Application for Clubbing and Closure of Advance Authorisations

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....lue (INR) Total FOB / FOR Value (in USD) Export FCC in Authorisation Total FOB / FOR value (in export FCC) ITC (HS) Code Export item technical characteristics / Description As per Shipping Bills/GST Invoice/Bill of Exports Authorisation Number Shipping Bill Number/ Bill of Exports number/ GST Invoice Number Shipping Bill /Bill of Exports /GST Invoice Date Invoice Number Invoice Date Invoice Serial Number Quantity UOM Total FOB / FOR Value (INR) Shipping bill currency Foreign currency exchange rate in INR Total FOB/ FOR value(in foreign currency) ITC (HS)Code Export Item Description in invoice / Shipping Bill Export As per Importer/Exporter Authorisation Number Type of Export Shipping Bill Number/Bill of Exports numb....

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....Value (INR) Total CIF of unutilised (INR) Foreign Currency as per Invoice Foreign currency exchange rate in INR Total CIF value (in foreign currency) Total CIF value (in Applicable foreign currency) Additional exports effected in proportion to excess inputs Input quantity reduced proportionately in the authorisation Remarks Port Type Source ITC(HS) Code Input Item Description in invoice Tax Receipt Details Challan Number Challan Date Challan of amount paid (in Rs) Challan Interest Remarks Additional Input Details Authorisation Number Claim under reduced benefits of Appendix 4D Serial Number from Appendix 4D Remarks Authorisation Number Item(s) declared do not fall under Appendix 4J Serial Number from Appendix 4J ....

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....em Name Quantity UOM Input Name Quantity UOM Surrender Details Export Item Name Quantity UOM Input Name Quantity UOM Penalty to be paid Penalty as per Importer / Exporter DECLARATION / UNDERTAKING I / We hereby declare that: 1. 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 and if found 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. We would abide by the provisions of the Foreign Trade (Development and Regulation) Act, 1992, the Rules and Orders framed there under, the Foreign trade Policy, the Handbook P....