ANF 2 D

Application Form for Export Licence for Restricted Items

[Please seen guidelines (at the end) before filling the application]

1. IEC Number

2. Applicant Details

i. Name

ii. Address

3. Application Submission Details (in case of electronically submitted applications)

i. ECOM Reference Number

ii. Date of Submission on Server

iii. Submitted to which Regional Authority

iv. File Number

v. Date of Issue

4. Application Fee Details

Amount (Rs)

Demand Draft/Bank Receipt/Electronic Fund Transfer No

Date of Issue

Name of the Bank on which drawn

Bank Branch on which drawn

5. Total FOB value applied for

i. In Rupees

ii. In Foreign Currency

6. Details of items applied for export

S No

Description

ITC(HS) Code

Quantity

FOB Value (Rs)

7. Details of exports made of the item applied for in the preceding 3 licensing years

S No	Year	Export Licence Details				Quantity Exported	FOB Value of Exports (US $)	Export Destination
		No.	Date	Qty	Value (US $)

8. Purpose of Export (please tick) ( √ )

i. Trade

ii. Personal

iii. Sample

9. Foreign Buyer Details

i. Name

ii. Address

iii. Export Order no and date

11. Shipment Details

i. Port of Loading

ii. Port of Discharge

iii. Country of Export

12. In case of export of samples / exhibits / gifts, please furnish

i. Ceiling Limit

ii. How much in excess of Ceiling Limit

iii. Justification for Excess

13. In case of export by Post, please furnish details of Postal authorities where the parcel will be placed

14. In case of export of Seeds, please furnish

i. Details of seed/planting material proposed for export

ii. Whether seed/planting material proposed to be exported is of notified variety: Yes/ No

iii. Whether seed/planting material proposed to be exported has been produced under custom production arrangement? If yes, enclose details /agreement entered into with buyer

iv. Whether variety of seed/planting material proposed to be exported is used in India: Yes/No

v. Places where the variety proposed to be exported is grown

15. Any other relevant information

Declaration/Undertaking

1. I / We hereby declare that the particulars and the statements made in this application are true and correct to the best of my / our knowledge and belief and nothing has been concealed or held there from.

2. I / We fully understand that any information furnished in the application if found incorrect or false will render me / us liable for any penal action or other consequences as may be prescribed in law or otherwise warranted.

3. I / We undertake to abide by the provisions of the FT (D & R) Act, 1992, the Rules and Orders framed there under, FTP, HBP v 1 and HBP v2 and ITC (HS).

4. a. I / We hereby certify that the firm / company for whom the application has been made has not been penalized under Customs Act, Excise Act, FT (D & R) Act 1992 and FERA / FEMA.

b. I / We hereby certify that none of the Proprietor / Partner(s) / Director(s) / Karta / Trustee of firm / company, as the case may be, is / are a Proprietor / Partner(s) / Director(s) / Karta / Trustee in any other firm / Company which has come to adverse notice of DGFT.

c. I / We hereby certify that the Proprietor / Partner(s) / Director(s) / Karta / Trustee, as the case may be, of the firm/company is / are not associated as Proprietor / Partner(s) / Director(s) / Karta / Trustee in any other firm / company which is in the caution list of RBI.

d. I / We hereby certify that neither the Registered Office / Head Office of the firm/company nor any of its Branch Office(s) / Unit(s) / Division(s) has been declared a defaulter and has otherwise been made ineligible for undertaking import / export under any of the provisions of the Policy.

5. I / We hereby declare that I / We have not obtained nor applied for such benefits (including issuance of an Importer Exporter Code Number) in the name of our Registered / Head Office or any of our Branch(s) / Unit(s) / Division(s) to any other Regional Authority.

5A. I / We hereby declare that I/we have perused the list of SCOMET items as contained in the Appendix 3 to the Schedule 2 of the ITC (HS) and that the item(s) exported / proposed to be exported does not fall within this listand that I / We agree to abide by the provisions of FTP for export of SCOMET items contained in the FTP, Schedule 2 of ITC (HS) and the HBP v1, irrespective of the scheme under which the item is exported / proposed to be exported.

6. I / We solemnly declare that I / We have applied for / obtained a RCMC to the EPC which pertains to our main line of business. In case we have applied to any other council, the application has been made within the purview of the provisions of Para 2.67 and Para 2.67.1 of the HBP v1.

7. I hereby certify that I am authorised to verify and sign this declaration as per Paragraph 9.9 of the Policy.

Signature of the Applicant Place

Name Date

Designation

Official Address

Telephone

Residential Address

Email Address

Guidelines for Applicants

Please see paragraph 2.50 of HBP v1

1. Two copies of the application must be submitted unless otherwise mentioned.

2. Each individual page of the application has to be signed by the applicant.

3. a. ANF 1 has to be filled in by all applicants. In case of applications submitted electronically, no hard copies of ANF1. However in cases where applications are submitted otherwise, hard copy of ANF1 has to be submitted.

b. Only relevant portions of Application need to be filled in.

4. Application must be accompanied by documents as per details given below:

For Export Licence for Restricted Items

1. Bank Receipt (in duplicate)/Demand Draft/EFT details evidencing payment of application fee in terms of Appendix 21B.

2. Self certified copy of Export Order.