ANF 3C
For Vishesh Krishi And Gram Udyog Yojana (VKGUY) applications
(for exports w.e.f 1.4.2007)
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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 for which registered
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4. Details of export made
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S No
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SB no
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SB date
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Date
of Exports in terms of
Para
9.12 of HBP v1
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BRC No
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BRC date
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Invoice No
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S No of Invoice
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Product Group
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ITC(HS) code
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Item Description
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in Indian Rupees as per BRC/FIRC
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(1)
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(2)
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(3)
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(4)
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(5)
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(6)
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(7)
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(8)
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(9)
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(10)
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(11)
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(12)
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FOB Value in free foreign exchange
(Inclusive of commission)
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VKGUY Entitlement rate (5%)
(3.5% for exports covered under Chapter 4 of FTP (including drawback) for import
of relevant agricultural inputs)
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Entitlement (without cut)
Consequently
applicant can feed in the FOB value realized from BRC in Indian Rupees in Column
12 directly.
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Cut applicable (if any)
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VKGUY Entitlement
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(in %)
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(in Rs)
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(in %)
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(in Rs)
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(12)
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(15)
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(16) = (12)
X ((15) / 100
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(17)
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(18) = (16) *
{1 – [(17)/100]}
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5.
Port of Registration
(for purpose of Imports):
6. Number of
Split
Certificates required (in multiples of Rs 5 lakhs each):
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7. Application Submission Details (in case of electronically submitted applications)
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8. Application Fee Details
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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
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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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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.
Consequentially, 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 in fulfilling 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 export product for which VKGUY benefit is being claimed at 5% does not contain
any shipment for which benefit under chapter 4 (including drawback) of FTP 2004-09
in respect of exports from 01.04.2006 has been claimed for such relevant agricultural
inputs.
6. I hereby declare
that additional export product for which VKGUY benefit is being claimed are exports
made w.e.f 1.4.2007. I declare that lower rate of 3.5% is claimed wherever benefits
under chapter 4 (including drawback) of FTP 2004-09 in respect of exports of these
additional export products from 01.04.2007 has been claimed for such relevant agricultural
inputs.
7. I hereby declare that no benefit under VKGUY Scheme
was availed previously against Shipping Bills currently included in
this application.
8. I hereby declare that in terms
of
Para
3.12.6 of FTP, this application does not contain any exports
for which benefit under any other promotional scheme under Chapter 3 of FTP has
been / will be claimed.
9. I hereby declare
that export product for which VKGUY benefit is being claimed does not contain any
shipment made w.e.f 1.4.2007 from such EOU / BTP Units, on which direct tax exemption
is / will be availed and further that these exports are not covered under Sr. No.
10 below.
10.
I hereby declare that export product for which benefit
is being claimed does not include
i)
Export of imported
goods covered under Para 2.35 of FTP;
ii)
Exports originating in third
country and transshipped through
India
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iii)
Deemed exports;
iv)
Exports made by SEZs
units; and
v)
Items, which are
restricted or prohibited for export under Schedule 2 of Export Policy in ITC (HS).
11. I hereby declare
that export / supplies do not include any disclaimed third party exports. Thus
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.
12. I undertake
to abide by provisions of FT (D&R) Act, 1992, Rules and Orders framed there
under, and the 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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___________________________________
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Residential Address: __________________
___________________________________
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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. RCMC for MFP and Value added variants
should be from SHEFEXIL.
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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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