APPLICATION FORM FOR APPROVAL FOR EXPORT OF SCOMET ITEMS FROM STOCKIST ENTITY TO END USER

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....ncluding technical specification ITC (HS) Code No. (if available) Quantity Total FOB Value In relevant Foreign Currency In Rupees In US$ 3. Details of export to stocked items made previously Sl.No. Approval No. & Date Details of item exported Qty exported Country to which exported DGFT's (HQ's) File Number Category Description 4. Shipment Details i. Port of Lading/Shipment ii. Port of Discharge iii. Country to which item to be exported iv. Ultimate Destination Country 5. Purpose of Export i. Re-export of Stocked Items 6A. Foreign Buyer Details i. Name ii. Address Flat/Plot/Block No. Street/Area/Locality City Country Postal Code iii. Telephone No. (1) Country Code Area Code Tele. No. (2) iv. Fax ....

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....ronically): i. ECOM Reference Number ii. Date of Submission on Server iii. Submitted to which Regional Authority iv. File Number & Date of Issue v. Application Fee submission details viz. Amount in Rupees, Demand Draft No./Electronic Fund Transfer No. and Date and the name & branch of the bank on which drawn 9B. Jurisdictional Regional Authority of original 'Stock & Sale' authorization: DECLARATION/UNDERTAKING 1. I / We hereby certify that: (i) I/We hereby declare that 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. (ii) I/We fully understand that any information furnished in the application if....

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....her obtained nor applied for issuance of an Importer Exporter Code Number in the name of our Registered / Head Office to any Other Licensing Authority. (v) I / We hereby declare that I / We have neither obtained nor applied such benefits (including issuance of an Importer Exporter Code Number) in the name of our Registered / Head Office or any of our Branch(s) / Unit(s) / Division(s) to any other Regional Authority. (vi) We have complied with the conditions of all previous licences / authorisations issued to us for export of SCOMET items and wherever required have duly intimated the o/o DGFT, New Delhi along with documentary evidence regarding receipt of the items of export by the end-user within the stipulated time. (vii) I / We unde....