ANF 4 C
For Fixation of DEPB
Rates / Fuel rates
[Please see guidelines (at the end) before
filling the application]
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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 |
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ii. Date of Issue |
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iii. Issuing Authority |
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iv. valid upto
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Products for which registered |
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4. Type of Exporter
(please tick) |
( √ ) |
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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 |
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i. SSI/IEM/LOI or IL
Registration Number |
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ii. Date of Issue |
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iii. Issuing Authority |
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iv. Products for which
registered |
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6. Excise Details (For
those registered with Central Excise Authority) |
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i. Excise Registration Number |
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ii. Issuing Authority |
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7. Application for
(please tick) |
( √ ) |
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i. Fixation of DEPB rate |
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ii. Fixation of Fuel rate |
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8. Export Product Details for which fixation of rate is sought. |
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Export Product Group |
Description of Item of export |
Sl.No. in Handbook (Vol.2) |
Inputs allowed |
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Description |
ITC(HS) (Code) |
Basic Customs Duty |
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9. Total exports
effected during preceding three licensing year
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Year |
FOB value (Rs.) |
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10. Exports made during
past one year of the item for which DEPB rate is applied for.
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Item of export |
Quantity |
FOB value |
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11. Details of imports effected during the past one year of inputs allowed under
Standard Input Output Norms (HBP v2)
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Sl. No. |
Item of import |
Bill of Entry No. and date |
Quantity of import |
CIF value |
Per unit CIF value |
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12. Details of international journals /
magazine evidencing international price of inputs in support of the data
furnished above.
13. Worksheet For Computation Of DEPB Rates:
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FOB value per unit quantity of
export product (Kg./MT etc.) |
Description of import items
allowed as per SION |
Quantity of import item allowed
for each of the input as per SION |
CIF value per unit quantity
(Kg./MT etc.) of each of the item allowed for import in SION |
CIF value of each of the input
allowed for import in SION |
Rate of basic Customs Duty
against each of the input allowed for import in SION |
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(1) |
(2) |
(3) |
(4) |
(5) |
(6) |
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Total CIF |
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14. In case of
fixation of fuel rate is sought, please furnish |
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i. Type of Fuel stipulated in
permission issued by Competent Authority for installation of Captive
Power Plant |
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ii. Units (KWH) of Electricity
consumed for producing One kg of export
product |
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iii. Cost of Fuel per kg of
export product |
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. 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 paragraph 4.38 of HBP v1; For
Brand Rate for Fuel, Pls see Para 4.3 of FTP]
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 has already given at the time obtaining IEC.
4. Application must be accompanied
by documents as per details given below:
a. In support
of data furnished at serial no. 10,11 & 12 above, minimum 5 Shipping Bills
/Bills of Entry (self certified copies) should be submitted for each item of
export/ import during the past one year. This may however be restricted to two
Shipping Bills/Bills of Entry/per month for exports/ imports made during the
past one year. Alternatively in lieu of the Bills of Entry, the firm may submit
copies of Customs data for imports containing the name of the raw materials,
quantity, CIF value, name of the importers, port of import etc.
b. International
price of items of import as obtained from international journals/ magazines are
to be submitted only in support of actual imports as given in serial no.12. If
the applicant has insufficient data on the items of import/export, he may also
submit data and documents of other exporters of the same export product.
c. 5 copies
of the application should be submitted. However, only two copies of the
supporting documents viz. relevant Shipping Bills/ Bills of Entry is to be
submitted in support of all the data as furnished by the applicant.
d. A copy of
the application and supporting documents should simultaneously be submitted to
the concerned Export Promotion Council/Commodity Board.
e. In case of
application for fixation of fuel rate, self certified copy of permission letter
issued by the competent authority under Section 44 of the Electricity Supply
(Act), 1948 for installation of Captive Power Plant stipulating among other
things, the specific fuel to be used by such plant. In case of Brand Rate
fixation of DEPB for fuel in terms of paragraph in terms of paragraph 4.3 of FTP.Copies of purchase invoice to ascertain the actual
utilization –to be furnished in tabular form specifying date wise purchase of
fuel.
Note: The DEPB rate shall be fixed
only for those products for which Standard Input Output Norms have been
notified. In case of an export product for which Standard Input Output Norms is
not fixed, the applicant has to first apply for fixation of SION.