ANF 4A
For Advance Authorisation (Including Advance authorisation
for Annual Requirement) / Advance Release Order (ARO)/ Invalidation letter
[Please see guidelines (given at the end)
before filling the application].
1. IEC Number |
2. Applicant Details |
i. Name |
ii. Address |
3. RCMC Details |
i. RCMC Number |
ii. Date of Issue |
iii. Issuing Authority |
iv. valid upto
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Products for which registered |
4. Type of Exporter
(please tick) |
( √ ) |
i. Merchant Exporter |
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ii. Manufacturer Exporter |
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iii. Service Provider |
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iv. Others (please specify) |
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v. Merchant cum Manufacturer |
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5. Industrial
Registration Details |
i. SSI / IEM / LOI or IL
Registration Number |
ii. Date of Issue |
iii. Issuing Authority |
iv. Products for which
registered |
6. Excise Details (For
those registered with Central Excise Authority) |
i. Excise Registration Number |
ii. Issuing Authority |
7. Status House
Details: |
i. EH / SEH / TH / STH / PTH |
ii. Certificate Number |
iii. Date of Issue |
iv. Issuing Authority |
v. Valid Upto
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8. Application Fee
Details |
i Amount (Rs) |
ii Demand Draft / Bank Receipt
/ Electronic Fund Transfer No |
iii Date of Issue |
iv Name of the Bank on which
drawn |
v Bank Branch on which drawn |
9. Total CIF value of
Imports applied for |
i. In Rupees |
ii. In currency of imports |
iii. In US $ |
10. Total FOB / FOR
value of Exports to be made, including commission |
i. In Rupees |
ii. In currency of exports |
iii. In US $ |
11. Value Addition (in %):
12. Port of Registration as per paragraph 4.19 of
HBP v1 (for the purpose of imports):
13. i. Application made for Export Product Group:
ii. Application
made under which Serial No. of SION:
OR
Application made under Para 4.7 of HBP v1: Yes / No
If reply is “Yes”, whether Adhoc Norms fixed:
Yes / No
iii. Application made under Para 4A.25 of HBP v1
(for G&J sector).
14. Details of items to be exported
/ supplied under the Authorisation
S No |
Item Description |
Item Technical Characteristics/
Quality etc. |
ITC (HS) Code |
Quantity |
Unit of Measurement |
FOB / FOR Value |
FOB / FOR value (in freely
convertible currency) |
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15. Details of items
sought to be imported duty free under the Authorisation
S No |
Item Description |
Item Technical Characteristic/
Quality etc. |
ITC(HS) Code |
Quantity in metric units |
CIF Value |
CIF value (in freely
convertible currency) |
Total exemption from Customs
duty |
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16. Details of other materials to be used in
the export product and sought to be imported / procured from sources other than
the Authorisation on which drawback benefits is to be
availed (not to be filled if Drawback benefits are not being claimed)
S No |
Imported Item |
Indigenously Procured Item |
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Name, Technical
Characteristics/ Quality etc |
Quantity in metric units |
CIF Value |
Name, Technical
Characteristics/ Quality etc |
Quantity in metric units |
Value |
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17. Details of Outstanding Export Obligation
against Advance Authorisation (s) including Advance Authorisation for Annual Requirements issued already
S No |
Authorisation No |
Authorisation Date |
CIF Value (Rs) |
FOB Value (Rs) |
%age of EO fulfilled |
Expiry Date of EO period |
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Qty wise |
Value wise |
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18. Details of exports / deemed
supplies (including Intermediate supplies) made in the preceding 3 licensing
years
Licensing Year |
FOB Value of exports |
FOR Value of deemed supplies |
Total Export Performance |
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19. Applicable in case
of applications made for Advance Authorisation for
Annual requirements (AAL)
i. Entitlement of AAL (Rs) |
ii. CIF Value of AAL already
obtained (Rs) during the licensing year |
20. In case of exports
made under Deemed Exports category (except for supplies to Advance Authorisation / EOU/ EHTP / STP / EPCG or intermediate
supplies), please furnish
i. Name of the Project
Authority |
ii. Address of the Project
Authority |
iii. Supply Order No |
iv. Delivery period of Supply |
v. Credit under which project
is financed |
vi. Method by which order is
procured (ICB etc.) |
21. In case of request
for issuance of ARO / Invalidation letter, please furnish
i. Advance Authorisation
No |
ii. Date of Issue of Advance Authorisation |
iii. Name (s) of the
Indigenous producer from where items are to be procured |
iv. Address (s) of the
Indigenous producer from where items are to be procured |
v. Regional Authority of the
Indigenous producer |
vi. Items to be supplied by the
Indigenous producer a. Description of individual
items b. Quantity of individual
items to be procured c. Value of individual items
to be procured |
22. Address of the factory / premises where
the items to be imported are proposed to be used
23. Address of the jurisdictional Central Excise Authority under
whose jurisdiction the factory / premises falls
24. In case the items to
be imported are to be used by the supporting manufacturer, please furnish
i. Name of the supporting
manufacturer |
ii. Address of the supporting
manufacturer |
iii. SSI / LOI / IL regn. no. and date of Supporting Manufacturer |
iv. Products endorsed on
SSI/IL/IEM |
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. If
found incorrect or false, it will render me / us liable for any penal action or
other consequences as may be prescribed in law or otherwise warranted.
2. I/We undertake to abide by the
provisions of FT(D&R) Act, the Rules and Orders
framed there under, the FTP, HBP v1, HBP v2 and the ITC(HS) Classification of
Export & Import Items.
3. I / We hereby certify that none
of the Proprietor/ Partner(s) / Director(s) / Karta / Trustee of the 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 the adverse
notice of DGFT.
4. 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.
5. 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) Classifications of Export-Import Items, 2004-09 and
that the item(s) exported / proposed to be exported does not fall within this
list and that I/ We agree to abide by the provisions of the Policy for export
of SCOMET items contained in the Foreign Trade Policy, Schedule 2 of ITC (HS)
and the HBP v1, irrespective of the scheme under which the item is exported /
proposed to be exported (the underlined portion will be deleted in case an
application for export license for SCOMET item is being filed).
6. (Applicable in case of Advance Authorisation applications under paragraph 4.7 of HBP
v1only)
a. I/We hereby declare that I / We
shall abide by the final fixation of norms by the Norms Committee (NC) and
shall pay in cash to the Government Customs duty together with interest (as
notified) reckoned from the date of imports till the date of deposit on the
inputs imported in excess of the norms fixed by NC.
b. I / We hereby declare that no
export proceeds are outstanding beyond the prescribed period as laid down by
RBI or such extended period for which RBI permission has been obtained.
7. I hereby certify that I am
authorised to verify and sign this declaration as per Paragraph 9.9 of the FTP.
Signature of the Applicant Place
Name Date
Designation
Official Address
Telephone
Residential Address
Email Address
Guidelines for Applicants
(Please see paragraphs 4.4, 4.13, 4.14, 4.24A
and 4A.25 of HBP v1 relevant to the Scheme under which the application is being
filed)
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. RCMC details need not be given
if the same have already been updated in the IEC.
4. In case of request for ARO /
Invalidation letter, applicant may furnish information in respect of Sl No. 1, 2 & 20 of the application only.
For Advance Authorisation
1. Bank Receipt (in duplicate) /
Demand Draft / EFT details evidencing payment of application fee in terms of
Appendix 21B.
2. Additional documents required:
1. In case of
issue of Advance Authorisation for Annual
Requirements:
a. Statement
of exports made in the preceding licensing year duly certified by a Chartered
Accountant / Cost and Works Accountant in the format given in Appendix 26.
b. Self
certified copy of the manufacturing licence of the
applicant firm or his supporting manufacturer.
2. Invalidation letter(s) incase of supplies to an advance Authorisation holder. However, in case of switch over from
physical exports / deemed exports to intermediate supplies, such invalidation
letters can also be furnished at the time of redemption of advance authorisation.
3. In case of Deemed Export:
Project Authority certificate in case of supplies other than (ii)
above and to EOU / EHTP / STP / BTP units;
3. In cases where import of fuel has been sought for
under Advance Authorisation / Advance Authorisation for Annual Requirements (excluding Advance Authorisation applications for ad-hoc norms and those under
Para 4.7 of HBP v1)
a. Self
certified copy of the permission issued to the manufacturer exporter by the
competent authority (concerned State Electricity Board or Power Corporation or
Regulatory Commission of the State) under Section 44 of the Electricity
(Supply) Act, 1948 for the installation of captive power plant based on the
specified fuel unless the permission is specifically waived by the State
Electricity Board; and
b. Self
certified copy of the letter intimating the date of commissioning of the
captive power plant from the concerned authority which issued the permission
letter is to be submitted.
Note: Import of only such fuel(s)
shall be allowed which have / has been specified in the said permission.
4. Additional documents required in
case of issue of Advance Authorisation under Para 4.7
of Handbook
a. Information
as per Appendix-11A,
b. Technical
Details of the export product as per the details given in Appendix 33.
c. Chartered
Engineer certificate certifying the import requirements of raw materials in the
format given in Appendix 32B.
d. Production
and Consumption data of the manufacturer / supporting manufacturer of the
preceding three licensing years, duly certified by the Chartered accountant /
Cost & Works Accountant / Jurisdictional Excise Authority.
5. Please state ‘Not Applicable’ wherever the information / data is
not applicable to you.