ANF 1
PROFILE
Note: Please state ‘Not Applicable’ wherever the information/data
is not applicable to you.
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1. IEC Details
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i. IEC Number
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ii. Date of Issue
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iii. Issuing Authority
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2. Applicant Firm Details
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i. Name
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ii. Address
(Registered Office
in case of Companies and
Head Office in case of Others)
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iii. Address of
all Branches/Divisions/Units/Factories
located in India & abroad (attach extra sheet
if required)
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iv. Telephone
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v. Email address
(for correspondence with DGFT)
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3. Details of Proprietor/Partners/Directors/Karta/Trustee
of the applicant firm (attach extra sheet if required)
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i. Name
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ii. Father's Name
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iii. Residential
Address
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iv. Telephone
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4. Nature of Concern (please tick)
( √
)
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i. Government
Undertaking
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ii. Public Limited
Company
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iii. Private Limited
Company
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iv. Proprietorship
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v. Partnership
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vi. Others
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5. 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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6. 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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7. Service Tax Registration Details (in case of Service providers)
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i. Service Tax
Registration Number
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ii. Issuing Authority
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iii. Services
for which registered
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8. 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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9. Status House Details
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i. One/Two/Three/Four/Five
Star
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ii. Certificate
Number
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iii. Date of Issue
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iv. Issuing Authority
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v. Valid Upto
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10. PAN Details
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i. PAN Number
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iii. Issuing Authority
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11. Excise Details
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i. Excise Registration
Number
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ii. Issuing Authority
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12. VAT Details
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i. VAT Registration
Number
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ii. Issuing Authority
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13. Turnover Details for the preceding three licensing
years
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FY
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Annual Domestic
Turnover (Rs Lakhs)
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Annual Export
Turnover (Rs Lakhs)
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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.
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).
4
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