APPLICATION FORM FOR RE-EXPORT OF IMPORTED SCOMET ITEMS/SOFTWARE/TECHNOLOGY

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....Mobile No. vi. E-mail address where alerts and notifications to be sent vii. Company Website ix. Principal Business Activities of the applicant firm: x. Is this applicant a parent company? xi. If applicant is a subsidiary, then provide following details: a. Parent Company b. Other Subsidiaries (to which exports to be made) xii. License exception given by (if applicable) 1. From Foreign parent/subsidiary PIN Code Country Code Area Code Tel.No. Country Code Area Code Fax No. Yes Name Address No Country of Export (tick the appropriate) 28 THE GAZETTE OF INDIA: EXTRAORDINARY [PART I-SEC.1] 2. Name of the country Xiii Export license of foreign country (if applicable) 1. Type of Export license of foreign country (for e.g. bulk/general/ temporary license/ others) 2. Country of granting such license Application Fee Details i. Sr. No. ii. Pay Mode iii. Demand Draft/Bank/Bank Receipt/Electronic Fund Transfer iv. Date of Issue v. Name of the Bank on which drawn vi. Bank Branch on which drawn vii. Amount (Rs) 2A. Details of SCOMET items in Appendix 3 to Schedule 2 of ITC (HS) Classifications of Export & Import Items applied for export:....

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....ttach extra sheet (A4 size) in the same format) ▬▬▬▬▬▬▬▬▬Additonal Information fapplicable) 29 30 THE GAZETTE OF INDIA : EXTRAORDINARY [PART I-SEC.1] SI. SCOMET Name of the Brand No. category manufacturer/ Name of Model or Name of Model no./ Part No. (If Class (If Type (If applicable) applicable) Serial No. Version (If No. (If Encryption Encryption Value of Additio-nal algorithm Functionality technology Information ☐ Service for aplicable Software Techinacea aplicable) a pica) aplicati o cable care of 2D. Company's Information S. No. SCOMET Purpose of export/re-export category (e.g Design/encryption /research/ development/delivery/validation/testing/repair /demo/display/calibration/ others (Please specify) Name of the company to which export/re-export to be made Is it foreign parent company/subsidiary Or Indian Parent/Subsidiary 3. Shipment Details (in case of physical export) i. Port of Loading/Shipment ii. Port of Discharge iii. Countries* to which item to be exported 1. 2. iv. Ultimate Destination Country* 1. 2. *Insert additional row or sheet, if required for more number of ....

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....tablishes contractual agreement between foreign parent/subsidiary and/ or Indian parent/subisidiary with the third party involved in the supply chain, wherever applicable. Relevant Undertakings and Declaration, where applicable Purchase Order(s)/Contract Agreement(S)/ Copy of Master Service Agreement(MSA)/Warranty Policy Conditions Export Licence(s) from DGFT, wherever applicable. Export request Letter, where applicable Documentary Proof of License Exception granted by the export control licensing authority of country of the foreign parent company with validity (wherever applicable) [भाग I—खण्ड 1] भारत का राजपत्र : असाधारण 33 Export license of foreign country (wherever applicable) ☐ A self-certified copy of the ICP of the foreign parent company being adopted by Indian subsidiary/ self-certified copy of ICP of Indian parent company/ICP certified by Government like AEO Scheme ☐ Proof of repair obligation in India (Wherever applicable) Proof of demonstration purpose (wherever applicable) ☐ Other, Please specify....

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....ns of the Policy; D. We have neither obtained nor applied for issuance of an Importer Exporter Code Number in the name of our Registered / Head Office to any other Licensing Authority. I/We hereby declare that I/We have neither obtained nor applied for 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. 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. I/We undertake to abide by the provisions of the FT (D & R) Act, 1992, as amended, the Rules and Orders framed there under, FTP, HBP and ITC (HS) and submit all requisite documents to the o/o DGFT (SCOMET Section), failing which I/We shall be liable to action under FT (D & R) Act, 1992 as amended or rules and orders made there under, and the Customs Act, 1962. IherebycertifythatlamauthorisedtoverifyandsignthisdeclarationasperParagr....

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....gible Transfer of Software/Technology 2 SECTION B: CRYPTOGRAPHY NOTE (leave, if not applicable) i. Is the item available and sold from stock at 'retail selling points' without restrictions', to the general public' through any of the following means? (a) Over-the-counter transactions (b) Mail order transactions (c) Electronic transactions (d) Telephone call transactions If yes, then provide details ii. Can the user easily change the cryptographic functionality of the item what is specified in the manufacture's specification? No Yes iii. No Is the item designed for installation by the user without further substantial support by the supplier? Yes SECTION C: TECHNICAL QUESTION (leave, if not applicable) Does the item contain the following cryptographic functions? 1. A “symmetric algorithm" employing a key length in excess of 56 bits, not including parity bits? Yes No ☐ If 'Yes' please state the following a) Full name: b) Key Length/bits: c) Is it used for any of the following? i. "Authentication" ii. Digital Signature iii. Data integrity iv. Non-repudiation V. vi. vii. Digital rights management, including the execution of copy protecte....

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....d service or any other purpose): 6B. Purpose of Re-export (sale, further re-export, or other purpose): 7. Consignee* Details (If different from ultimate end user) *The DGFT need to be informed in advance in case of any new consignee is involved. i. Name ii. Flat/Plot/Block No. Street/Area/Locality Address City Country Postal Code iii. Country Code Area Code Tel.No. Tele phon (1) e No. (2) iv. Fax No. v. E-mail Country Code Area Code Fax No. 5 8. Please indicate the type of supporting documents submitted (via email, fax or post) to DGFT (hqrs). Please number all pages of the supporting documents and indicate the total number of pages at the top right corner of every page. Please note that failing to submit the necessary documents will delay the processing. Technical drawings (Information on Product/Technology) Technical Specifications/Data Sheets/Brochures of the product(s) Documentary Proof that establishes corporate relationship between foreign parent company and the Indian Subsidiaries Relevant Undertakings and Declaration, where applicable Purchase Order/Contract Agreement/Warranty Policy Conditions Export/Re-export Licence(s) from DGFT, where ....