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.IECNumber

2.ApplicantDetails

i. Name

ii.Address

3.RCMCDetails
i. RCMCNumber / ii. DateofIssue
iii.IssuingAuthority / iv.Validupto
v. Productsforwhichregistered
4.StatusDetails
i. StatusNumber / ii.EffectiveDateofStatusCertificateandValidity:
iii.IssuingAuthority / iv.Dateofissue:

5.Detailsofexports:-ApriltoSeptember__/OctobertoMarch _Period

Sr.No / Particulars / FOBvalue(asperBRC) Rs
1 / Total value of exports of products covered under ITC HS Chapter 1 to 24, Detailsas perAnnexure 1 ofCA certificate.
2 / Maximum Para3.8.6 benefits (@ 10% of 1 above)
3 / Out of 1 above, Total value ofexports of products covered / to be under
VKGUY Para 3.8.2 – DetailsasperAnnexure2 of CA certificate.
4 / Value of Para3.8.2 benefits (@5%/3.5% asthe case maybe)
5 / Claimfordutycreditscrip underPara 3.8.6**
(Row2 – Row4)
6 / Dutycredit scrip granted under Para 3.8.6 (to be filled in byCLA NewDelhi)

6.NumberofSplitCertificatesrequired(inmultiplesofRs5lakhseach):

7. PortofRegistration(forthepurposeofimports)***:

(*Exportsmadeonorafter1st April2008intermsofPara9.12)

(***Theportofregistrationshallbeoneoftheportsfromwhichtheexportshavebeenmade.)

8.ApplicationSubmissionDetails(incaseofelectronically submittedapplications) / 9.ApplicationFeeDetails
**(asperclaimvaluein5.5above)
i. ECOMReferenceNumber / (i)Amount(Rs):
ii. DateofSubmissiononServer / (ii)DemandDraft/BankReceipt/ElectronicFundTransferNo
iii. SubmittedtowhichRegionalAuthority,NewDelhi / (iii)DateofIssue
iv. FileNumber / (iv)NameoftheBankonwhichdrawn
v. DateofIssue / (v)BankBranchonwhichdrawn

44

DECLARATION / UNDERTAKING

1.Iherebydeclarethatparticularsandstatementsmadeinthisapplicationaretrueandcorrectandnothinghasbeenconcealedorheld therefrom.Ifullyunderstandthatanyinformationfurnishedinapplicationiffoundincorrectorfalsewillrendermyfirm/companyandme liableforanypenalactionorotherconsequencesasmaybeprescribedinlaworotherwisewarranted.

2.IherebycertifythatnoneofProprietor/Partner(s)/Director(s)/Karta/Trusteeoffirm/company,asthecasemaybe,isaProprietor/ Partner(s)/Director(s)/Karta/Trusteeinanyotherfirm/companywhichhascometoadversenoticeofDGFT. Ifurtherdeclarethat underForeignTrade(DevelopmentandRegulation)Act(FT(D&R)Act)1992,myfirm/companyhavenotbeendebarredinpersonfrom undertakinganyexportimportbusinessoractivitybywayofsuspensionorcancellationofIECnumber.[IfsodebarredunderFT(DR) Act,detailsofsaidorderandperiodforwhichthesameisoperationalmaybeprovided].

3.Iherebycertifythatmyfirm/companyhasnotdefaultedfromexportobligationunderanyprovisionsofFTPandhasnotbeenplaced undertheDeniedEntityList(DEL).[IfunderDELList,kindlyfurnishdetailsoforder,currentstatusetc.]

4.Iherebydeclarethatdetailsofexportsofgoodsofmyfirm/companyaretrueandcorrectandinaccordancewithaccountsmaintainedin myfirm/company.

5.IherebydeclarethatintermsofPara3.12.6ofFTP,thisapplicationdoesnotcontainanyexportsforwhichbenefitunderFPS/FMS

underChapter3ofFTPhasbeen/willbeclaimed.

6.IherebydeclarethatintermsofPara3.12.8ofFTP,thisapplicationdoesnotcontainanyexportsincontraventiontothisprovision.

7.IherebydeclarethatexportproductforwhichPara3.8.6benefitisbeingclaimeddoesnotcontainanyshipmentmadefromsuchEOU/ EHTP/BTPUnits,onwhichdirecttaxexemptionis/willbeavailed.

8.IherebydeclarethatexportproductforwhichPara3.8.6benefitisbeingclaimeddoesnotcontainanyshipmentmadefromSEZUnits.

9.IherebydeclarethatthedetailsofexportsforwhichVKGUYbenefitsunderPara3.8.2hasbeenclaimed/willbeclaimedhasbeen correctlygiveninAnnexure2ofCAcertificate.

10. IherebycertifythatIamauthorizedtoverifyandsignthisdeclarationasperParagraph9.9ofFTP.

Place: / Signature:_____
Date: / Name: ___
Documents tobe submitted / Designation:______
1.CAcertificateasperAnnexure
2.Exportpromotion(EP)copyofShippingBill/BillofExport(includingincase
ofexportsthroughLandCustoms). / OfficialAddress:
3.Relevant Original Bank Certificate of Exports and Realisation - Appendix
22AoroffsettingofexportproceedswithapprovalofRBI(Appendix22D) / ResidentialAddress:
4.CopyofStatusCertificatevalidw.e.f1.4.2008. / Telephone:____
Note:
1. Each individual page of application has to be signed. One Printout of Online applicationdulysignedinprovidedspace.CopyofUpdatedProfileinANF1onlyif anychangeshavetakenplaceandupdated,alongwithCopyofValidRCMC. / EmailAddress:
2.Incases whereoriginalEPcopyof Shipping Bill(s)/Bill ofexportand/orBank RealisationCertificateshasbeensubmitted underanyotherschemeofFTP,aselfattestedphotocopy(s)ofEPcopyofthesamebeattached,quotingReferenceFileno.& concernedRegionalAuthoritywhereoriginaldocumentshavebeensubmitted.