Application for Issue of Nominated Agency Certificate (NAC) / Renewal of Nominated Agency Certificate

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....tar Export House Number of Status Certificate Date: Validity: 5. Nature of concern (Please tick mark) I Merchant Exporter ii Manufacturer Exporter iii Service Provider iv Merchant cum Manufacturer v Others Please specify 6 RCMC Number Dae Issuing Authority Validity Period Products for which registered 7 Application Fee details - Sr. No. Receipt/Electronic Fund Transfer No. / Credit Card Name of the Bank Branch Pay Mode Date Amount (in Rs.) 8 Excise Registration Number Address of the jurisdictional Central Excise Authority under whose jurisdiction the factory / premises situated. Address of the factory / premises where the items to be imported are proposed to be used Part B 9. Details of Exports / Deem....

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....m time to time, as applicable to Nominated Agencies. 4. None of the Proprietor/ Partner(s) / Director(s) / Karta / Trustee of the firm / company, as the case may be, is / are a Proprietor / Partner(s) I Director(s) / Karta / Trustee in any other firm / Company which has come to the adverse notice of DGFT or in the caution list of RBI to the best of my knowledge. 5. that I/we have perused the list of SCOMET items as contained in the Appendix 3 to the Schedule 2 of the ITC (HS) Classifications of Export-Import Items, and that the item(s) exported / proposed to be exported does not fall within this list and that l/ We agree to abide by the provisions of the Policy for export of SCOMET items contained in the Foreign Trade Policy, Schedule 2 o....

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.... SECRETARY (CS) I / We hereby confirm that I / We have examined prescribed registers and also relevant records of M/S….. ....having IEC Number …... for licensing period (s) ….....and hereby certify that: 1. Following documents / records have been furnished by applicant firm / company and have been examined and verified by me / us namely: - a. Statutory documentations under Customs Act 1962 and Excise Act 1848, Service Tax Act, Foreign Trade (Development & Regulation) Act 1992; b. Export Order / Contract, Shipping Bills, Bill of Lading (and / or Airways Bills / PP Receipts), Customs / Bank attested Invoices, Forward Inward Remittance Certificates (FIRCs) and Bank Certificates of exports and realization, GR declaration ....

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....----------------- Notes:- 1. Substituted vide Public Notice No. 37/2015-2020, dated 04-10/2016, before it was read as:- "ANF- 4I Application for Issue of Nominated Agency Certificate (NAC) / Renewal of Nominated Agency Certificate [Please see guidelines given at the end before filling the application online] Part A 1 IEC No. Branch Code 2 Application for (please tick) Grant of fresh Nominated Agency Certificate Renewal of Nominated Agency Certificate (i) Date of issue of Nominated Agency Certificate: (ii) Expiry date (in case of request is for renewal of NAC): 3 Ecom. Reference No: Submission Date Submission To RA File No RA File Date 4 Category of Status Certificate held (please tick): Four Star Export House / Five....

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....ivities Act, 1974 B. 2. 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. 3. 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 Procedures and the ITC(HS) Classification of Export & Import Items as well as RBI and Customs guidelines, as amended from time to time, as applicable to Nominated Agencies. 4. None of the Proprietor/ Partner(s) / Directo....

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....ready been updated in ANF-1. 3. Please upload following documents: a. Self certified copy of valid Status Holder Certificate. b. Annexure-I to ANF 4I. c. Relevant half yearly return(s), if applicable, as per the format given in Appendix 4-O for the period April to September / October to March Annexure to ANF 4I CERTIFICATE OF CHARTERED ACCOUNTANT (CA) / COST ACCOUNTANT (ICWA)/ COMPANY SECRETARY (CS) I / We hereby confirm that I / We have examined prescribed registers and also relevant records of M/s ....... .............……………………………………………having IEC Number …………………&hell....