ANF
3G
ANF for Para 3.8.6
For Vishesh Krishi And Gram Udyog Yojana (VKGUY)
- Para 3.8.6 application
Exports of products covered under ITC HS Chapter 1 to 24
April – September 2008 / October – March 2009 period
1.
IEC
Number
2.
Applicant
Details
i. Name
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.
Status
Details
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i.
Status
Number
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ii.
Effective
Date
of
Status
Certificate and
Validity:
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iii.
Issuing Authority
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iv.
Date
of
issue:
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5. Details of
exports: -
April to September _
_/
October to March
_Period
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Sr. No
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Particulars
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FOB
value
(as per BRC) Rs
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1
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Total value of exports of products covered
under ITC HS Chapter 1 to
24,
Details
as per
Annexure 1 of
CA certificate.
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2
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Maximum Para
3.8.6 benefits (@ 10% of 1
above)
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3
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Out of 1 above,
Total
value of
exports of products covered / to be under
VKGUY Para 3.8.2 – Details
as
per
Annexure
2 of CA certificate.
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4
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Value
of Para
3.8.2 benefits (@
5%/3.5% as the case may
be)
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5
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Claim
for
duty
credit
scrip under
Para
3.8.6**
(Row
2 – Row 4)
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6
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Duty
credit scrip
granted
under
Para 3.8.6 (to be filled in
by
CLA New
Delhi)
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6.
Number of
Split Certificates required (in multiples of Rs 5 lakhs each):
7. Port of Registration
(for the
purpose of
imports)***:
(*
Exports
made on or
after 1st
April
2008
in
terms
of Para
9.12)
(***
The
port of
registration shall be one of the
ports
from
which
the
exports have been made.)
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8.
Application
Submission
Details (in case
of
electronically
submitted applications)
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9.
Application Fee
Details
**(as per
claim value
in 5.5
above)
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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, New
Delhi
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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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44
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.
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
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.]
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 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.
6.
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.
7. I
hereby declare
that export product
for which
Para 3.8.6 benefit
is being claimed
does
not contain any
shipment made from
such EOU / EHTP
/
BTP
Units,
on
which
direct
tax
exemption is /
will
be
availed.
8.
I hereby
declare that
export product for
which
Para 3.8.6 benefit
is
being
claimed
does
not
contain
any shipment made from SEZ Units.
9. I
hereby declare
that the details
of
exports
for which
VKGUY
benefits under
Para 3.8.2
has been claimed
/ will be
claimed
has
been correctly given
in
Annexure 2 of CA certificate.
10. 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.
CA
certificate as per
Annexure
2.
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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3.
Relevant
Original
Bank Certificate of Exports and Realisation
- Appendix
22A
or
offsetting of
export
proceeds with
approval of RBI
(Appendix 22D)
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Residential Address:
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4.
Copy of
Status
Certificate
valid
w.e.f
1.4.2008.
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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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2.
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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