ANF 4 H
Duty Free Import Authorisation (DFIA) Application
[Please see guidelines (given
at the end) before filling the application]
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Application for:
(please tick)
( √ )
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i.
Pre-Export DFIA (Form I)
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ii.
Post Export DFIA (Form I)
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iii.
Redemption / Transferability (Form II)
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FORM
I
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2. Applicant Details
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i. Name
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ii. Address
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3. RCMC Details
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i. RCMC Number
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ii. Date of Issue
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iii. Issuing Authority
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iv. valid upto
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v. Products for which registered
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4. Type of Exporter (please tick)
( √ )
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i. Merchant Exporter
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ii. Manufacturer Exporter
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iii. Service Provider
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iv. Others (please specify)
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v. Merchant cum Manufacturer
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5. Industrial Registration Details
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i. SSI
/ IEM / LOI or IL
Registration Number
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ii. Date of Issue
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iii. Issuing Authority
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iv. Products for which registered
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6. Excise Details ( For those registered with Central Excise Authority )
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i. Excise Registration Number
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ii. Issuing Authority
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7. Status House Details:
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i. EH / SEH / TH / STH /
PTH / Others
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ii. Certificate Number
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iii. Date of Issue
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iv. Issuing Authority
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v. Valid Upto
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8. Application Fee Details
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Amount (Rs)
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Demand Draft / Bank Receipt
/ Electronic Fund Transfer No
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Date of Issue
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Name of the Bank on which drawn
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Bank Branch on which drawn
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9.
Total CIF value of Imports applied for
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i. In Rupees
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ii. In currency of imports
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iii. In US $
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10.
Total FOB/FOR value of Exports to be made, including commission
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i. In Rupees
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ii. In currency of exports
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iii. In US $
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11. Value Addition (in %):
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12. Port of Registration ( for the purpose of imports ):
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13.
i.
Application made for Export Product Group:
ii. Application
made under which Serial No. of SION:
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14. Details of items to be exported/supplied under the Authorisation
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S No
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Item Description
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Item Technical Characteristics/Quality
etc.
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ITC(HS) Code
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Quantity
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Unit of Measurement
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FOR
/FOB Value
(in Rs)
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FOR/FOB value (in freely convertible
currency)
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Value
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Currency Code
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15. Details of items sought to be imported duty free under the Authorisation
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S No
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Item Description
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Item Technical Characteristics/
Quality etc.
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ITC(HS) Code
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Quantity
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Unit of Measure-ment
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CIF Value
(in Rs)
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CIF value (in freely convertible
currency)
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Total exemption from Customs
duty
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Value
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Currency Code
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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)
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S No
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Imported Item
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Indigenously Procured Item
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Name, Technical Characteristics/Quality
etc
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Quantity in metric units
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CIF Value
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Name, Technical Characteristics/Quality
etc
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Quantity in metric units
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Value
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17. Details of Outstanding Export Obligation against DFIA, Advance Authorisation(s)
including Advance Authorisation
for Annual Requirements issued already
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S No
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Authorisation No
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Authorisation Date
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CIF Value (Rs)
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FOB Value (Rs)
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%age of EO fulfilled
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Expiry Date of
EO period
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Qty wise
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Value wise
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18. Details of exports / deemed supplies made in the preceding 3 licensing years:
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Licensing Year
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FOB Value of exports
(in Rs Crore)
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FOR Value of deemed supplies
(in Rs Crore)
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Total Export Performance
(in Rs Crore)
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19. In case of exports made under Deemed Exports category (except for supplies to
Advance Authorisation/DFIA/
EPCG Authorisation holders/EOU/EHTP/STP/BTP), please furnish:
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i. Name of the Project Authority
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ii. Address of the Project
Authority
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iii. Supply Order No
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iv. Delivery period of Supply
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v. Credit under which project
is financed
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vi. Method by which order is
procured (ICB etc.)
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20. In case of request for issuance of Invalidation letter/ ARO:
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I. Request is for issuance of:
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(Please tick):
( √
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A.
Invalidation letter
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B. Advance Release Order (ARO)
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If so, then please furnish the following details: (i and ii below need not be filled
up in case the applicant desires the Invalidation Letter/ARO along with the issuance
of DFIA)
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i. Duty Free Import Authorisation
No.
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ii. Date of Issue of Duty Free
Import Authorisation
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iii. Name of the Indigenous
producer / STE from where items are to be procured
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iv. Address of the Indigenous
producer / STE
from where items are to be procured
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v. Regional Authority of the
Indigenous producer / STE
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vi. Items to be supplied by
the Indigenous producer / STE
a. Description of individual
items
b. Quantity of individual items
to be procured
c. Value of individual items
to be procured
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21. Address of the factory / premises where the items to be imported are proposed
to be used
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22. Address of the jurisdictional Central Excise Authority under whose jurisdiction
the factory / premises falls
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23. In case the items to be imported are to be used by the supporting manufacturer,
please furnish
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i. Name of the supporting manufacturer
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ii. Address of the supporting
manufacturer
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iii. SSI / LOI / IL regn no.
and date of Supporting Manufacturer
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iv. Products endorsed on SSI
/ IL / IEM
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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.
I / We hereby declare that we shall only import inputs which are required for the
manufacture of the export product(s) and no part of it shall be sold/transferred/disposed
off unless the DFIA is made transferable
or utilised in a manner in contravention to the
provisions of the Policy and Handbook.
7.
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.
8.
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 4.55
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.
RCMC details need not be given if the same have already been updated in the IEC.
4.
In case of Post Export DFIA application, details of Col. 21, 22 and 23 (iii) and
(iv) are not required.
5.
Application must be accompanied by documents as per details given below:
V. For Duty Free
Import Authorisation
1.
Bank Receipt (in duplicate) /Demand Draft/EFT details evidencing payment of application
fee in terms of Appendix 21B.
2.
In cases where import of fuel has been sought for the grant of Duty Free Import
Authorisation:
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: The import of only such fuel(s) shall be allowed which have/
has been specified in the said permission.
6.
Additional documents required in case of supplies under deemed export / intermediate
supplies under DFIA:
a.
Invalidation letter in case
of supplies to
i.
an EPCG Authorisation holder;
ii.
an Advance Authorisation holder;
iii.
a Duty
Free Import Authorisation
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 DFIA.
b.
Project Authority certificate in case
of supplies other than (a) (i), (ii) & (iii) above and to EOU/ EHTP/ STP/BTP
units;
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1. Request is for: (Please
Tick
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i. Redemption of DFIA
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ii. Transferability of the
DFIA
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i a. Authorisation File Number
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I b. Date of Issue
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i c. Authorisation Number
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I d. Date of Issue
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I b. Date of Issue
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ii. CIF Value
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a. In Indian Rupees
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b. In free foreign exchange
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iii. Export Obligation imposed
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a. In Indian Rupees
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b. In free foreign exchange
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Iv a Date of expiry of initial
export obligation period
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iv b. Date of expiry of extended
export obligation period
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v. Product exported
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Vi a. Serial Number of SION
(in case of fixed norms)
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Vi b. Reference number and
date vide which norms have been ratified (applicable only in case of advance authorisation
issued under para 4.7)
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2. Application Fee Details (in case of enhancement of CIF value etc.)
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Amount (Rs)
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Demand Draft/Bank Receipt/Electronic
Fund Transfer No
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Date of Issue
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Name of the Bank on which drawn
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Bank Branch on which drawn
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3. Details of physical exports / deemed exports made
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Sl. No.
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S. Bill / Invoice Details
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Port of Export
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Let Export order date
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FOB / FOR Value
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Quantity of Export
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Unit of Measurement (UOM)
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BRC Details
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No.
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Date
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In Rs
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In FFE
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In US $
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No.
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Date
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Bank & Branch
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FOB Value
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In Rs.
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In FFE
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In US $
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4.
Shipping Bill / Invoice
Wise Export items details:
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Sl. No.
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Type of Export
(EDI/Non-EDI)
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ITC(HS) Code
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S. Bill NO.
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Invoice No.
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Invoice Sl. No.
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Export Product Group
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SION No.
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Export Product Sl. No.
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Quantity Exported / Supplied
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Direct Export
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Third Party Export
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Deemed Exports / Intermediate supplies
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Total
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U /M
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1
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2
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3
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5
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10
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11
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12
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14
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Foreign Currency (FC)
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FOB Value
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FOR Value
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BRC Details
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FFE Name
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FFE Conv. Rate
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Eqv.
US $ / Rs. Rate
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In FFE
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In Rs.
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Eqv. US $
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In Rs.
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Eqv. US $
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FFE Conv. Rate
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Eqv. To US $ Rate
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In FFE
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In Rs.
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Eqv. US $
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15
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16
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17
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18
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19
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20
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21
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22
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23
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24
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25
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26
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27
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5. Details of imports made against the Authorisation ( In case of Pre-Export DFIA)
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Sl. No
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Item of Import
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Qty allowed in the Authorisation
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CIF Value allowed in the Authorisation
( in FFE)
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Bill of Entry Details
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Quantity
imported
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CIF Value
(in FFE)
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No
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Date
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6. Details of excess imports made proportionate to the export obligation fulfilled
(Please fill if applicable):
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Sl. No
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Item of Import
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Bill of Entry Details
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Quantity
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Duty Details
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No
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Date
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Customs Duty
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Interest
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Total
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DECLARATION / UNDERTAKING
9.
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.
10. 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.
11. 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.
12. 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.
13. 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).
14. 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.
15.
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 4.70
& 4.72 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.
For physical exports:
1.
Bank Certificate of Exports and Realisation in the form given at Appendix 22A
or Foreign Inward Remittance Certificate (FIRC) in the case of direct negotiation
of documents or Appendix
22D in case of offsetting of export proceeds. However,
realisation of export proceeds shall not be insisted if the shipments are made against
confirmed irrevocable letter of credit or bill of exchange is unconditionally Avalised/
Co- Accepted/ Guaranteed by a bank and the same is confirmed by the exporters bank
and certified by the bank in column 14/15 of Appendix 22A. For status holders, irrevocable
letter of credit would suffice.
2. EP copy
of the shipping bill(s) containing details of shipment effected or bill of export
in case of export to SEZ.
3. A statement
of exports giving details of shipping bill wise exports indicating the shipping
bill number, date, FOB value as per shipping bill and description of export product
4.
A statement of imports indicating bill of entry wise item of imports, quantity of
imports and its CIF value.
b. For deemed exports:
1. A copy
of the invoice or a statement of invoices duly signed by the unit receiving the
material and their jurisdictional excise authorities certifying the item of supply,
its quantity, value and date of such supply. However in case of supply of items
which are non excisable or supply of excisable items to a unit producing non excisable
product(s), a Project Authority Certificate (PAC) certifying quantity, value and
date of supply would be acceptable in lieu of excise certification. However, in
respect of supplies to EOU/EHTP/ STP/ BTP, a copy of CT-3/ARE-3 duly signed by the
jurisdictional excise authorities certifying the item of supply, its quantity, value
and date of such supply can be furnished in lieu of the excise attested invoice
(s) or statement of invoices as given above.
2.
Payment certificate from the project authority in the form
given in Appendix-22C. In the case of Advance Authorisation for Intermediate Supplies/
deemed exports, supplies to the EOUs/ EHTPs/STPs/ BTPs, documentary evidence from
the bank substantiating the realisation of proceeds from the Authorisation holder
or EOUs/EHTPs/ STPs/ BTPs, as the case may be, through the normal banking channel,
shall be furnished in the form given at Appendix 22B. However realisation of proceeds
shall not be insisted upon if the shipments are made against confirmed irrevocable
inland letter of credit or inland bill of exchange is unconditionally Avalised/
Co- Accepted/ Guaranteed by a bank and the same is confirmed by the exporters bank
and certified by the bank in column 5/6/7 of Appendix 22B. For status holders, irrevocable
inland letter of credit would suffice.
3. A statement
of supplies giving details of supply invoices and indicating the invoice number,
date, FOR value as per invoices and description of product
4.
A statement of imports
indicating bill of entry wise item of imports, quantity of imports and its CIF value.
5.
Declaration in Appendix 23 format related to consumption of the inputs endorsed
in the DFIA.