ANF 2 E

Application Form for Export Licence for SCOMET Items

[Please see 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

Part A

For Export of Special Chemicals in Categories 1B and 1C of Schedule 2 Appendix 3 of ITC (HS) Classification of Export & Import items

1. Total FOB value applied for

i. In Rupees

ii. In Foreign Currency

2. Details of items applied for export

S No

Description

ITC(HS) Code

Quantity

Total FOB Value (US $)

FOB Value per unit (US $)

3. Details of exports of Category 1B and 1C items in the preceding 3 licensing years

S No	Year	Export Licence Details				Quantity Exported	FOB Value of Exports (US $)	Country to whom exported	Name of the End User
		No.	Date	Qty	Value (US $)

4. Shipment Details

i. Port of Loading/Shipment

ii. Port of Discharge

iii. Country of Export

iv. Ultimate destination

5. In case of export of samples, please furnish

i. Ceiling Limit

ii. How much in excess of Ceiling Limit

iii. Justification for Excess

6. Foreign Buyer Details

i. Name

ii. Address

iii. Export Order no and date

7. End user Details

i. Name

ii. Address

iii. End product for which the item of export will be used by the end user

iv. Purpose for which the end product will be utilised

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

i. Trade

ii. Personal

iii. Sample

9. If applied for export on repeat basis in the same licensing year for same product and end use and to the same end user, please furnish

i. Reference Number and date vide which earlier permission was granted

ii. Export Licence number and date

iii. Quantity allowed for export

iv. Quantity exported on the date of this application

Part B

For Export of all other category items of Schedule 2 Appendix 3 of ITC (HS) Classification of Export & Import items except those covered by Part A above

1. Total FOB value applied for

i. In Rupees

ii. In Foreign Currency

2. Details of items applied for export

S No	Description	Schedule 2 Appendix 3 of ITC(HS) Classification of Export & Import Items		Quantity	Total FOB Value (US $)	FOB Value per unit (US $)
		Category	Item Number

3. Details of exports licences under Schedule 2 Appendix 3 of ITC (HS) Classification of Export & Import items

S No	Date of application	Export Licence Details (see note below)				Items exported	Qty exported	Date of Shipment	FOB Value of Exports (US $)	Country to whom exported	Name of the End User
		No.	Date	Qty	Value (US $)

Note: State ‘Denied’ if the licence was denied. A false statement will invite prosecution.

4. Shipment Details

i. Port of Loading/Shipment (identify only one Port)

a. Delhi

b. Mumbai

c. Kolkatta

d. Chennai

ii. Port of Discharge

iii. Country of Export

iv. Ultimate destination

5. Foreign Buyer Details

i. Name

ii. Address

iii. Export Order no date

6. Consignee Details

i. Name

ii. Corporate Address

iii. Telephone

iv. Fax

v. Headquarters Address

vi. Citizenship of Consignee (if individual)

7. End user Details

i. Name

ii. Address

iii. Telephone

iv. Fax

v. Location (Country) of end user

vi. End product for which the item of export will be used by the end user

vii. Purpose for which the end product will be utilised

viii. Is end user an entity of Government of destination country?

ix. Manufacturing/Business/other activity of the end user

8. Details of Banks through which financial transactions relating to this export will be executed

a. In destination Country

i. Name of the Bank

ii. Address of the Bank

b. In India

i. Name of the Bank

ii. Address of the Bank

9. Foreign Collaborator Details *

(as registered with GOI/RBI)

i. Name

ii. Address

* If No foreign collaboration exists, please state ‘None’

10. Details of Producer/Manufacturer of the item to be exported

i. Name

ii. Address

11. Period during which the item is proposed to be exported from India:

12. If Revalidation sought, please furnish

i. Period of Extension sought

ii. Reasons thereof

Part 4

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.

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. a. I / We further undertake to submit to the o/o DGFT (PC-III Section), Udyog Bhavan, New Delhi a copy of the bill of entry into the destination state party within 30 days of delivery, failing which I/We shall be liable to action under FT (D & R) Act, or rules and orders made there under, and the Customs Act, 1962.

b. I/We also hereby inform that we have complied with the conditions of all previous licences / authorisations issued to us for export of SCOMET items and have duly intimated the o/o DGFT, New Delhi along with documentary evidence in the stipulated time regarding receipt of the items of export by only the end-user as per the respective applications.

8. 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 ofANF1 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 SCOMET Items

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

2. For Export of Special Chemicals in Categories 1B and 1C of Schedule 2 Appendix 3 of ITC (HS) Classification of Export & Import items:

a. Self certified copy of Export Order.

b. End User certificate indicating the end product for which the item of export will be used by end user in the format given in Appendix 36.

3. For Export of all other category items of Schedule 2 Appendix 3 of ITC (HS) Classification of Export & Import items except those given in serial no 2 above :

a. Self certified copy of Export Order.

b. End User certificate indicating the end product and/or end purpose for which the item of export will be used by end user in the format given in Appendix 36.

c. Technical Specifications of the items to be exported (not exceeding one page for each item).

d. Self certified copy of Bill of Lading for items exported earlier under a Licence as per serial no. 3 of Part B of sub section III A.