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Application Form for Served From India Scheme (SFIS) for Net Foreign Exchange earning in the year 2013 -14

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....r claiming benefit of Served From India Scheme (SFIS) for foreign exchange earning in the year 2013-14 is being notified. (Pravir Kumar) Director General of Foreign Trade Email: [email protected] (Issued from File No. 01/61/180/60/AM13/PC-3)   ANNEXURE TO PUBLIC NOTICE No. 71 dated 30.09.2014 (RE2013)/2009-14 ANF 3 B-1 Application Form for Served From India Scheme (SFIS) for Net Foreign Exchange earning in the year 2013-14 1. Applicant Details: i IEC No.                   ii Name   iii Address   iv Telephone No   V Email ID   2. RCMC Details : i. RCMC Number   ii. Valid upto                   [dd-mm-yyyy]     --     --         iii. Issuing Authority   iv. Products / Services for which registered - in terms of main line of business   3. Category of Service as per Appendix 41   4. Frequency of ....

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....e incurred on Capital Goods by the IEC holder, relating to service sector in Financial year. If the IEC holder is a manufacturer of goods as well as service provider, then the foreign exchange earning and Total expenses/payment /remittances for calculation of entitlement shall be for service sector only. DECLARATION / UNDERTAKING 1.            I / We hereby certify that: (i)     that particulars and statements made in this application are true and correct and nothing has been concealed or held therefrom. I/We fully understand that any information furnished in the application if found incorrect or false will render me/us liable fo21r any penal action or other consequences as may be prescribed in law or otherwise warranted. (ii)    that under Foreign Trade (Development and Regulation) Act (FTDR Act) 1992, my/our firm / company has not been debarred from undertaking any export import business or activity by way of suspension or cancellation of IEC number. (iii)   that my/our firm / company has not defaulted from export obligation under any provisions of FTP and has not b....

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.... that: 1. Bills, Invoices, Forward Inward Remittance Certificates (FIRCs), Bank Realization Certificates, Certificate from international credit card companies, and evidences of foreign exchange earnings have been examined and verified by me. 2 Relevant records relating to Total expenses/payment/remittances of Foreign Exchange including those incurred on Capital Goods by the IEC holder, relating to service sector in Financial year, have been examined and verified by me. 3. Services for which benefits is claimed does not include ineligible services and remittances as listed under Para 3.6.1 of HBP v1 2009-14. 4. Neither I, nor any of my / our partners is a partner, director, or an employee of above-named entity, its Group companies or its associated concerns. 5. Details of Foreign Exchange Earned for Supply of Service From India to outside India or in India, (as certified in Annexure A to D) and Total expenses/payment/remittances of Foreign Exchange including those incurred on Capital Goods by the IEC holder, relating to service sector in Financial year, (as certified in Annexure E of this Certificate) for the period .......................... is as unde....

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....= Gross Earnings of Foreign Exchange minus Total expenses /payment/remittances of Foreign Exchange including those incurred on Capital Goods by the IEC holder, relating to service sector in Financial year. If the IEC holder is a manufacturer of goods as well as service provider, then the foreign exchange earning and Total expenses/payment /remittances for calculation of entitlement shall be for service sector only. Annexure-A Calculation of Foreign Exchange Earnings for services covered under per Para 9.53(i) of FTP Sl No. Particulars Date of Transaction Earning in Free foreign Exchange (Amount in Currency of transaction) Exchange rate on the date of transaction to convert in US $ Equivalent in US $ (i.e. 4X5) 1 2 3 4 5 6     Total   Annexure-B Calculation of Foreign Exchange Earnings for services covered under Para 9.53(ii) of FTP Sl No. Particulars Date of Transaction Earning in Free foreign Exchange (Amount in Currency of transaction) Exchange rate on the date of transaction to convert in US $ Equivalent in US $ (i.e. 4X5) 1 2 3 4 5 6      ....