ANF 4A
For Advance Authorisation (Including Advance authorisation
for Annual Requirement) / Advance Release Order (ARO)/ Invalidation letter
[Please see guidelines (given at the end) before filling
the application].
|
2. Applicant Details
|
|
i. Name
|
|
ii. Address
|
|
3. RCMC Details
|
|
i. RCMC Number
|
|
ii. Date of Issue
|
|
iii. Issuing Authority
|
|
iv. valid upto
|
|
Products for which registered
|
|
4. Type of Exporter (please tick)
( √ )
|
|
i. Merchant Exporter
|
|
|
ii. Manufacturer Exporter
|
|
|
iii. Service Provider
|
|
|
iv. Others (please specify)
|
|
|
v. Merchant cum Manufacturer
|
|
5. Industrial Registration Details
|
|
i. SSI
/ IEM / LOI or IL
Registration Number
|
|
ii. Date of Issue
|
|
iii. Issuing Authority
|
|
iv. Products for which registered
|
|
6. Excise Details (For those registered with Central Excise Authority)
|
|
i. Excise Registration Number
|
|
ii. Issuing Authority
|
|
7. Status House Details:
|
|
i. EH / SEH / TH / STH /
PTH
|
|
ii. Certificate Number
|
|
iii. Date of Issue
|
|
iv. Issuing Authority
|
|
v. Valid Upto
|
|
8. Application Fee Details
|
|
Amount (Rs)
|
|
Demand Draft / Bank Receipt
/ Electronic Fund Transfer No
|
|
Date of Issue
|
|
Name of the Bank on which drawn
|
|
Bank Branch on which drawn
|
|
9. Total CIF value of Imports applied for
|
|
i. In Rupees
|
|
ii. In currency of imports
|
|
iii. In US $
|
|
10. Total FOB / FOR value of Exports to be made, including commission
|
|
i. In Rupees
|
|
ii. In currency of exports
|
|
iii. In US $
|
11. Value Addition (in %):
12. Port of Registration as per paragraph 4.19 of HBP v1 (for the purpose of imports):
13.
i.
Application made for Export Product Group:
ii.
Application made under which Serial No. of SION:
OR
Application made under Para 4.7 of HBP v1:
Yes / No
If reply is “Yes”, whether Adhoc Norms fixed:
Yes / No
iii. Application made under Para 4A.25 of HBP v1 (for G&J sector).
14. Details of items to be exported / supplied under the Authorisation
|
S No
|
Item Description
|
Item Technical Characteristics
/ Quality etc.
|
ITC (HS) Code
|
Quantity
|
Unit of Measurement
|
FOB
/ FOR Value
(in Rs)
|
FOB / FOR value (in freely
convertible currency)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
15. Details of items sought to be imported duty free under the Authorisation
|
S No
|
Item Description
|
Item Technical Characteristics/Quality
etc.
|
ITC(HS) Code
|
Quantity in metric units
|
CIF Value
(in Rs)
|
CIF value (in freely convertible
currency)
|
Total exemption from Customs
duty
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
16. Details of other materials to be used in the export product and sought to be
imported / procured from sources other than the Authorisation
on which drawback benefits is to be availed (not to be filled if Drawback benefits
are not being claimed)
|
S No
|
Imported Item
|
Indigenously Procured Item
|
|
Name, Technical Characteristics/Quality
etc
|
Quantity in metric units
|
CIF Value
|
Name, Technical Characteristics/Quality
etc
|
Quantity in metric units
|
Value
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
17. Details of Outstanding Export Obligation against Advance Authorisation
(s) including Advance
Authorisation for Annual Requirements issued
already
|
S No
|
Authorisation No
|
Authorisation Date
|
CIF Value (Rs)
|
FOB Value (Rs)
|
%age of EO fulfilled
|
Expiry Date of
EO period
|
|
Qty wise
|
Value wise
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
18. Details of exports / deemed supplies (including Intermediate supplies) made in the
preceding 3 licensing years
|
Licensing Year
|
FOB Value of exports
(in Rs Crore)
|
FOR Value of deemed supplies
(in Rs Crore)
|
Total Export Performance
(in Rs Crore)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
19. Applicable in case of applications made for Advance Authorisation
for Annual requirements (AAL)
|
i. Entitlement of AAL (Rs)
|
|
ii. CIF Value of AAL already
obtained (Rs) during the licensing year
|
20. In case of exports made under Deemed Exports category (except for supplies to
Advance Authorisation
/ EOU / EHTP / STP / EPCG or intermediate supplies), please furnish
|
i. Name of the Project Authority
|
|
ii. Address of the Project
Authority
|
|
iii. Supply Order No
|
|
iv. Delivery period of Supply
|
|
v. Credit under which project
is financed
|
|
vi. Method by which order is
procured (ICB etc.)
|
21. In case of request for issuance of ARO / Invalidation letter, please furnish
|
i. Advance
Authorisation No
|
|
ii. Date of Issue of Advance
Authorisation
|
|
iii. Name (s) of the Indigenous
producer from where items are to be procured
|
|
iv. Address (s) of the Indigenous
producer from where items are to be procured
|
|
v. Regional Authority of the
Indigenous producer
|
|
vi. Items to be supplied by
the Indigenous producer
a. Description of individual
items
b. Quantity of individual items
to be procured
c. Value of individual items
to be procured
|
22. Address of the factory / premises where the items to be imported are proposed
to be used
23. Address of the jurisdictional Central Excise Authority under whose jurisdiction
the factory / premises falls
24. In case the items to be imported are to be used by the supporting manufacturer,
please furnish
|
i. Name of the supporting manufacturer
|
|
ii. Address of the supporting
manufacturer
|
|
iii. SSI / LOI / IL regn. no.
and date of Supporting Manufacturer
|
|
iv. Products endorsed on SSI/IL/IEM
|
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, 2004-09 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.
(Applicable in case of Advance Authorisation applications
under paragraph 4.7 of HBP v1only)
a.
I/We hereby declare
that I
/ We shall abide by the final fixation of norms
by the Norms Committee (NC) and shall pay in cash to the Government Customs duty
together with interest (as notified) reckoned from the date of imports till the
date of deposit on the inputs imported in excess of the norms fixed by
NC.
b.
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.
Signature of the Applicant
Place
Name
Date
Designation
Official Address
Telephone
Residential Address
Email Address
GUIDELINES FOR APPLICANTS
( Please see paragraphs 4.4,
4.13, 4.14, 4.24A and 4A.25 of HBP v1
relevant to the
Scheme under which the application is being filed )
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.
RCMC details need not be given if the same have already been updated in the IEC.
4.
In case of request for ARO / Invalidation letter, applicant may furnish information
in respect of Sl No. 1, 2 & 20 of the application only.
For Advance
Authorisation
1. Bank Receipt (in duplicate)
/ Demand Draft / EFT details evidencing payment of application fee in terms of Appendix
21B.
2.
Additional documents required:
(i)
In case of issue of Advance Authorisation
for Annual Requirements:
a.
Statement of exports made in
the preceding licensing year duly certified by a Chartered Accountant / Cost and
Works Accountant in the format given in Appendix 26.
b.
Self certified copy of the
manufacturing licence of the applicant firm or his supporting manufacturer.
(ii) Invalidation letter(s) incase
of supplies to an advance Authorisation holder. However, in case of switch
over from physical exports / deemed exports to intermediate supplies, such invalidation
letters can also be furnished at the time of redemption of advance authorisation.
(iii) In case of Deemed Export:
Project Authority certificate in case of supplies other
than (ii) above and to EOU / EHTP / STP / BTP units;
3. In cases where import of fuel has been sought for under
Advance Authorisation
/ Advance Authorisation
for Annual Requirements (excluding Advance
Authorisation applications for ad-hoc norms and those under Para 4.7 of
HBP v1)
a. Self certified copy of the
permission issued to the manufacturer exporter by the competent authority (concerned
State Electricity Board or Power Corporation or Regulatory Commission of the State)
under Section 44 of the Electricity (Supply) Act, 1948 for the installation of captive
power plant based on the specified fuel unless the permission is specifically waived
by the State Electricity Board; and
b.
Self certified copy of the letter intimating the
date of commissioning of the captive power plant from the concerned authority which
issued the permission letter is to be submitted.
Note: Import of only such fuel(s) shall be allowed which have
/ has been specified in the said permission.
4.
Additional documents required in case of issue of Advance Authorisation under Para
4.7 of Handbook
a.
Information as per Appendix-11A,
b.
Technical Details of the export product as per the details
given in Appendix 33.
c.
Chartered Engineer certificate
certifying the import requirements of raw materials in the format given in Appendix
32B.
d.
Production and Consumption
data of the manufacturer / supporting manufacturer of the preceding three licensing
years, duly certified by the Chartered accountant / Cost & Works Accountant
/ Jurisdictional Excise Authority.
5.
Please state ‘Not Applicable’ wherever the information
/ data is not applicable to you.