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Application for issue of Advance Authorisation/Annual Advance Authorisation

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....Address of the factory / premises where the items to be imported are proposed to be used Excise/GST Registration Number Jurisdictional Central Excise /GST Authority/GST under whose jurisdiction the factory / premises Industrial Registration Details MSME / IEM Registration Number/Udyog Aadhar Number Issuing Authority Date of Issue Products for which registered Co-Licensee Details IEC No. of Co-licensee Branch Code Name of Co-licensee Address of Co-licensee Supporting Manufacturer Details GSTN / Excise Registration No. (if applicable) IEC No. Branch Code Name of Supporting Manufacturer Address of Supporting Manufacturer Pincode City State District Type of Unit MSME / IEM /IL Regn No of Supporting Manufacturer Date Of ....

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....em Description UOM Quantity Allowed Quantity Required CIF Value (in INR) CIF Value (in Freely Convertible Currency) Technical Features/Descripion ITC(HS) Code ITC(HS) Code Description Appendix 4D Serial Number from Appendix 4D Remarks Appendix 4J Serial Number from Appendix 4J Remarks Supply of Free of cost Inputs Source of supply of free of cost inputs Destination / Name of the country Description of item Quantity UOM Notional value (in INR) Notional Value( in Currency of Imports) Total CIF value of Free of Cost Items (in INR) Total CIF value of Free of Cost Items( in Currency of Imports) Total CIF value of Free of Cost Items (In Freely convertible Currency) Drawback Details Item Description Quantity Required Q....

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....INR) Grand Total CIF value of Imports invalidated (In currency of imports) Grand Total CIF value of Imports invalidated (In US $) Total exemption (GST duty in notional value) Total exemption (Basic custom duty in notional value) Total Value Addition in Past Year Production/consumption Data Details Financial Year Export Details Input Details Resultant Product Name Production by weight UOM Consumed Item Name Quantity Consumed UOM Quantity consumed per unit production Past Year Production/consumption Cumulative Value Financial Year Total production by weight Total Quantity Consumed Attachment Details Attachment Type Remark Attachment Name Bank Guarantee Details Type of Guarantee Unique Document ID Start Date End Da....

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....ted (the underlined portion will be deleted in case an application for export license for SCOMET item is being filed). 5. Applicable in case of Advance Authorisation applications under paragraph 4.07 of HBP only. 6. I / We shall abide by the final fixation of norms by the Norms Committee (NC) and shall pay in cash to the Government Customs duty together with interest (as notified) reckoned from the date of imports till the date of deposit on the inputs imported in excess of the norms fixed by NC. 7. 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. 8. That I/We have updated the IEC profiles in ANF 1. 9. We have not been penalized....

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....pany Secretary in the format given in Appendix 5B. b. Self certified copy of the manufacturing licence of the applicant firm or his supporting manufacturer. ii. Invalidation Letter(s) in case of supplies to an Advance Authorisation holder. However, in case of switch over from physical exports / deemed exports to intermediate supplies, such invalidation letters can also be furnished at the time of redemption of advance authorisation. iii. In case of Deemed Export: Project Authority Certificate other than in case of supplies against (i) Advance Authorization (ii) EPCG & (iii) EOU / EHTP / STP / BTP units; 3. In cases where import of fuel has been sought for under Advance Authorisation / Advance Authorisation for Annual Requirements (e....