ANF 3D
For Focus Market Scheme (FMS) Applications
(For FTP RE2006 & FTP RE2007)
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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.
Details of exports made during
the licensing
year _____ (2006-07/2007-08) (Write the relevant year as per
date of export)*
(Please note that exports
made during 2006-07 and 2007-08 cannot be clubbed into one application)
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Sl No
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Shipping Bill No
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Shipping Bill Date
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Date of Export*
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Port of Export
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ITC (HS) code
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Item Description
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Focus Market code
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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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(7)
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(8)
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BRC/ FIRC No
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Date of Realisation as per BRC/FIRC (or Date of Exports in case of Advance Payment)**
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FOB value as mentioned in BRC/ FIRC
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Rate of Entitlement
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Entitlement
(in Rs.)
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Late cut applicable,
if any
(in Rs.)
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Focus Market
Entitlement
(in Rs.)
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(9)
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(10)
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(11)
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(12)
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(13)
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(14)
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(15)
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2.5%
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(13) = (11) *(12)
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(15) = (13)
– (14)
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5. Number of Split Certificates required (in multiples of Rs 5 lakhs each):
(Splits Certificates shall not be allowed for Duty Credit scrips issued for
exports from Non-EDI ports)
6.
Port of Registration
(for the purpose of imports)***:
Note:
No supplementary cut shall be imposed, as multiple applications can be filed.
(*
Date of Export shall be as per Para 9.12 of HBP v1.
No further claims shall be allowed under the scheme against
S/Bs included under Sl. No. 4 of ANF 3D, even in case of part realizations.)
(**
In case of multiple dates of realization against a
shipment, the last date of realization is to be mentioned in this column.)
(***
The port of registration shall be any one of the EDI ports
from which the exports have been made. In case of exports from Non
EDI port, port of registration shall be the port of export.)
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8. Application
Submission Details (in case of electronically submitted applications)
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9. Application Fee Details
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i.
ECOM Reference Number
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(i) Amount (Rs):
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ii.
Date of Submission on Server
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(ii) Demand Draft
/ Bank Receipt / Electronic Fund Transfer No
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iii.
Submitted to which Regional Authority
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(iii) Date of
Issue
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iv.
File Number
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(iv) Name of the
Bank on which drawn
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v. Date of Issue
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(v) Bank Branch
on which drawn
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DECLARATION/UNDERTAKING
1.
I hereby declare that particulars and statements made in
this application are true and correct and nothing has been concealed or held therefrom.
I fully understand that any information furnished in application if found incorrect
or false will render my firm / company and me liable for any penal action or other
consequences as may be prescribed in law or otherwise warranted.
2.
I hereby certify that none of Proprietor/ Partner(s) /
Director(s) / Karta / Trustee of firm / company, as the case may be, is a Proprietor
/ Partner(s) / Director(s) / Karta / Trustee in any other firm / company which has
come to adverse notice of DGFT.
Consequentially, I further declare that under Foreign
Trade (Development and Regulation) Act (FT (D&R) Act) 1992, my firm / company
have not been debarred in person from undertaking any export import business or
activity by way of suspension or cancellation of IEC number. [If so debarred under
FT (D&R) Act, details of said order and period for which the same is operational
may be provided].
3. I hereby certify that my firm / company have not defaulted
from export obligation under any provisions of FTP and have not been placed under
the Denied Entity List (DEL). [If under DEL List, kindly furnish details of order,
current status etc.]
4. I hereby declare that details of exports of goods of
my firm / company are true and correct and in accordance with accounts maintained
in my firm / company.
5.
I hereby declare that no benefit under Focus Market Scheme (FMS) was availed (or
applied for) previously against Shipping Bills currently included in this application.
6.
I hereby declare that in terms of
Para
3.12.6 of FTP, this application does not contain any exports
for which benefit under any other promotional scheme under Chapter 3 of FTP has
been / will be claimed.
7.
I further declare that shipment for which benefit is claimed under this application
contains only those export shipments
exported through EDI enabled ports, and does not contains any shipment from non-EDI
ports.
Or
I further declare that shipment
for which benefit is claimed under this application contains only those export shipments
exported through a single
non-EDI enabled ports; and does not contains any shipment from EDI ports or other
non EDI ports.
(Strike out which ever is
not relevant, as separate applications for shipments from EDI ports and from shipments
from each Non-EDI ports are required to be submitted).
8.
I hereby declare that in terms of
Para
3.12.8 of FTP, this application does not contain any exports
in contravention to this provision.
9. I hereby declare that export product, for which FMS
benefit is being claimed, does not contain any shipment made w.e.f 1.4.2007 from
such EOU / EHTP / BTP Units, on which direct tax exemption is / will be availed
and further that these exports are not covered under Sr. No. 10 below.
10. I hereby declare that the exports, for which benefit is being claimed
under FMS, does not include any export and / or category covered under
Para
3.9.2.2 of FTP for FMS.
11.
I hereby declare that the exports, for which benefit is
being claimed under FMS, does not include any shipment exported after the itemized
policy contained in the ITC HS was restricted or prohibited.
12.
I hereby certify that I am
authorized to verify and sign this declaration as per Paragraph 9.9 of FTP.
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Place: ____________
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Signature: __________________________
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Date: _____________
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Name: _____________________________
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Documents to be submitted
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Designation: ________________________
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1.
Export promotion (EP)
copy of Shipping Bill / Bill of Export (including
in case of exports through Land Customs)
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Official Address:
_____________________
___________________________________
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2.
Relevant Original Bank
Certificate of Exports and Realisation -
Appendix 22A / Foreign Inward Remittance
Certificates (FIRC) or offsetting of
export proceeds with approval of RBI (Appendix 22D).
3.
As a proof of landing of export consignment in specified
Focus Market, any one of the documents specified in
Para
3.20.3 should suffice.
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Residential Address: __________________
___________________________________
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4.
In case of
FIRC, a declaration
from exporter that remittance is in respect of Shipping Bill(s) No ____________
dtd _________ shall also be furnished.
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Telephone: _________________________
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Note 1:
Each individual page of
application has to be signed.
One Printout of
Online application duly signed in
provided space.
Copy of
Updated Profile in ANF 1only if any
changes have taken place and updated, along with Copy of Valid RCMC.
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Email Address:
______________________
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Note 1:
In cases
where original EP copy
of Shipping Bill(s) / Bill of export and/or Bank Realisation Certificates has been
submitted under any other scheme of FTP, a self attested photocopy(s) of EP copy
of the same be attached, quoting Reference File no. & concerned Regional Authority
where original documents have been submitted.
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