Target Plus Scheme

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..../180/Public Notice/AM04/PC.IV) Annexure A APPENDIX 17-D Application Form for Target Plus Entitlement for Exports Effected During 2004-05 (Please see paragraph 3.7.1 to 3.7.8 of the Foreign Trade Policy and 3.2.5 of the Handbook (Vol. 1)) FOR OFFICIAL USE File No._________________________________ Date:____________ 1. Name and Address : …………………………………………… …………………………………………… …………………………………………… …………………………………………… 2. I E Code Number : …………………………………………… 3. Details of Status Certificate …………………………………………… For the year 2004-'05 a) Status b) Status Certificate Number c) Date of Issuance d) Valid from e) Valid up to :1 / 2 / 3 / 4 / 5 Star Export House / EH / TH / STH / SSTH (tick the relevant Status) :…………………………………… :…………………………………… :…………………………………… :…………………………………… 4 RCMC No. and Date :…………………………………… Issued by :…………………....

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....for import purpose): ………………………… 10. Option for supporting manufacturer entitlement details Goods allowed to be imported under this scheme shall have a broad nexus with the product exported and a declaration in this regard shall be made by the applicant in Appendix 17D. For the purpose of import entitlements under this scheme, 'broad nexus' would mean goods imported with reference to any of the product groups of the exported goods within the overall value of the entitlement certificate. Sr. No. of Supporting Manufacturer Name, Address, PAN Number, Phone No. of Associate Manufacturer / Supporting Manufacturer / job worker Sr. No of Product Group Product Groups FOB Value of Eligible Exports 2004-05 1 1 US$ Rupee 2 3 Sub Total 2 1 2 Sub Total 11. DECLARATION CUM UNDERTAKING I. I/We hereby declare that this application is based on exports made (in free foreign exchange) during the licensing year 2003-04 and 2004-05 and benefit is being claimed in respect of export proceeds realized in conformity with requirement prescribed in Para 3.2.5 (I) of Handbook of Procedures (Vol. 1) 2004-09. II. I/We further certify that I/We am/are authorized to ver....

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....s factory or premises, within six months from the date of imports or within such extended period as the said Deputy Commissioner of Customs or Assistant Commissioner of Customs may allow." Official Stamp /Seal Signature: :..................... Name in Block Letters: :..................... Designation: :..................... Place: :..................... Full Official Address: :..................... Residential Address: :..................... E-Mail address: :..................... NOTES Note 1: If the applicant is part of a Group Company as defined in Chapter 9 of Foreign Trade Policy, Entitlement will be adjusted in terms of Para 3.7.4 of Foreign Trade Policy. If any of the Star Group Companies show negative growth, necessary adjustment would be made by RLA to retain the last years' export performance of each individual star export house, out of the export performance of the applicant company of the group. The balance after adjustment would be counted for the export performance of the applicant company for grant of Target Plus Scheme benefits. Illustrative example is given in the following table to clarify the above. Where Company B is the applicant company and th....

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....of Sr. No 6 of this application by filing a single consolidated supplementary application within 3 months of receipt of last realization as per RBI guidelines. No Late cut will be imposed in such a case. Note 9: In case exports made under Sr. No. IV of the declaration appended hereto are covered by more than a single category, the applicant may choose to declare such exports in any one of the said categories as reflected in the Sr. No (vii) of the CA certificate. Note 10: If an applicant is not satisfied with the calculation of entitlement under the DFCE scheme, he may approach the Grievance Redressal Committee at the Ministry of Commerce & Industry. The details are available at http://commerce.nic.in/grc.htm. Documents to be enclosed with the application form: 1. Copy of the status holder certificate valid during 2004-05. 2. Copy of RCMC valid during 2004-05 and valid currently. 3. CA Certificate as per enclosed annexure to Appendix 17D. 4. Statement of Export and Realization (for Eligible Exports) duly certified by the Bankers as per Appendix 22A, consolidated for each Bank. (Can be downloaded from Website www.nic.in/eximpol) 5. Any other Document that may be specified o....