ANF 3F
ANF for High-Tech Products Export Promotion Scheme (HTPEPS)
For Applicants who opted to apply on incremental growth in exports basis
April 2007 March 2008
/ April 2008 March 2009 period
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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. Status Details |
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i. Status
Number |
ii. Effective Date of Status Certificate and Validity: |
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iii. Issuing Authority |
iv. Date of issue: |
5. Details of exports: -
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FOB value (as per
BRC) in Rs |
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Sr. No |
Particulars |
Base Year* |
Incremental Year* |
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i |
Total value of
exports of all notified products covered under Appendix 37E, taken together. |
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ii |
Exports of
Ineligible Categories (of High Tech Products) see Para 3.11.2.1 and Para
3.11.4 of FTP. |
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iii |
Exports eligible
for High Tech Products Export Promotion Scheme |
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iv |
Incremental
Growth in Exports |
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v |
Duty Credit
Quantum Eligible For (i.e. 5% of Increm ental Growth in Exports) |
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Note: In case Base Years export is Nil, Applicant is not eligible for
benefits under the High-Tech Products Export Promotion Scheme. |
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6. Number of Split Certificates required (in
multiples of Rs 5 lakhs each):
7. Port of Registration
(for the purpose of imports)**:
(*Date of Exports in terms of Para 9.12 of HBP v1 is to be taken for
counting a shipment in a particular year)
(**The port of registration shall be one of the ports from which the exports have been made.)
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8.
Application Submission Details (in case of electronically submitted
applications) |
9.
Application Fee Details (as per claim value
in Row 5 above) |
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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, New Delhi |
(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 |
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 (FT (D&R) 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 FT (D&R) 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 of my firm / company are true and correct and in accordance with accounts
maintained in my firm / company.
5. I hereby declare that in terms of Para
3.12.6 of FTP, this application does not contain any exports for which benefit
under FPS / FMS under Chapter 3 of FTP has been / will be claimed.
6. I hereby declare that in terms of Para
3.12.8 of FTP, this application does not contain any exports in contravention
to this provision.
7. I hereby declare that the exports for which
High Tech Products Export Promotion Scheme benefits under Para 3.11.2(b) is
being claimed is correctly and the shipping bill wise details are given in
Annexure 1 of CA certificate.
8. 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. CA certificate as per Annexure 2. Copies of Shipping Bills of both the base year
and the incremental year, of all High Tech Products. |
Official Address:
_____________________ ___________________________________
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3. Copies of BRC/FIRC of all these shipments. |
Residential Address:
__________________ ___________________________________
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Telephone:
_________________________ |
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Note: 1. Each individual
page of application has to be signed. One Printout of Online application duly
signed in provided space. Copy of Updated Profile in ANF 1only if any changes
have taken place and updated, along with Copy of Valid RCMC. |
Email Address:
______________________ |
Annexure to ANF 3F
Certificate of
Chartered Accountant (CA)
Cost And Works
Accountant (ICWA)/ Company Secretary (CS)
I / We hereby confirm that I / We have examined prescribed registers and
also relevant records of M/s ....... .............
having IEC Number
.. for
licensing period (s)
and hereby certify that:
1 Following documents / records have been furnished by applicant
firm / company and have been examined and verified by me / us namely: -
a. Statutory
documentations under Customs Act 1962 and Excise Act 1848, Service Tax Act,
Foreign Trade (Development & Regulation) Act 1992;
b. Export Order /
Contract, Shipping Bills, Bill of Lading (and / or Airways Bills / PP Receipts),
Customs / Bank attested Invoices, Forward Inward Remittance Certificates
(FIRCs) and Bank Certificates of exports and realization, GR declaration and
connected books of accounts;
c. FIRCs,
Certificate from international credit card companies.
2 Information given by applicant firm /
company in ANF 3F is in agreement with FTP 2004-09, as amended, and rules and
procedures made thereunder, relevant register and
records and books of accounts maintained by M/s ......... .
... and their
subsidiaries and is also true and correct.
3 It has been ensured that
a. 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;
b. In respect of export of goods, a shipment can
counted in applicants export turnover / performance only if the realization of
export proceeds from overseas is in the applicants bank account.
c. In respect of service providers, realization of export proceeds in free
foreign exchange pertains to rendering of services.
4 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:
_______________________ |
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If any of documents of record
mentioned in serial number (i) have not been
maintained / furnished, examined or verified, they may please be specified
below:- 1) 2)
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Annexure to ANF 3F (continued)
5 I / We further certify that export proceeds for shipments
during last three years plus current year are not outstanding beyond prescribed
period as permitted by RBI.
6 Statement of Exports of all High Tech Products (Appendix 37E)
is as under:
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Particulars |
Base Year (Pl. Specify
the year) |
Incremental Year (Pl.
Specify the year) |
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(1) |
(2) |
(3) |
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1. Total Exports of All
High Tech Products taken together |
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2. Ineligible categories
as per Para 3.11.2.1 and Para 3.11.4 of FTP |
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3. Exports eligible for
High Tech Products Export Promotion Scheme |
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Incremental
Exports during the incremental year |
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Shipment-wise details are given in Annexure 1 to
this Certificate.
7 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.
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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:
_______________________ |
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If any of documents of record
mentioned in serial number (i) have not been
maintained / furnished, examined or verified, they may please be specified
below:- 1) 2)
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(Kindly see the
complete list of High Tech Products as notified in Appendix 37E)
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For the Base Year: (please specify the Base Year) |
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Sr. No. |
High Tech
Products Code (as given in Appendix 37E) |
Shipping Bill Number |
Date of Export as per Para 9.12 of HBP v1 |
Item Description
as per Shipping Bill (including ITC HS Code, if specified in Appendix 37E) |
FOB Value of Eligible exports in (as per BRC/
FIRC in Rupees) |
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For the Incremental Year: (please specify the incremental Year) |
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Sr. No. |
High Tech
Products Code (as given in Appendix 37E) |
Shipping Bill Number |
Date of Export as per Para 9.12 of HBP v1 |
Item Description
as per Shipping Bill (including ITC HS Code, if specified in Appendix 37E) |
FOB Value of Eligible exports in (as per BRC/
FIRC in Rupees) |
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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:
_______________________ |