|
|
 |
|
|
ANF 3F
ANF for High-Tech Products Export Promotion Scheme (HTPEPS)
For Applicants who opted to apply on incremental growth in exports basis
April 2007 – March 2008 / April 2008 – March
2009 period
|
1. IEC Number
|
|
2. Applicant
Details
|
|
i. Name
|
|
ii. Address
|
|
3. RCMC Details
|
|
i. RCMC Number
|
ii. Date of Issue
|
|
iii. Issuing Authority
|
iv. Valid upto
|
|
v. Products for which registered
|
|
4. Status Details
|
|
|
i. Status Number
|
ii. Effective Date of Status Certificate and Validity:
|
|
iii. Issuing Authority
|
iv. Date of issue:
|
|
5.
|
Details of exports:-
|
|
|
|
|
|
FOB value (as per BRC) in Rs
|
|
Sr. No
|
Particulars
|
Base Year* (2006-07/ 2007-08)
|
Incremental Year* (2007-08/ 2008-09)
|
|
i
|
Total value of exports of all notified products covered
under Appendix 37E, taken together.
Details as per CA certificate.
|
|
|
|
ii
|
Exports of Ineligible Categories (of High Tech Products)
- see Para 3.11.2.1 and
Para
3.11.4 of FTP.
|
|
|
|
iii
|
Exports eligible for High Tech Products Export Promotion
Scheme = Row i - Row ii
|
|
|
|
iv
|
Incremental Growth in Exports = FOB Value of Incremental
Year of Row iii - FOB Value of Base Year of Row iii
|
|
|
v
|
Duty Credit Quantum Eligible For (i.e. 5% of Incremental
Growth in Exports) = 5% X Row iv, subject to a ceiling of Rs. 15 Cr per applicant
in terms of
Para
3.11.3 of FTP
|
|
|
Note: In case Base Year's export is Nil, Applicant is not
eligible for benefits under the High-Tech Products Export Promotion Scheme.
|
|
|
6. Number of
Split
Certificates required (in multiples of Rs.5 lakhs each):
|
|
7.
Port of Registration
(for the purpose of imports)**:
|
|
* Date of Exports in terms of Para 9.12 of HBP v1 is to
be taken for counting a shipment in a particular year)
|
|
** The port of registration shall be one of the ports from
which the exports have been made.)
|
|
8. Application Submission Details (in case of electronically
submitted applications)
|
9. Application Fee Details (as per claim value
in Row 5 above)
|
|
i. ECOM Reference Number
|
(i) Amount (Rs):
|
|
ii. Date of Submission on Server
|
(ii) Demand Draft/Bank Receipt/Electronic Fund Transfer
No
|
|
iii. Submitted to which Regional Authority,
New Delhi
|
(iii) Date of Issue
|
|
iv. File Number
|
(iv) Name of the Bank on which drawn
|
|
v. Date of Issue
|
(v) Bank Branch on which drawn
|
DECLARATION /UNDERTAKING
- I
hereby declare that particulars and statements made in this application are true
and correct and nothing has been concealed or held there from. 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.
- 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. 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].
- I hereby
certify that my firm/company has not defaulted from export obligation under any
provisions of FTP and has not been placed under the Denied Entity List (DEL). [If
under DEL List, kindly furnish details of order, current status etc.
- 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.
- I
hereby declare that in terms of Para 3.12.6 of FTP, this application does not contain
any exports for which benefit under FPS/FMS under Chapter 3 of FTP has been/will
be claimed.
-
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.
- I
hereby declare that the exports for which High Tech Products Export Promotion Scheme
benefits under Para 3.11.2(b) is being claimed is correctly and the shipping bill
wise details are given in Annexure 1 of CA certificate.
- I
hereby certify that I am authorized to verify and sign this declaration as per Paragraph
9.9 of FTP.
|
Place:____________
|
Signature :
|
|
Date :________________
|
Name :
|
|
Documents to be submitted
|
Designation:
|
|
1. CA certificate as per Annexure
|
Official Address:
|
|
2. Copies of Shipping Bills of both the base year and the
incremental year, of all High Tech Products.
|
|
|
3. Copies of BRC/FIRC of all these shipments.
|
Residential Address:
|
|
|
Telephone:
|
|
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 1 only if any changes have taken place and updated, along
with Copy of Valid RCMC.
|
E-mail Address:
|
Annexure to ANF 3F
CERTIFICATE
OF CHARTERED ACCOUNTANT
(CA) COST AND WORKS ACCOUNTANT (ICWA)/COMPANY
SECRETARY (CS)
I/We hereby confirm that
I/We have examined prescribed registers and also relevant records of M/s ......................................
having IEC Number for licensing period (s) ………… and hereby certify that:
-
Following documents/records have been furnished by applicant firm/company
and have been examined and verified by me/us namely:-
-
Statutory documentations under Customs Act 1962 and Excise Act 1848, Service Tax
Act, Foreign Trade (Development & Regulation) Act 1992;
-
Export Order/Contract, Shipping Bills, Bill of Lading (and/or Airways Bills/PP Receipts),
Customs/Bank attested Invoices, Forward Inward Remittance Certificates (FIRCs) and
Bank Certificates of exports and realization, GR declaration and connected books
of accounts;
- FIRCs
Certificate from international credit card companies
- Information
given by applicant firm/company in ANF 3F is in agreement with FTP 2004-09, as amended,
and rules and procedures made there under, relevant register and records and books
of accounts maintained by M/s …………… and their subsidiaries and is also true and
correct.
-
It has been ensured that
-
Information furnished is true and correct in all respects; no part of it is
false or misleading and no relevant information has been concealed or withheld;
-
In respect of export of goods, a shipment can counted in applicants export turnover/performance
only if the realization of export proceeds from overseas is in the applicant's bank
account.
- In
respect of service providers, realization of export proceeds in free foreign exchange
pertains to rendering of services.
- Neither
I, nor any of my/our partners is a partner, director, or an employee of above-named
entity, its Group companies or its associated concerns;
|
Place:
|
Signature of CA/ICWA/CS:
|
|
Date:
|
Name of the Signatory:
|
|
|
Address:
|
|
|
Membership No:
|
I/We further certify that
export proceeds for shipments during last three years plus current year are not
outstanding beyond prescribed period as permitted by RBI Statement of Exports of
all High Tech Products (Appendix 37E) is as under:
|
Particulars (1)
|
Base Year (Pl. Specify the year) (2)
|
Incremental Year (Pl. Specify the year) (3)
|
|
1. Total Exports of All High Tech Products taken together
|
|
|
|
2. Ineligible categories - as per Para 3.11.2.1 and
Para
3.11.4 of FTP
|
|
|
|
3. Exports eligible for High Tech Products Export Promotion
Scheme (Row 1 minus Row 2)
|
|
|
|
Incremental Exports during the incremental year (Column
3 - Column 2)
|
|
Shipment-wise
details are given in Annexure 1 to this Certificate.
I/We fully understand that any statement made in
this certificate, if proved incorrect or false, will render me/us liable to face
any penal action or other consequences as may be prescribed in law or otherwise
warranted.
|
Place:
|
Signature of CA/ICWA/CS:
|
|
Date :
|
Name of the Signatory:
|
|
|
Address:
|
|
|
Membership No:
|
|
|
Email Address:
|
|
If any of documents of record mentioned in serial number
(i) have not been maintained/furnished, examined or verified, they may please be
specified below:-
|
Statement
of Export of all High Tech Products taken together
(Kindly see the complete list of High Tech Products
as notified in Appendix 37E)
|
For the Base Year:
(please specify the Base Year)
|
|
Sr. No.
|
High Tech Products Code (as given in Appendix 37E)
|
Shipping Bill Number
|
Date of Export as per
Para
9.12 of HBPv1
|
Item Description as per Shipping Bill (including
ITC HS Code, if specified in Appendix 37E)
|
FOB Value of Eligible exports in (as per BRC/FIRC
in Rupees)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
For the Incremental Year
(please specify the incremental Year)
|
|
Sr. No.
|
High Tech Products Code (as given in Appendix 37E)
|
Shipping Bill Number
|
Date of Export as per
Para
9.12 of HBPv1
|
Item Description as per Shipping Bill (including
ITC HS Code, if specified in Appendix 37E)
|
FOB Value of Eligible exports in (as per BRC/ FIRC
in Rupees)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Place:
|
Signature of CA/ICWA/ CS:
|
|
Date:
|
Name of the Signatory:
|
|
|
Address:
|
|
|
Membership No:
|
|
|
Email Address:
|
|
|
|
|
|
|
|
|
|
|