ANF 3B
Application for Served from India Scheme
(SFIS)
(for Foreign
Exchange Earned during 2007-08)
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1. IEC Number |
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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 |
ii. Date of Issue |
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iii. Issuing Authority |
iv. Valid upto
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v. Products for which
registered |
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4. Category of Service
Provider (please tick) (
√ ) |
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i. Individual Service Provider |
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ii. Hotels & Restaurants and
other service Providers in Tourism Sector except Stand-alone restaurant. |
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iii. Stand Alone Restaurant |
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iv. All other Service
Providers |
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5. Foreign Exchange
Earned for rendering of Service from India to (outside India or In India) |
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Sl. No. |
Supply of Service by
Service Provider |
Foreign Exchange
Earned (Rs) |
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1 |
Supply of a ‘service’ from India to any other
country under Para 9.53 (i) of FTP. |
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2 |
Supply of a ‘service’ from India to service
consumer of any other country in India under Para 9.53 (ii) of FTP. |
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3 |
Supply of a ‘service’ from India through commercial
or physical presence in territory of any other country under Para 9.53 (iii)
of FTP. |
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4 |
Supply of a ‘service’ in India relating to exports
paid in free foreign exchange or in Indian Rupees which are otherwise
considered as having being paid for in free foreign exchange by RBI under
Para 9.53 (iv) of FTP by Hotels & Restaurants and other service Providers
in Tourism Sector except Stand-alone restaurant. |
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5 |
Supply of a ‘service’ in India relating to exports
paid in free foreign exchange or in Indian Rupees which are otherwise
considered as having being paid for in free foreign exchange by RBI under
Para 9.53 (iv) of FTP by categories 4(i), 4(iii),
and 4(iv) above. |
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Total (Rs) |
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Entitlement of SFIS (Rs) = [(5%*Row 4)
+10%* (Total – Row 4)] |
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6. Port of Registration (for purpose of
Imports):
7. Number of Split Certificates required (in
multiples of Rs 5 lakhs each):
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8. Application
Submission Details (in case of electronically submitted applications) |
9. Application Fee
Details |
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i. ECOM Reference Number |
(i)
Amount (Rs): |
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ii. Date of Submission on
Server |
(ii) Demand Draft / Bank
Receipt / Electronic Fund Transfer No |
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iii. Submitted to which
Regional Authority |
(iii) Date of Issue |
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iv. File Number |
(iv) Name of the Bank on which
drawn |
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v. Date of Issue |
(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. I further
declare that under Foreign Trade (Development and Regulation) Act (FTDR 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 FTDR 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 from 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 and services of my firm / company are true and correct and in
accordance with accounts maintained in my firm / company.
5. I hereby certify that foreign
exchange earned on account of services rendered from India alone has been taken
into account for this application under SFIS and these do not fall under any
category or service which are not eligible as per Para 3.18.1 of HBP v1.
6. I further declare that other
sources of foreign exchange earnings such as equity or debt participation,
donations, repayment of loans and any other inflow of foreign exchange
unrelated to service rendered has not been considered.
7. I hereby declare that benefits
are being claimed for only those earnings in Indian Rupees which are otherwise
considered as having been paid for in free foreign exchange by RBI.
8. I hereby undertake to submit to
Regional Authority (with a copy to jurisdictional Excise Authorities), a
statement of imports made under SFIS within one month of completion of imports
or expiry of validity of duty credit scrip, whichever is earlier.
9. I hereby undertake that imports
to be made under this duty credit scrip shall be related to any service sector
business and I further undertake that such imported goods shall not be sold /
transferred / disposed off in a manner in contravention to provisions of FTP. I
further undertake to abide by provisions of Para 9.53 of FTP relating to supply
of service from India.
10. I undertake to abide by
provisions of FTDR Act, 1992, Rules and Orders framed thereunder,
and FTP.
11. I hereby certify that I am
authorized to verify and sign this declaration as per Paragraph 9.9 of FTP.
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Place: ____________ |
Signature: ________________________________ |
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Date: _____________ |
Name:
___________________________________ |
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Documents to be submitted |
Designation: ______________________________
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1. Documentary evidence for
payment of Application Fee |
Official Address:
___________________________ _________________________________________
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2. CA / ICWA / CS certificate
in format given in annexure to ANF 3B. |
Telephone:
_______________________________ |
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Residential Address:
________________________ _________________________________________
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Note: Each page of
application has to be signed. |
Email Address:
____________________________ |
Annexure to ANF 3B
Certificate of Chartered
Accountant (CA)
Cost And Works Accountant (ICWA)/ Company Secretary (CS)
I hereby confirm that I have examined prescribed registers and
also relevant records of M/s…………… ………… …………………having IEC number…………………… for
licensing period (previous year) ………………… and hereby certify that:
(i) Following documents / records have been furnished by applicant
individual / firm / company and have been examined and verified by me / us
namely: -
Forward Inward Remittance Certificates (FIRCs), Bank
Realization Certificates, Certificate from international credit card companies,
and evidences of foreign exchange earnings as well as the connected books of
accounts.
(ii) Relevant
accounting and financial register(s) as prescribed under different Acts and
Rules made there under have been maintained and authenticated under my / our
seal and signature.
(iii) Information
given by applicant in ANF 3B including details on Services rendered From India
as per Appendix 10 of HBP v1 (with relevant sr. no. and description) is true
and correct.
(iv) Services
for which benefits is claimed does not include ineligible services and
remittances as listed under Para 3.18.1 of HBP v1.
(v) It has
been ensured that information furnished is true and correct in all respects; no
part of it is false or misleading and no relevant information has been
concealed or withheld;
(vi) Neither
I, nor any of my / our partners is a partner, director, or an employee of
above-named entity, its Group companies or its associated concerns;
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Place: ______________ |
Signature of CA/ ICWA /
CS:_____________________ |
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Date: _______________ |
Name of the Signatory:
______________________ |
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Address:
_________________________________ _________________________________________
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Membership No: ___________________________
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Email Address:
_________________________________ |
Annexure to ANF 3B (continued)
(vii) Certificate of Foreign Exchange Earned by
Supply of Service from India to (outside India or In India) is as under:
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Certificate of Foreign Exchange Earned by
Supply of Service from India to (outside India or In India) |
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Sl. No. |
Category of Service
Provider |
Sl. No. of Appendix 10
(within each category)
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Foreign Exchange
Earned |
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1 |
Para 9.53 (i) |
i) … |
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2 |
Para 9.53 (ii) |
i) ii) iii) … |
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3 |
Para 9.53 (iii) |
i) ii) … |
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4 |
Para 9.53 (iv)* for Category 4(ii) of Sr.
No 5 of ANF 3B |
i) ii) iii) …. |
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5 |
Para 9.53 (iv)* for Category 4(i), 4(iii), 4(iv) of Sr. No 5 of ANF 3B |
i) ii) |
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Total Foreign Exchange
Earned by Supply of Service from India to (outside India or In India) (Rs) |
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*Includes payments received in Indian
Rupees that are otherwise treated as deemed to be realized in free foreign
exchange by RBI – See Para 9.53 (iv). |
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(vii) I fully understand that any statement made in this certificate,
if proved incorrect or false, will render me liable to face any penal action or
other consequences as may be prescribed in law or otherwise warranted.
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Place: ______________ |
Signature of CA/ ICWA /
CS:__________________ |
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Date: _______________ |
Name of the Signatory:
___________________ |
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Address: _____________________
________________________________
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Membership No:
_____________________ |
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Email Address:
_________________________ |