If the application is for Advance Licence for deemed export; indicate:
i) Credit under which : ....................................
Project is financed
ii) Method by which : ....................................
the order is procured
(International Competitive
Bidding etc.)
15. Details of outstanding export obligation against Advance Licence, duty free Licences/pre-export DEPB
issued under Duty Exemption Scheme.
| S.No. | Licence No. and Date | CIF value(Rs.) | FOB value(Rs.) | Percentage of export obligation fulfilled | Date of expiry of export obligation period |
| Quantity wise | Value wise |
| | | | | | | |
16. Details of the products to be exported/supplied (Resultant Products).
| S.No. | Resultant product(s) | Total quantity | Unit of measurement | FOB value |
| Name, Technical Characteristics and quality | ITC(HS) Code | Name | Code | In rupees | In freely convertible currency (FCC) |
| | | | | | | | |
17. Details of Items sought to be Imported Duty free (Arranged Item wise)
| S.No. | Import item | Total quantity | Unit of measurement | Total CIF value | Total exemption from Customs duty |
| Name, Technical characteristics and quality | ITC(HS)Code | Name | Code | Rs. | In free foreign exchange |
| | | | | | | | | |
18. Details of other materials to be used in resultant product and sought to be imported/procured from
sources other than the licence on which drawback benefits is to be availed.
(This column need not be filled if benefit of drawback is not being sought)
| S.No | Resultant product(s)(Name, Technical characteristics and quality) | Total quantity | Imported item | Indigenously procured item |
| Name, Technical Characteristics and Quality | Quantity and unit of measure-ment | CIF value | Name, Technical Character-istics and Quality | Quantity and unit of measurement | Value |
| | | | | | | | | |
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 therefrom.
2. I/We fully understand that any information furnished in the application if proved 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 thereunder, the export and Import Policy and the Handbook
of Procedures.
4. I/We further declare that no export proceeds are outstanding beyond the prescribed period as laid
down by the RBI, or such extended period for which RBI permission has been obtained.
5. I hereby certify that I am authorised to verify and sign this declaration as per Paragraph 3.8 of
the Policy.
Place : Signature of the Applicant: ........................
Date :
Name: ........................
Designation: ........................
Official Address: ........................
........................
Tele No: ........................
E-Mail Address ........................
Documents to be enclosed with the application form:
1. Bank Receipt (in duplicate) /Demand Draft evidencing payment of application fee in terms of
Appendix-34
2. Project Authority Certificate in cases application for Advance Licence for deemed export and a copy
of invalidation letter in case of application for Advance Licence for intermediate supply.
Annexure to Appendix- 11B
Note: To be submitted only in cases where Standard Input Output Norms are no
Fixed and application is preferred under paragraph 7.5.
1. Details of Items required for manufacture of one Unit of Export Product:
(a) Imported inputs :
| S.No. | Required import item | Quantity required per unit of resultant product | Purpose of requirement * | Wastage claimed (%age) | Recoverable wastage/by product |
| Description | Technical Character-istics | ITC(HS) Code | Name | Quantity | value |
| | | | | | | | | |
* Purpose of requirement should be indicated against each item whether the same is required
as raw material, components, consumables, solvents, catalysts, packing material etc.
(Above explanatory note has been amended vide P.N. No. 21(RE-01), Dt. 15/06/2001.)
(b) Indigenous inputs
| S.No. | Required import item | Quantity required per unit of resultant product | Purpose of requirement * | Wastage claimed (%age) | Recoverable wastage/by product |
| Description | Technical Character-istics | ITC(HS) Code | Name | Quant-ity | value |
| | | | | | | | | |
2. Production and consumption data of the manufacturer/supporting manufacturer (of preceding three licensing
years duly certified by the Chartered Accountant/Cost and Works Accountant):
| Year | Total production of the resultant product | Quantity of different Items consumed | Quantity consumed/unit production |
| (1) | (2) | (3) | (4) |
| | | | |
3. Details of earlier licences obtained (if any) for the resultant product during the preceding two licensing years.
| S.No. | Licence no. date and issuing authority | Whether based on ALC/SALC norms (please specify enclosing a copy of licence | Norms adopted per unit resultant product (items No.in the same order as in S.No.4 above |
| (1) | (2) | (3) | (4) |
| | | | |
4. Please furnish technical details as per Annexure-I of Appendix-11A depending upon the resultant product.
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 : ...............
DECLARATION/UNDERTAKING
I/We hereby declare that in respect of product for which Standard Input Output norms are not fixed, we shall
abide by the final fixation of norms by ALC and shall pay to the Government Customs duty together with 24%
interest on the unutilised inputs as per norms fixed by ALC.
Place : Signature of the Applicant: ........................
Date :
Name: ........................
Designation: ........................
Official Address: ......................
........................
Tele No: ........................
E-Mail Address ........................