APPENDIX- 17

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APPLICATION FOR GRANT OF STAR EXPORT HOUSE

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Note:

  1. Please see Paragraph 3.5.2 of the Policy and Paragraph 3.2 of this Handbook.
  2. Please read the general instruction given at Appendix 1 before filling this application.
  3. Please submit 2 copies of this application form.

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FOR OFFICIAL USE

File No.:------Date:------

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1. Name and address :

2. IEC Number :

3. Application for Category of Star Export House

S.No. / Category / Please tick appropriate colum
1 / One Star Export House / [ ]
2 / Two Star Export House / [ ]
3 / Three Star Export House / [ ]
4 / Four Star Export House / [ ]
5 / Five Star Export House / [ ]

4. *Subsidiary Company:

S.No. / Company Name / % share holding of the Applicant in the subsidiary / FOB value of exports
[1] / [2] / [3] / (4)

* Documentary evidence as per company law substantiating that the company whose exports are taken into account is actually the applicants’ subsidiary company.

5. Statement of exports/ deemed exports (licensing yearwise)

Licensing years / FOB value of exports / FOR value of deemed supplies

DECLARATION

  1. I/We hereby declare that this application is based on the export performance of the preceding three licensing years and the present licencing year basis.
  1. I/ We hereby declare that the FOB /FOR value of Exports of Products shown above are our direct exports/ supplies and also the direct exports/ supplies of our subsidiary company and are true and correct and are in accordance with the accounts maintained by me/ us. I/ We hereby declare that exports made on re-export basis have not been included in the exports indicated at S.No 5 above.
  1. I/ We further certify that I/We am/are authorised to verify and sign the statement on behalf of the applicant.
  1. I/We fully understand that any information furnished in the above statement, if proved incorrect or false, will render me/us liable to face any penal action or other consequences as may be prescribed in law or otherwise warranted.
  1. I/ We further declare that I/We has/have not applied nor obtained any recognition certificate as Star Export House from any other authority.

Signature______

Name in Block letters ______

Designation______

Place______Full Official

Address______

Official

Date______Stamp/ Seal Full Residential Address______

E.Mail No.______

CERTIFICATE OF CHARTERED ACCOUNTANT/COST AND WORKS ACCOUNTANT/COMPANY SECRETARY

I/We hereby confirm that I/We have examined the prescribed registers and also the relevant records of M/s...... and their subsidiary company namely M/s...... for the licensing period(s) ...... and hereby certify that:

(i) / M/s ...... and their subsidiary company namely M/s...... (full name and address of the applicant) have made the exports in the current and three preceding licensing years as specified in the statement of exports at Sl.No.7.
(ii) / The following documents/ records have been furnished by the applicant and their above mentioned subsidiary company and have been examined and verified by me/us namely: -
Export Order/Contract, Shipping Bills, Bill of Lading (and/or Airways Bills/PP Receipts), Customs/Bank attested Invoices, Bank Certificates of exports made in their own name and connected books of accounts.
(iii) / The relevant register has been authenticated under my/our seal/ signature.
(iv) / The financial information given in the above statement is in agreement with the relevant register and records; the same has been incorporated in the books of accounts maintained by M/s...... and their above mentioned subsidiaries; and is also true and correct.
(v) / It has been ensured that the information furnished is true and correct in all respect; no part of it is false or misleading and no relevant information has been concealed or withheld;
(vi) / Neither I, nor any of my partners is a partner, director, or an employee of the above-named entity or its associated concerns;
(vii) / I/We further certify that M/s...... has realised 95% or more of the export proceeds in respect of exports made by him in the preceding three licensing years (excluding the export made during last six months from the date of filing of application)and 50% in the case of exports made in the current licensing year on the basis of which recognition is being claimed.
I/We hereby certify that the total value of outstanding export proceeds beyond a period of 6 months from the date of export made by the applicant
(viii) / I/we fully understand that any statement made in this certificate, if proved incorrect or false, will render me/us liable to face any penal action or other consequences as may be prescribed in law or otherwise warranted.
(ix) / I/ We verify that in case the status of Star Export House is being claimed under the double weightage export performance criteria, the exports have been made by * (a)Units in Small Scale Industry/ (b) Tiny Sector/ (c)Cottage Sector or (d)Units registered with KVICs or (e)KVIBs or (f)Units located in North Eastern States, (g) Sikkim and (h)J&K or Units exporting (i) handloom, (j) handicrafts, (k) hand knotted carpets, (l) silk carpets or (m)exporters holding golden status or (n)exporters exporting to countries in Latin America and (o) CIS/ (p) sub Saharan Africa or (q)Units having ISO 9000 (series)/WHOGMP/HACCP/SEI CMM level-II and above status granted by agencies listed in Appendix-28A or (r)service exporters or (s) agri exporters (other than grains).
(* Strike out whichever are not applicable)

Signature......

Place: ...... Registered......

Official

Date ...... Stamp/Seal Regn. No.and Date of the

Corporate Membership......

If any of the documents of record mentioned in item (ii) of the certificates have not been maintained/furnished, examined or verified, they may please be specified below:-

1.

2.

3.

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Documents to be enclosed with the application form:

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1. Self certified copy of valid RCMC.

2. A certificate from Chartered Accountant/Cost and Works Accountant

certifying the export/import performance in the prescribed format.

3.Bank certificate of export realization/ deemed exports for status certificate as per Appendix 17B

APPENDIX- 17-A

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APPLICATION FOR GRANT OF ONE TO FIVE STAR EXPORT HOUSE FOR SERVICE PROVIDERS

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Note:

  1. Please see Note-1 of paragraph 3.5.2 of the Policy and paragraph 3.2 of this Handbook.
  1. Please read the general instruction given at Appendix 1 before filling this application.
  1. Please submit 2 copies of this application form.
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FOR OFFICIAL USE

File No.:------Date:------

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1. / Name and address / : / ......
......
2. / I E Code Number / : / ......
3. / Application for
Star Export House for service providers / : / ......
4. / Statement of gross foreign exchange earning direct and indirect sources (Licensing year wise):
Licensing year / Category of service provider / Description of services provided / Gross foreign exchange earnings (direct and indirect sources)
(1) / (2) / (3) / (4)

DECLARATION

  1. I/We hereby declare that this application is based on the foreign exchange earning direct and indirect of the preceding three licensing years and current licensing year on gross foreign exchange.
  1. I/ We further certify that I/ We am/ are authorised to verify and sign the statement on behalf of the applicant.
  1. I/ We fully understand that any information furnished in the above statement, if proved incorrect or false, will render me/us liable to face any penal action or other consequences as may be prescribed in law or otherwise warranted.
  1. I/We further declare that I/We has/have not applied nor obtained any recognition certificate as status holder from any other authority.

Signature / :......
Name in Block Letters / :......
Designation / :......
Place / :......
Date ...... Full Official Address / :......
Residential Address / :......
E.Mail address / :......

Official

Stamp/ Seal

CERTIFICATE OF CHARTERED ACCOUNTANT/COST AND WORKS ACCOUNTANT/

COMPANY SECRETARY

I/We hereby confirm that I/We have examined the prescribed registers and also the relevant records of M/s...... for the licensing period(s) ..... and hereby certify that :

i)M/s...... (Full name and address of the applicant) have earned foreign exchange earning direct and indirect sources each of the three preceding licensing years/during the current licensing year as specified in the statement of gross foreign exchange earning at Sl.No.5.

ii)The following documents/records have been furnished by the applicant and their above mentioned subsidiary company and have been examined and verified by me/us namely: Bank Certificate of direct foreign exchange earning, FIRCs, certificate from international credit card companies etc. and C.A certificate for the indirect sources.

iii)The relevant register has been authenticated under my/our seal/signature.

iv)The financial information given in the above statement is in agreement with the relevant register and records; the same has been incorporated in the books of accounts maintained by M/s...... and their above mentioned subsidiaries; and is also true and correct.

v)It has been ensured that the information furnished is true and correct in all respect; no part of it is false or misleading and no relevant information has been concealed or withheld;

vi)Neither I, nor any of my partners is a partner, director, or an employee of the above-named entity or its associated concerns;

vii)I/we fully understand that any statement made in this certificate, if proved incorrect or false, will render me/us liable to face any penal action or other consequences as may be prescribed in law or otherwise warranted.

viii)I/ We verify that in case the status of Export House is being claimed under the reduced export performance criteria of Rs. 5 crores average FOB/ FOR in the preceding three licencing years, the exports have been made by * (a)Units in Small Scale Industry/ (b) Tiny Sector/ (c)Cottage Sector or (d)Units registered with KVICs or (e)KVIBs or (f)Units located in North Eastern States, (g) Sikkim and (h)J&K or Units exporting (i) handloom, (j) handicrafts, (k) hand knotted carpets, (l)silk carpets or (m)exporters holding golden status or (n)exporters exporting to countries in Latin America as listed in Appendix 17 C and (o) CIS/ (p)sub Saharan Africa or (q)Units having ISO 9000 (series)/ WHOGMP/ HACCP/ SEI CMM level II and above status or (r)service exporters or (s) agri exporters (other than grains).

(* Strike out whichever are not applicable)

Signature......

Place...... Tel.No......

Official

Date...... Stamp/ Seal

Regn. No. and Date of the Corporate Membership......

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Documents to be enclosed with the application form:

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  1. Self certified copy of a) project approval or b) classification approval of Department of Tourism or c) Any other registration. However, for Hotels, RCMC from FIEO is acceptable.
  2. A certificate from Chartered Accountant/Cost and Works Accountant certifying the export/import performance in the prescribed format.
  3. Copy of the FIRC issued by the Bank in respect of foreign exchange received from service rendered. This would not be applicable to the Hotel Industry.
  4. Copy of the balance sheet filed with Income Tax Authorities for the relevant year or CA certificate from the statutory authorities.

APPENDIX 17 B

BANK CERTIFICATE OF EXPORT REALISATION/ DEEMED EXPORTS FOR STATUS CERTIFICATE

Please see paragraph 3.2.3 of Handbook (vol.1)

To ______(Name and Address of the Licencing Authority)

We______(Name and Address of the Exporter) declare that we have forwarded export bills/ banking instruments to ______(Name and Address of the Bank, Branch, City) for collection/ negotiation/ purchase. The proceeds against these documents/ instruments for exports/ deemed exports for the financial year ending *______amounts to Rs.______(figures and words rounded off to nearest lakh).

We further declare the aforesaid particulars are correct to the best of our knowledge & belief.

Date______Signature of exporter______

Place______Name______

Designation______

Full Address______

______

BANK’S CERTIFICATE

Authorised Foreign Exchange Dealer

Code No allotted to the bank_by RBI vide the following details:

RBI______

Ref No:______

Date:______

Place:______

This is to certify that we have verified the relevant export invoices, customs attested EP copy of the shipping bill ad other relevant documents of M/s ______and the exports/ deemed export proceeds declared by the exporter amounting to Rs ______lakhs (in figures and words) for the year ______are found to be correct.

______

(Signature of bankers)

______

(Full Address of Bankers)

Branch and City______

Official Stamp______

Note: 1)* FOB/ FOR actually realised for the concerned financial year to be given in all cases. The year shall be the second year of exports while considering the three-year period referred to for claim of status.

2)The exporter shall submit a certificate from each of the his bank branches where he is holding an account where export/ deemed export proceeds are deposited/ collected.

3)This is not applicable for service exports.

APPENDIX – 17C

LIST OF COUNTRIES, EXPORT TO WHICH CONFERS DOUBLE WEIGHTAGE FOR THE GRANT OF STAR EXPORT HOUSE STATUS

Please see note 1 of paragraph 3.5.2 of Exim Policy

SUB SAHARAN AFRICA

S.No / Country / S.No / Country
1 / Angola / 28 / Malawi
2 / Algeria / 29 / Mali
3 / Benin / 30 / Mauritania
4 / Botswana / 31 / Mauritius
5 / Burkina Faso / 32 / Morocco
6 / Burundi / 33 / Mozambique
7 / Cameroon / 34 / Namibia
8 / Canary Island / 35 / Niger
9 / Cape Verde Island / 36 / Nigeria
10 / Central African Republic / 37 / Reunion
11 / Chad / 38 / Rwanda
12 / Comoros / 39 / Sao Tome
13 / Congo People’s Republic / 40 / Senegal
14 / Djibouti / 41 / Seychelles
15 / Equatorial Guinea / 42 / Sierra Leone
16 / Ethiopia / 43 / Somalia
17 / Gabon / 44 / South Africa
18 / Gambia / 45 / St Helena
19 / Ghana / 46 / Sudan
20 / Guinea / 47 / Swaziland
21 / Guineas Bissau / 48 / Tanzania
22 / Ivory Coast / 49 / Togo
23 / Kenya / 50 / Tunisia
24 / Lesotho / 51 / Uganda
25 / Liberia / 52 / Democratic Republic of Congo (earlier known as Zaire)
26 / Libya / 53 / Zambia
27 / Malagasy Republic / 54 / Zimbabwe

COMMONWEALTH OF INDEPENDENT STATES (CIS)

S.No / Country / S.No / Country
1. / Azerbaijan / 7. / Moldavia
2. / Armenia / 8. / Russia
3. / Belarus / 9. / Tajikistan
4. / Georgia / 10. / Turkmenistan
5. / Kazakhistan / 11. / Uzbekistan
6. / Kyrgystan / 12. / Ukraine

LATIN AMERICAN COUNTRIES (LAC)

S.No / Country / S.No / Country
1. / Anguilla / 23 / Guatemala
2. / Antigua and Barbados / 24 / Guyana
3. / Argentina / 25 / Haiti
4. / Aruba / 26 / Honduras
5. / Bahamas / 27 / Jamaica
6. / Barbados / 28 / Martinique
7. / Belize / 29 / Mexico
8. / Bermuda / 30 / Montserrat
9. / Brazil / 31 / Nicaragua
10. / British Virgin Islands / 32 / Panama
11. / Cayman Islands / 33 / Paraguay
12. / Chile / 34 / Peru
13. / Colombia / 35 / Puerto Rico
14. / Costa Rica / 36 / Saint Kitts and Nevis
15. / Cuba / 37 / Saint Lucia
16. / Dominica / 38 / Saint Pierre and Miquelon
17. / Dominican Republic / 39 / Surinam
18. / Dutch Antilles / 40 / Trinidad and Tobago
19. / Ecuador / 41 / Turks and Caicos Islands
20. / French Guyana / 42 / Uruguay
21. / Grenada / 43 / Venezuela
22. / Guadeloupe / 44 / Virgin Islands

APPENDIX 17-D

APPLICATION FORM FOR TARGET PLUS SCHEME

The Appendix would be notified in due course

APPENDIX – 17-E

STATEMENT OF UTILISATION OF TARGET PLUS SCHEME

The appendix would be notified in due course.

App.1