ANF 4E
For Enhancement in CIF / FOB Value or Revalidation or EO extension of Authorisation
[ Please see guidelines (given at the end) before filling the application ].
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1. IEC Number |
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2. Applicant Details |
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i. Name |
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ii. Address |
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3. Application Fee Details |
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i. Amount (Rs) |
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ii.Demand Draft / Bank Receipt / Electronic Fund Transfer No |
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iii.Date of Issue |
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iv.Name of the Bank on which drawn |
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v.Bank Branch on which drawn |
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4. Authorisation details: |
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i. Authorisation Number |
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ii. Authorisation Date |
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iii. File Number from which Authorisation is issued |
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iv. CIF Value allowed (Rs) |
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v. FOB Value endorsed (Rs) |
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vi. Original Value Addition (%) |
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vii. Import Validity upto:
(a) Initially allowed:
(b) Revalidation, if any
I. As allowed by RA (in terms of para 4.23 of HBP, v1):
II. As allowed by DGFT (Hqr): |
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viii. Initial EO Period: |
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ix. Extended EO period, if any, valid upto:
a) As allowed by RA (in terms of para 4.22.1 of HBP, v1):
b) As allowed by DGFT (Hqr): |
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5. Details of import items and utilisation of Authorisation
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Sl. No |
Imports as endorsed in the Authorisation |
Imports already Effected |
Balance Imports |
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Quantity |
CIF Value |
Quantity |
CIF Value |
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Item Description |
Quantity (in metric units ) |
CIF Value (Rs) |
In metric units |
In % |
In Rs |
In % |
In metric units |
In % |
In Rs |
In % |
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6. Details of Export Obligation fulfillment
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Sl.No |
Export Obligation as endorsed in the Authorisation |
Exports already made |
Balance exports (Unfulfilled EO) |
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Quantity |
FOB Value |
Quantity |
FOB Value |
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Item Description |
Quantity (in metric units ) |
FOB Value (Rs) |
In metric units |
In % |
In Rs |
In % |
In metric units |
In % |
In Rs |
In % |
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7. Changes Required in the Authorisation:
a. In case of request for CIF / FOB value enhancement
i. Proposed CIF Value (Rs)
ii.Proposed FOB Value (Rs)
iii.Proposed Value Addition (%)
b. In case of request for revalidation
i. Revalidation applied upto:
c. In case of request for EO extension
i. Extension in EO period applied upto:
8. Reasons for seeking CIF / FOB enhancement / Revalidation / EO extension: (Pl strike out which is not applicable and mention the specific reason for seeking the amendment).
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. If found incorrect or false, it will render me / us liable for any penal action or other consequences as may be prescribed in law or otherwise warranted.
2. I/We undertake to abide by the provisions of FT(D&R) Act, the Rules and Orders framed there under, the FTP, HBP v1, HBP v2 and the ITC(HS) Classification of Export & Import Items.
3. I / We hereby certify that none of the Proprietor / Partner(s) / Director(s) / Karta / Trustee of the firm / company, as the case may be, is / are a Proprietor / Partner(s) / Director(s) / Karta / Trustee in any other firm / Company which has come to the adverse notice of DGFT.
4. I/We hereby certify that the Proprietor/Partner(s)/Director(s)/Karta/Trustee, as the case may be, of the firm/company is/are not associated as Proprietor/Partner(s)/Director(s)/Karta/Trustee in any other firm/company which is in the caution list of RBI.
5. 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 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 HBP v1, 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 hereby declare that no export proceeds are outstanding beyond the prescribed period as laid down by RBI or such extended period for which RBI permission has been obtained.
7. I hereby certify that I am authorised to verify and sign this declaration as per Paragraph 9.9 of the FTP.
Place
Date |
Signature of the Applicant
Name
Designation
Official Address
Telephone
Residential Address
Email Address |
GUIDELINES FOR APPLICANTS
[Please see paragraph 4.21, 4.22 and 4.23 of HBP v1]
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. Application must be accompanied by documents as per details given below:
a. Bank Receipt (in duplicate ) / Demand Draft / EFT details evidencing payment of application fee in terms of Appendix 21B or otherwise as per Policy / Procedures (to the Regional Authority concerned).
b. Authorisation in Original (to the Regional Authority concerned).
4. For seeking relaxation from DGFT (Hqr) for revalidation/ EOP extension beyond the existing policy provision, condition at 1 & 2 above need to be fulfilled along with the documents if any, justifying their request for relaxation.
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