TaxTMI 
TaxTMI 
TaxTMI 
Application Form for Service Exports From India Scheme(SEIS)
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....to [dd-mm-yyyy] -- -- iii. Issuing Authority iv. Products / Services for which registered - in terms of main line of business 3. Frequency of Application Annual 4. Invoice-wise details of Net Foreign Exchange earned for eligible services: (please read Guidelines for filling the Table) (Information for year/ period of rendering service only requires to be filled in the table below) Sl.No. Description of service rendered as per description in Invoices Invoice no, and date Sl.No. of Services as per Appendix 3D/3E and description Rate of entitlement as per Appendix 3D (in %) Gross Foreign Exchange earned in US$/in INR for 3E Total expenses /payment remittances of Foreign Exchange earned in US $ Net Foreign Exchange earned in US $ (1) Entitlement in US$ 1 2 2A 3 4 5 6 7=(5-6) 8=(4X7) To be filled for the year of Rendering Service Other than year 2017-18 1 2 3 .. Total Total as per Annexure C Total NFE Total Entitlement in USD (1) To be filled for the year of rendering service 2017-18* For period 01.04.2017 to 31.10.2017 (Period 1) 1 2 .. Total as per Annexure C Total NFE Total Entitlement in USD (1) For period 01.11.2017 to 31.03.2018 (Pe....
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.... of Registration (for purpose of imports): 14 Number of Certificates required, if any, (in multiples of Rs. 5.00 lakhs each) - (please note that in case two scrips are required, the number of split is 1) DECLARATION/UNDERTAKING 1 I/ We hereby certify that : A. the entity for whom the application has been made have not been penalized/ have been penalized (please cut across in applicable portion) under any of the following Acts (as amended from time to time) in the last five years: (i) The Customs Act, 1962, (ii) The Central Excise Act 1944, (iii) Foreign Trade (Development & Regulation) Act 1992, (iv) The Foreign Exchange Management Act, 1999; and (v) The Conservation of Foreign Exchange, Prevention of Smuggling Activities Act, 1974 (vi) The GST Acts (vii) SEZ Acts and Rules B. None of the Directors / Partners / Proprietor / Karta / Trustees of the company /firm / HUF/ Trust, (as the case may be), is/ are a Director(s) / Partner(s) / Proprietor / Karta / Trustee in any other Company/ firm / entity which is on the Denied Entity List (DEL) of DGFT. C. neither the Registered Office of the company / Head Office of the firm / nor any of its Branch Office(s)/ Unit(....
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....warranted. In case of ineligible claim/ over claim, I shall be under obligation to refund the ineligible claim/ overclaim in electronic model any other permitted mode of payment with interest at the rate with interest at the rate prescribed under section 28AA of the Customs Act 1962, from the date of issue of scrip in the relevant Head of Account of Customs within one month. I understand that I shall also be under obligation to surrender the scrip whether partially utilized or fully unutilized, at any stage, if asked to do so by the DGFT. 11. I hereby certify that I am authorized to verify and sign this declaration as per Paragraph, 9.06 of the Foreign Trade Policy. 12. In case the entity for whom the application has been made have been penalized as per the declaration (1) above, the details of such penalties are to be mentioned as below. S.No. File no. Penalty Imposed Paid/ Not paid/Appealed against 1 2 This box needs to be ticked while submitting the application online, in order to have accepted the declarations 1 to 12 to proceed with the submission of the application online. Signature of the Applicant DIGITAL SIGNATURE Enclosure to ANF 3B Instruction for Chartered ....
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....s or its associated concerns. 5. Details of Foreign Exchange Earned for Supply of Service From India to outside India or in India, and Total expenses /payment/remittances of Foreign Exchange by the IEC holder, relating to service sector in the Financial year is as under the Table 1 below. 6. I have verified the information in the SI no. 6 to 12 of the ANF 3B, filled by the applicant and have found them to be correct 7. I hereby declare that I have correlated all the Invoices mentioned in Annexure B of this certificate with the corresponding proof of remittance and found them to be correct. I hereby declare that I have correlated the description of these invoices with the corresponding service category as per Appendix 3D and have filled the table 1 of this certificate and the provisional CPC code in Annexure B accordingly. Table 1. CATEGORY WISE details of Net Foreign Exchange earned for eligible services (please read the Guidelines to the table in Sl no. 4 of the ANF 3B) Sl.No. Description of service rendered as per description in Invoices Invoice no, and date Sl.No. of Services as per Appendix 3D/3E and description Rate of entitlement as per Appendix 3D (in %) Gross ....