APPLICATION PERFORMA FOR CERTIFICATION OF EXPORT PERFORMANCE OF UNITS IN AGRO CHEMICALS SECTORS BY THE REGIONAL OFFICES OF THE DGFT AS PER CUSTOMS NOTIFICATION NO 12/2012 dated 17.3.2012

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....S SECTORS BY THE REGIONAL OFFICES OF THE DGFT AS PER CUSTOMS NOTIFICATION NO 12/2012 dated 17.3.2012 1. Name and Address of the Applicant 2. IEC Number 3. Details of exports and import entitlement Preceding licensing year's physical exports (in Rscrores) Entitlement @ 1% of the FOB value of physical exports Cumulative imports already undertaken under Customs Not 21/2002 (in Rs. Crores) Bala....

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....These goods would not be transferred or sold for a period of 7 years from the date of installation. d. We/I hereby declare that the imports by the unit are for Research and Development in the agro chemical sectors. e. We/I hereby declare that the Research and Development wing of the unit which has undertaken these imports is registered with the Department of Scientific and Industrial Research in....

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....S.Nos 1 to 3 along with the Declaration/ Undertaking given by the Proprietor/ Partner/ Director of the unit(s) and find them to be true and correct. Chartered Accountant's Name/Cost Accountant's Name Membership Number& Seal Address Name and address of the Institute with whom registered VERIFICATION BY THE REGIONAL OFFICE OF THE DIRECTORATE GENERAL OF FOREIGN TRADE This is to verify that the ....