ANF 2C
Application Form for Import Certificate under Indo – US
Memorandum
[Please see guideline ( 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 and its Branch
on which drawn
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5 US Exporter Details
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i. Name
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ii. Address
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6. Name of the Sponsoring Directorate in ICIA:
7. Items of Import for which Import Certificate is required
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S No
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Item details
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ITC(HS) Code
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Quantity
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CIF Value (Rs)
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Whether capital good or raw
material
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8. Purpose of Import
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a. If
required for Manufacture please furnish
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i. IL / SIA / DGTD / SSI registration
number
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ii. End Product as given in
registration certificate
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iii. Actual items of manufacture
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b. If
required for Research & Development, please furnish
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i. Registration details with
Department of Science & technology
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ii. Validity of Registration
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iii. Specific project for which
items required
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c. If required for Other Actual Users (Non Industrial), please furnish
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i. Registration Certificate
details
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ii. Permission details of local/municipal
body
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9.
i.
Whether the items of import
are under Restricted List of ITC(HS)
Yes/No
ii. File number
of application submitted to Regional authority for Import Licence
10. Reference Number of the Controlled commodity / munitions list of US Export Administration
Regulations:
11. Address of the factory / premises where the items to be imported are proposed
to be used
________________________________________________________________________________________________
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.
8. I _________________ (Name of
the Organization), a Government entity/Government controlled entity/ private sector
entity (Delete whichever is not applicable) hereby undertake
i)
To import the item into India and not to redirect it or
any part of it, to another destination before its arrival in India;
ii)
To provide, if asked, verification that possession of item was taken;
iii)
Not to re-export the item without any written approval
of Certificate Issuing Authority;
iv)
Not to retransfer within India the item(s) specified in this certificate
without the written approval of
the Certificate Issuing Authority;
v)
To
obtain
permission in writing from the Certificate Issuing Authority
prior to any change in end-user which shall
be
preceded by the new end-user notifying
the Certificate Issuing Authority that he/she agrees to the conditions contained
in this document;
vi)
The items being
imported will/will not be integrated into Indian end-products to be exported.
8.
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
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GUIDELINES FOR APPLICANTS
Please see paragraph 2.11 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 ofANF1 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:
a.
Bank Receipt (in duplicate)/Demand
Draft/EFT details evidencing payment of application fee in terms of Appendix 21B.
b.
Self certified copy of letter
from US supplier in support of request for Import Certificate.