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ANF 3H
Application for Served from
India
Scheme (SFIS) for Current Financial Year
(for Foreign Exchange
Earned during 2008-09)
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1. IEC Number
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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/Services for which registered - in terms of main line of business.
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4. Category of Service Provider (please tick) (Ö)
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i. Individual Service Provider
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ii. Hotels & Restaurants and other service Providers in Tourism Sector except
Stand-alone restaurant.
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iii. Stand Alone Restaurant
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iv. All other Service Providers
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5. Frequency of Application: Monthly/Quarterly/Half Yearly/Annually (Ö the relevant
option)
Note: Applicants are to exercise the option of applying
on Monthly/Quarterly/Half Yearly/Annual basis along with the first application for
the current financial year, and this frequency cannot be changed for application
made on basis of FX earnings of the current financial year
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6. Foreign Exchange Earned for rendering of Service from
India
to (outside
India
or In India) - as per frequency of application in Row 5
above.
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Sl. No.
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Supply of Service by Service Provider
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Foreign Exchange Earned (Rs)
(Please specify the period)
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1
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Supply of a ‘service’ from
India
to any other country under
Para
9.53 (i) of FTP.
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2
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Supply of a ‘service’ from
India
to service consumer of any other country in
India
under
Para
9.53 (ii) of FTP.
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3
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Supply of a ‘service’ from
India
through commercial or physical presence in territory of
any other country under
Para
9.53 (iii) of FTP.
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4
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Supply of a ‘service’ in India relating to exports paid in free foreign exchange
under Para 9.53 (iv) of FTP by Category of Service Provider 4(ii) i.e. Hotels &
Restaurants and other service Providers in Tourism Sector except Stand-alone restaurant.
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5
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Supply of a ‘service’ in India relating to exports paid in Indian Rupees which are
otherwise considered as having being paid for in free foreign exchange by RBI under
Para 9.53 (iv) of FTP by Category of Service Provider 4(ii) i.e. Hotels & Restaurants
and other service Providers in Tourism Sector except Stand-alone restaurant.
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6
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Supply of a ‘service’ in
India
relating to exports paid in free foreign exchange under
Para
9.53 (iv) of FTP by Category of Service Provider 4(i),
4(iii), and 4(iv) above.
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7
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Supply of a ‘service’ in India relating to exports paid in Indian Rupees which are
otherwise considered as having being paid for in free foreign exchange by RBI under
Para 9.53 (iv) of FTP by Category of Service Provider 4(i), 4(iii) , and 4(iv) above.
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Total (Rs)
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Entitlement of SFIS (Rs) = [ (5%*(Row 4 + Row 5) ) +10%* (Total - (Row 4+ Row 5)
]
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6.
Port of Registration
(for purpose of Imports):
7. Number of Split Certificates required (in multiples
of Rs. 5 lakhs each):
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8. 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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9. Application Fee Details
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(i) Amount (Rs):
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(ii) Demand Draft/Bank Receipt/Electronic Fund Transfer No
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(iii) Date of Issue
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(iv) Name of the Bank on which drawn
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(v) Bank Branch on which drawn
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DECLARATION/UNDERTAKING
- 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.
- 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 (FTDR 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
FTDR 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 services of my firm/company are true and
correct and in accordance with accounts maintained in my firm/company.
- I
hereby certify that foreign exchange earned on account of services rendered from
India alone has been taken into account for this application under SFIS and these
do not fall under any category or service which are not eligible as per Para 3.18.1
of HBP v1.
- I further
declare that other sources of foreign exchange earnings such as equity or debt participation,
donations, repayment of loans and any other inflow of foreign exchange unrelated
to service rendered has not been considered.
- I hereby
declare that benefits are being claimed for only those earnings in Indian Rupees
which are otherwise considered as having been paid for in free foreign exchange
by RBI.
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I hereby undertake to submit to Regional Authority (with a copy to jurisdictional
Excise Authorities), a statement of imports made under SF1S within one month of
completion of imports or expiry of validity of duty credit scrip, whichever is earlier.
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I hereby undertake that imports to be made under this duty credit scrip shall
be related to any service sector business and I further undertake that such imported
goods shall not be sold/transferred/disposed off in a manner in contravention to
provisions of FTP. I further undertake to abide by provisions of Para 9.53 of FTP
relating to supply of service from
India
.
- I
undertake to abide by provisions of FTDR Act, 1992, Rules and Orders framed thereunder,
and FTP.
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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. Documentary evidence for payment of Application Fee
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Official Address:
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2. CA/ICWA/CS certificate in format given in annexure to ANF 3B.
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Telephone No.
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3. Documentary evidence of earnings in Indian Rupees which are otherwise considered
as having been paid for in free foreign exchange by RBI should be produced.
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Residential Address:
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Note: Each page of application has to be signed.
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Email Address:
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Annexure to ANF 3H
CERTIFICATE OF CHARTERED
ACCOUNTANT (CA)
COST AND WORKS ACCOUNTANT
(ICWA)/COMPANY SECRETARY (CS)
I hereby confirm that I have
examined prescribed registers and also relevant records of
M/s ............................................
..................... having IEC number.......................... for period .....................
of the current financial year 2008-09 (as per the frequency of application, please
specify the month/quarter/half year/annum) and hereby certify that:
(i) Following documents/records
have been furnished by applicant individual/firm/company and have been examined
and verified by me/us namely:-
Bills, Invoices, Forward
Inward Remittance Certificates (FIRCs), Bank Realization Certificates, Certificate
from international credit card companies, and evidences of foreign exchange earnings
as well as the connected books of accounts.
(ii) Relevant accounting
and financial register(s) as prescribed under different Acts and Rules made there
under have been maintained and authenticated under my/our seal and signature.
(iii)
Information given by applicant in ANF 3H including details on Services rendered
From India as per Appendix 10 of HBP v1 (with relevant sr. no. and description)
is true and correct.
(iv) Services for which benefits is claimed does
not include ineligible services and remittances as listed under
Para
3.18.1 of HBP volume
1.
(v) 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;
(vi)
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;
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Place:
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Signature of CA/ICWA/CS:
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Date:
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Name of the Signatory:
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Address:
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Membership No.
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Email Address:
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(vii) Certificate
of Foreign Exchange Earned by Supply of Service from
India
to (outside
India
or In
India) is as under:
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Certificate of Foreign Exchange Earned by Supply of Service from
India
to
(outside
India
or In India)
For the period ............................ (as
per the frequency of application, please specify the
month/quarter/half year/annum of the current financial
year 2008-09)
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Sl.No.
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Category of Service Provider
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Sl. No. of Appendix 10
(within each category)
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Foreign Exchange Earned (Rs)
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1
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Para
9.53 (i)
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i).…
ii)….
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2
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Para
9.53 (ii)
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i) …
ii) …
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3
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Para
9.53 (iii)
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i).…
ii)…..
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4
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Para
9.53 (iv) for Category 4(ii) of Sr. No 5 of ANF 3B
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i) ….
ii) …
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5
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Para
9.53 (iv) for Category 4(i), 4(iii), 4(iv) of Sr. No. 5 of ANF 3B
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i) ….
ii) …
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6*
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Para
9.53 (iv)* for Category 4(ii) of Sr. No. 5 of ANF 3B
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i) ….
ii) …
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7*
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Para
9.53 (iv) for Category 4(i), 4(iii), 4(iv) of Sr. No. 5 of ANF 3B
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i) ….
ii)….
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Total Foreign Exchange Earned by Supply of Service from
India
to
(outside
India
or In
India
) (Rs)
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*Earnings in Indian Rupees that are otherwise treated as deemed to be realized in
free foreign exchange by RBI - See Para 9.53 (iv) of FTP.
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(vii) I fully
understand that any statement made in this certificate, if proved incorrect or false,
will render me liable to face any penal action or other consequences as may be prescribed
in law or otherwise warranted.
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Place:
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Signature of CA/ICWA/CS:
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Date:
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Name of the Signatory:
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Address:
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Membership No.
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Email Address:
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