ANF 2 D
Application Form for Export Licence for Restricted Items
[Please seen guidelines (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 Submission Details (in case of electronically submitted applications)
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i. ECOM Reference Number
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ii. Date of Submission on Server
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iii. Submitted to which
Regional Authority
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iv. File Number
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v. Date of Issue
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4. 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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5. Total FOB value applied for
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i. In Rupees
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ii. In Foreign Currency
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6. Details of items applied for export
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S No
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Description
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ITC(HS) Code
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Quantity
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FOB Value (Rs)
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7. Details of exports made of the item applied for in the preceding 3 licensing
years
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S No
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Year
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Export Licence Details
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Quantity Exported
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FOB Value of Exports (US $)
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Export Destination
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No.
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Date
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Qty
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Value (US $)
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8.
Purpose of Export (please tick)
( √ )
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i. Trade
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ii. Personal
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iii. Sample
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9. Foreign Buyer Details
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i. Name
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ii. Address
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iii. Export Order no and date
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11. Shipment Details
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i. Port of Loading
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ii. Port of Discharge
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iii. Country of Export
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12. In case of export of samples / exhibits / gifts, please furnish
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i. Ceiling Limit
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ii. How much in excess of Ceiling
Limit
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iii. Justification for Excess
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13. In case of export by Post, please furnish details of Postal authorities where
the parcel will be placed
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14.
In case of export of Seeds, please furnish
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i. Details of seed/planting
material proposed for export
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ii. Whether seed/planting material
proposed to be exported is of notified variety:
Yes/ No
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iii. Whether seed/planting
material proposed to be exported has been produced under custom production arrangement?
If yes, enclose details /agreement entered into with buyer
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iv. Whether variety of seed/planting
material proposed to be exported is used in India: Yes/No
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v. Places where the variety
proposed to be exported is grown
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15. Any other relevant information
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.
2. I /
We fully understand that any information furnished in the application if found 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 FT (D & R) Act, 1992, the Rules
and Orders framed there under, FTP, HBP v 1 and HBP v2 and ITC (HS).
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a.
I / We hereby certify that the firm
/ company for whom the application has been made has not been penalized under Customs
Act, Excise Act, FT (D & R) Act 1992 and FERA / FEMA.
b.
I / We hereby certify that
none of the Proprietor / Partner(s) / Director(s) / Karta / Trustee of 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 adverse notice of DGFT.
c.
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.
d.
I / We hereby certify that
neither the Registered Office / Head Office of the firm/company nor any of its Branch
Office(s) / Unit(s) / Division(s) has been declared a defaulter and has otherwise
been made ineligible for undertaking import / export under any of the provisions
of the Policy.
5.
I / We hereby declare that I / We have not obtained nor
applied for such benefits (including issuance of an Importer Exporter Code Number)
in the name of our Registered / Head Office or any of our Branch(s) / Unit(s) /
Division(s) to any other Regional
Authority.
5A.
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) 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 FTP for export of SCOMET items contained in the FTP,
Schedule 2 of ITC (HS) and the HBP v1, irrespective of the scheme under which the
item is exported / proposed to be exported.
6. I / We solemnly declare that
I / We have applied for / obtained a RCMC to the EPC which pertains to our main
line of business. In case we have applied to any other council, the application
has been made within the purview of the provisions of Para 2.67 and Para 2.67.1
of the HBP v1.
7.
I hereby certify that I am authorised to verify and sign
this declaration as per Paragraph 9.9 of the Policy.
Signature of the Applicant
Place
Name
Date
Designation
Official Address
Telephone
Residential Address
Email Address
______________________________________________________________________________________________
GUIDELINES FOR APPLICANTS
Please see paragraph 2.50 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.
a.
ANF 1 has to be filled in by all applicants.
In case of applications submitted electronically, no hard copies of ANF1. However
in cases where applications are submitted otherwise, hard copy of ANF1 has to be
submitted.
b.
Only relevant portions of Application
need to be filled in.
4. Application
must be accompanied by documents as per details given below:
For Export Licence for Restricted
Items
1.
Bank Receipt (in duplicate)/Demand Draft/EFT details evidencing payment of application
fee in terms of Appendix 21B.
2.
Self certified copy of Export Order.