ANF 4D
For clubbing of Advance Authorisations
[Please see guidelines (given at the end)
before filling the application]
[ANF 4D amended by 43-PN(RE)/04.07.2008]
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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 |
3. Details of Authorisations to be clubbed
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S No |
Authorisation No |
Authorisation date |
Customs Notification no |
Export product |
Port of Registration |
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1 |
2 |
3 |
4 |
5 |
6 |
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CIF value permitted |
CIF value used |
EO imposed (FFE) |
Exports made |
Expiry date of initial EO
period |
Expiry date of extended EO
period |
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7 |
8 |
9 |
10 |
11 |
12 |
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4. Details of physical
exports / deemed exports made against each individual Advance Authorisation
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S No |
Products Exported/ Supplied |
Shipping Bill/ Invoice/ AR 3 Details |
Quantity Exported / Supplied |
FOB Value |
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No |
Date |
Direct exports |
Third Party exports |
Deemed Exports |
Total |
In case of physical exports (as per S/B) |
In case of deemed exports (as per invoices) |
Actually realized (as per BRC) |
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5. Details of imports
allowed and made against each individual Authorisation
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S No |
Item of Import |
Qty allowed in the Authorisation |
CIF Value allowed in the Authorisation |
Bill of Entry Details |
Quantity imported |
CIF Value used |
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No |
Date |
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6. Consolidated Details
of physical exports / deemed exports made against all Authorisations
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S No |
Products Exported / Supplied |
Shipping Bill/ Invoice / AR 3 Details |
Quantity Exported / Supplied |
FOB Value |
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No |
Date |
Direct exports |
Third Party exports |
Deemed Exports |
Total |
In case of physical exports (as per S/B) |
In case of deemed exports (as per invoices) |
Actually realized (as per BRC) |
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7. Consolidated Details
of imports allowed and made against all Authorisations
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S No |
Item of Import |
Qty allowed in the Authorisation |
CIF Value allowed in the Authorisation |
Bill of Entry Details |
Quantity imported |
CIF Value |
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No |
Date |
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8. Details of excess
imports made proportionate to the export obligation fulfilled
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S No |
Item of Import |
Bill of Entry Details |
Quantity |
Duty Details |
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No |
Date |
Customs Duty |
Interest |
Total |
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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
[Pl see paragraph 4.20 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. Clubbing of Advance Authorisation with Advance Authorisation
for annual requirement not permitted.
4. Application must be accompanied by Advance Authorisation
(s) in original.
5. FOB value of export for the purpose of V.A shall be
arrived at after excluding the Agency Commission, if any. This provision shall
be applicable for authorizations issued on or after 1.4.2008