APPLICATION FORM FOR EXPORT OF SCOMET ITEMS LISTED IN APPENDIX 3 TO SCHEDULE 2 OF ITC (HS) CLASSIFICATION OF EXPORT AND IMPORT ITEMS

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....s of Export & Import Items applied for export: (If required, attach extra sheet (A4 size) in the same format) Sl. No. SCOMET Category i.e. 1B,1C,2,3, 4,5 and7 SCOMET Item No Description of export item/s including technical specification ITC (HS) Code No.(if available) Quantity Total FOB Value In relevant Foreign Currency In Rupees In US$ 3. Details of exports of SCOMET items in the preceding 3 licensing years .(Details of the export last made ,if no export was made during the preceding licensing year): ( If required, attach extra sheet (A4 size) in the same format) Sl. No. Export License No. & Date and Issuing Regional Authority Details of items exported Quantity exported Country To which exported DGFT's(HQ's) File....

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....nsactions relating to this export will be executed: a. In Destination Country i. Name of the Bank ii. Address of the Bank Flat/Plot/Block No. Street/Area/Locality City Country Postal Code ii. SWIFT Code: iii. IBANK B. In India i. Name of the Bank ii. Address of the Bank Flat/Plot/Block No. Street/Area/Locality City State PIN Code ii. IFSC Code 8. If applied for export on repeat basis in the same licensing year for same product , same end use and to The same end user, please furnish: i. Reference Number and date vide which earlier permission was granted ii. Export License number and date iii. Quantity allowed for export iv. Quantity exported on the date of this application 9. Details of Producer / Manufacturer of th....

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....ime to time): (i) The Customs Act, 1962, (ii) The Central Excise Act 1944, (iii) Foreign Trade (Development & Regulation) Act 1992, as amended, and (iv) The Foreign Exchange Management Act, 1999; (v) The Conservation of Foreign Exchange, Prevention of Smuggling Activities Act, 1974 (vi) Weapons of Mass Destruction& their Delivery Systems (Prohibition of Unlawful Activities) Act, 2005 B. None of the Directors/Partners/Proprietor/Karta/Trustees of the company/firm/HUF/Trust, (as the case may be), is/area Director(s) /Partner(s)/Proprietor/Karta/Trustee in any other Company/firm/entity which is on the Denied Entity List (DEL) of DGFT or is in the caution list of RBI; C. Neither the Registered Office of the company / Head Office....

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....Address Flat/Plot/Block No. Street/Area/Locality City State PIN Code Telephone Country Code Area Code Tel.No. Place: Date: GUIDELINES FOR APPLICANTS (Please also see paragraph10.04 of HBP) 1. IEC must not be DEL. 2. One original application in the prescribed format ANF 10A and ANF 1 and six copies thereof along with self-certified copies of the documents as in Para 3 below must be submitted to DGFT (HQ), Vanjiya Bhawan, New Delhi Each page of the original application has to be signed by the applicant with stamp of the company. 3. Application must be accompanied by self-certified copies of the following documents: (i) Purchase Order from the Foreign Buyer, Consignee and End-User in respect of items mentioned in Col.2 o....