ANF 4 C
For Fixation of DEPB Rates / Fuel rates
[Please see
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. 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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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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8. Application for (please tick)
( √ )
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i. Fixation of DEPB rate
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ii. Fixation of Fuel rate
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9.
Export Product Details for which fixation of rate is sought.
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Export Product Group
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Description of Item of export
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Sl.No. in Handbook (Vol.2)
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Inputs allowed
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Description
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ITC(HS)
(Code)
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Basic Customs Duty
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10.
Total exports effected during preceding three licensing
year
11. Exports made during past one year of the item for which
DEPB rate is applied for.
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Item of export
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Quantity
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FOB value
(in Rupees)
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12. Details
of imports effected during the past one year of inputs allowed under Standard Input
Output Norms (HBP v2)
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Sl. No.
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Item of import
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Bill of Entry No. and date
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Quantity of import
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CIF value
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Per unit CIF value
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13.
Details of international journals / magazine evidencing international price of inputs
in support of the data furnished above.
14. Worksheet For Computation Of DEPB Rates:
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FOB value per unit quantity
of export product (Kg./MT etc.)
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Description of import items allowed as per SION
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Quantity of import item allowed for each of the input as
per
SION
(Kg./MT etc.)
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CIF value per unit quantity (Kg./MT etc.) of each of the
item allowed for import in SION
(In Rs./US$)
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CIF value of each of the input allowed for import in
SION
[Column (3) X Column (4)]
(In Rs/US$)
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Rate of basic Customs Duty against each of the input allowed
for import in
SION
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(1)
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(2)
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(3)
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(4)
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(5)
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(6)
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Total CIF
(In Rs./US)
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15..
In case of fixation of fuel rate is sought,
please furnish
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i. Type of Fuel stipulated
in permission issued by Competent Authority
for installation of Captive Power Plant
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ii. Units (KWH) of Electricity
consumed
for producing One kg of export
product
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iii. Cost of Fuel per kg of
export product
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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 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 4.38
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 has already given at the time obtaining
IEC.
4.
Application must be accompanied by documents as per details given below:
a.
In support of data furnished at serial no. 10,11 &
12
above, minimum 5 Shipping Bills /Bills of Entry (self certified copies) should be
submitted for each item of export/ import during the past one year. This may however
be restricted to two Shipping Bills/Bills of Entry/per month for exports/ imports
made during the past one year. Alternatively in lieu of the Bills of Entry, the
firm may submit copies of Customs data for imports containing the name of the raw
materials, quantity, CIF value, name of the importers, port of import etc.
b.
International price of items of import as obtained from
international journals/ magazines are to be submitted only in support of actual
imports as given in serial no.12.
If the applicant has insufficient data on
the items of import/export, he may also submit data and documents of other exporters
of the same export product.
c.
5 copies of the application should be submitted. However,
only two copies of the supporting documents viz. relevant Shipping Bills/ Bills
of Entry is to be submitted in support of all the data as furnished by the applicant.
d.
A copy of the application and supporting documents should
simultaneously be submitted to the concerned Export Promotion Council/Commodity
Board.
e.
In case of application for fixation of fuel rate, self
certified copy of permission letter issued by the competent authority under Section
44 of the Electricity Supply (Act), 1948 for installation of Captive Power Plant
stipulating among other things, the specific fuel to be used by such plant.
Note:
The DEPB rate shall be fixed only
for those products for which Standard Input Output Norms have been notified. In
case of an export product for which Standard Input Output Norms is not fixed, the
applicant has to first apply for fixation of SION.