TaxTMI 
TaxTMI 
Amendment of ANF 3C – Application for on line filing of Grant of Status Certificate
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....ic Notice .5 /2015-20 Dated 3rd May 2016 ANF- 3C Application for on line filing of Grant of Status Certificate (Kindly read Para3.20 to 3.24 of FTP and Para 3.18 to3.23 of HBP ) Part A 1. Applicant Detail IEC Number Branch Code Name Address Telephone No Email ID 2. Application Details Application For Submission Date Submitted To Part B 3. Category of Status applied for: please tick) ( √ ) a) One Star Export House b) Two Star Export House c) Three Star Export House d) Four Star Export House e) Five Star Export House 4. Details of Exports/Deemed Exports/Foreign Exchange earned for supply of Service from India during preceding three (two for Gems and Jewellery Sector) licensing years and current year (i.e. year in which application is filed). Statement of Exports / Deemed Exports / Foreign Exchange Earned by Supply of Service Type of Exports in US $ (FOB / FOR value / Foreign Exchange Earned) Current Year in US $(Specify Period) ....
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....s been declared a defaulter and has otherwise been made ineligible for undertaking import / export under any of the provisions of the Policy; 2 I/We undertake to abide by the provisions of the Foreign Trade (Development and Regulation) Act, 1992, as amended from time to time, the Rules and Orders framed there under, the Foreign Trade Policy, the Handbook of Procedures 3. I/We hereby certify that that particulars and statements made in this application are true and correct and nothing has been concealed or held therefrom. I/We fully understand that any information furnished in the application if found incorrect or false will render me/us liable for any penal action or other consequences as may be prescribed in law or otherwise warranted. 4 I hereby certify that I am authorized to verify and sign this declaration as per Paragraph 9.06 of the Foreign Trade Policy. 5 I hereby declare that a shipment has been included only once in one of the categories eligible for double weightage. 6 I hereby declare that exports made on re-export basis have not been included. 7 I hereby declare that export ....
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.... there under, relevant register and records and books of accounts maintained by M/s ......... .......................... is also true and correct. 3 It has been ensured that a) Information furnished is true and correct in all respects; no part of it is false or misleading and no relevant information has been concealed or withheld; b) In respect of export of goods, a shipment is counted in applicants export turnover / performance only if the realization of export proceeds from overseas is in the applicant's bank account. c) In respect of service providers, realization of export proceeds in free foreign exchange pertains to rendering of services. d) If the exports are in any other currency other than US$ like Euro etc, these are converted to US$ as per rate notified by customs for particular month for export purposes. 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 I / We further certify that export proceeds for shipments during last three years (two years for Gems and Jewellery Sector) plus current year are not outstanding....
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....____________________________ Format A Certificate of Exports where Double Weightage has been claimed (Applicable only if the application is for One Star Export House) Note: A shipment can be included in one of categories indicated below only once. Sl. No. Category of Exports FOB/FOR/Foreign Exchange earned in US $ in Current Year FOB/FOR/ Foreign Exchange earned in US $ in Previous Year 1 FOB/FOR/ Foreign Exchange earned in US $ in Previous Year 2 FOB/FOR/ Foreign Exchange earned in US $ in Previous Year 3(not applicable for Gem and Jewellery Sector) 1 Export of Goods and/or services by Micro, small &medium enterprises(MSME) as defined in Micro, small &medium enterprises Development (MSMED) Act 2006 2 Manufacturing units having ISO/BIS 3 Units located in North Eastern States including Sikkim and Jammu & Kashmir 4 Units located Agri Export Zone 5 Total FOB Value in US$ 6. FOB Value of Exports with Double Weightage (US$....