(For EO Refixation under EPCG Scheme)

i. IEC Number

ii. Date of Issue

iii. Issuing Authority


2. Applicant Details

i. Name

ii. Address


File No




Block year of Export Obligation fulfilment


1st year [ ]

2nd year [ ]

3rd year [ ]

4th year [ ]



5th year [ ]

6th year [ ]

7th year [ ]

8th year [ ]



9th year [ ]

10th year[ ]

11th year[ ]

12th year[ ]


Exports mandated under the block prescribed in row above


As a percentage of total exports to be made


Export actually made


As a percentage of the total exports to be made


6. Details of EPCG Authorisation presented for refixation of export obligation:

S. No

EPCG Authorisation No

Date of Issue

Export Product(s)

Capital Goods applied for import

Export obligation fixed as per imports made (in US $)

Exports actually made
(In US $)

% of exports unfulfilled








(8) = 100*((6)- (7))/(6)










CIF Value of imports (in US $)

Total Customs Duty Saved

Refixed Export Obligation



Additional/ CVD

Others (SAD, etc if applicable)

Rate of Duty levied on import

Total Duty saved








=8* (10)*(8)/100 for cases where refixation application is made within 2 years from the date of issue of EPCG Authorisation
for cases where the remaining EO is less than 2 years on the date of application for refixation



1.     I/We hereby declare that the particulars and the statements made in this application for refixation of export obligation are true and correct to the best of my/our knowledge and belief and nothing has been concealed or held therefrom and if proved incorrect or false will render me/us liable for any penal action or other consequences as may be prescribed in law or otherwise warranted.

2.     I/We further declare that the refixation of export obligation is being sought for the EPCG Authorisation where atleast 50% of the exports indicated in row 6 above have been realised.

3.     That I/We shall be liable to penal action in accordance with the Policy/Procedure/Foreign Trade (Development & Regulation) Act, 1992 the Rules and Orders framed thereunder and the Customs Act, 1962 addition to forfeiture of Bank Guarantee or any other Bond/Guarantee given to the Customs/licensing authority, in the event of failure to fulfill the export obligation as stipulated, within the export obligation period prescribed or subsequently extended by the competent authority.

4.     I hereby certify that I am authorised to verify and sign this declaration as per Paragraph 9.9 of the Policy.

Signature of the Applicant                                                                                   Place

Name                                                                                                               Date


Official Address


Residential Address

Email Address

Guidelines for Applicants

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.     Application must be accompanied by EPCG auyhorisation in original

Note: 1. Please see paragraph 5.4 (i) of the Policy and paragraph 5.19 of the Handbook (Vol.I)