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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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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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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8. 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. Original CIF
Value (Rs)
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v. Original FOB
Value (Rs)
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vi. Original Value
Addition (%)
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vii. Initial Validity
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viii. Extended
Validity, if any
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ix. Initial EO
Period
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x. Extended EO
period, if any
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9. Details of import items and utilisation of Authorisation
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S No
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Item Description
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Original CIF Value
(Rs)
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Quantity endorsed in the Authorisation
( in metric units
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Balance Quantity available in the Authorisation
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Balance CIF Value
Available in the Authorisation
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Proposed CIF value
(Rs)
(in case of request
for CIF enhancement)
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In metric units
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In %
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In Rs
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In %
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10. Details of Export Obligation fulfillment
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S No
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Item Description
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FOB Value (Rs)
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Quantity to be
exported (in metric units)
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EO completed
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Unfulfilled EO
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In Value terms
(Rs / %)
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In Quantity terms
(%)
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In Value terms
(Rs / %)
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In Qty terms (%)
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11. Changes Required in the
Authorisation
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a. In case of request for CIF / FOB enhancement
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i. Proposed CIF
Value (Rs)
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ii. Proposed FOB
Value (Rs)
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iii. Proposed
Value Addition (%)
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b. In case of request for revalidation
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i.
Revalidation applied
upto
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c. In case of request for EO extension
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i. Extension in EO period applied upto
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12. Reasons for
seeking CIF/FOB enhancement/Revalidation/EO extension:
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 paragraph
4.21 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:
1.
Bank Receipt (in duplicate ) / Demand Draft / EFT details evidencing payment of
application fee in terms of Appendix 21B or otherwise as per Policy / Procedures.
Authorisation in Original.