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Application Form for Issuance of EPCG Authorisation

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....re you MSME? (if Yes, Pl attach proof) O Yes O No If manufacturer, please select sector classification of export items for which EPCG authorisation is applied for: 1. Engineering Products 2. Electronic Products 3. Drugs and Pharmaceuticals 4. Chemical and Allied Products 5. Apparel and Ready Made Garments 6 Made ups and Home decor items 7. Fabrics 8. Textile accessories 9. Yarns 10. Fish, marine and Meat Products 11. Agriculture and Processed Foods of Agriculture 12. Handicrafts Products 13. Leather Products 14. Plastic Products 15. Sports Goods 16. Gem and Jewellery Products 17. Other If Service Provider, please select sector classification of service rendered for which EPCG authorisation is applied for: 1. Hospital....

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....ndorsed on MSME/LOI/IL/IEM Registration Issuing authority, (if applicable) Factory Addresses 6. Products to be exported/services to be rendered S.No. S.No. of Item Export Type ITC(HS) Code/ Service Code Products to be exported /services to be rendered Technical specification for product Whether product to be exported is restricted for export 7. Details of Capital Goods sought to be imported Currency of Imports Freely convertible currency Postal address of the jurisdictional Central Excise/GST Authority in whose jurisdiction factory/premises of the applicant/supporting manufacturer where the capital goods to be imported are proposed to be installed S. No. S.No of Item ITC (HS Code) Description of the items of import Tec....

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.... of the Supplier Supplier Letter Type Total CIF value of Imports invalidated (In INR) Total CIF value of Imports invalidated (In US$) Total CIF value of Imports invalidated (In currency of imports) Total CIF value of Imports invalidated (In FCC) Total Notional Duty Saved Value (INR) Total exemption (GST duty in notional value) Total exemption (Basic custom duty in notional value) 9. Bank Guarantee Details Type of Guarantee Unique Document ID Start Date End Date IFS Code Bank Details INR Value Status 10. Details of Export Obligation imposed Total duty saved/ duty paid (INR) Specific Export Obligation to be imposed (First Block) Specific Export Obligation to be impose (Second Block) Specific Export Obligation to be im....

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....ulation) Act, 1992, (as amended) the Rules and Orders framed there under, the Foreign Trade Policy, the Handbook of Procedures and the ITC(HS) Classification of Export & Import Items as amended from time to time. 3. None of the Proprietor/Partners(s)/Director(s)/Karta/Trustee of the firm/company has come under the adverse notice of DGFT or is in the caution list of RBI. 4. None of the Proprietor/Partners(s)/Director(s)/Karta/Trustee of the firm/company, as the case may be, is/are a Proprietor/Partner(s)/Director(s)/Karta/Trustee in any other firm/Company which has come under the adverse notice of DGFT or is in the caution list of RBI, to the best of my knowledge. 5. Neither the Registered Office/Head Office of the firm/company nor any of....

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....on/ undertaking details. Place Date Name Designation Email Mobile Office Address Residential Address GUIDELINES FOR APPLICANTS 1. Application shall be filed online using digital signatures. 2. Applicant shall upload the documents as per details given below: a. Self-certified copy of MSME/IEM/LOI/IL in case of products and GST Registration in case of Service Providers. b. In such cases RCMC from EPC concerned will suffice). c. Certificate from a Chartered Engineer in the format given in Appendix 5A. d. Certificate of Chartered Accountant / Cost Accountant /Company Secretary in Appendix 5B. e. In case of Import of spares, tools, refractories and catalyst for existing plant and machinery, a list of plant/machinery ....