ANF 2 E APPLICATION FORM FOR EXPORT OF SCOMET ITEMS LISTED IN APPENDIX 3 OF SCHEDULE 2 OF ITC (HS) CLASSIFICATIONS OF EXPORT AND IMPORT ITEMS

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1. Applicant Details: ANF 2 E APPLICATION FORM FOR EXPORT OF SCOMET ITEMS LISTED IN APPENDIX 3 OF SCHEDULE 2 OF ITC (HS) CLASSIFICATIONS OF EXPORT AND IMPORT ITEMS [Please see guidelines at the end before filling the application] i IEC Name i Address Flat/Plot/Block No. Street/Area/Loc ality State iv.telephone No. (1) (2) PIN Area Tel.No. Area Fax No. v. Fax No. vi. E-mail address where authorisation to be sent E-mail (1) E-mail (2) 2. Details of SCOMET items in Appendix 3 of Schedule 2 of ITC (HS) Classifications 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 and 7 SCOMET Item No Description of export items ITC (HS) No. (if available) Quantity In relevant Foreign Currency Total FOB Value In Rupees In US$ 450

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 licencing year): ( If required, attach extra sheet (A4 size) in the same format) Sl. No. Export Licence Details of items exported Qty to DGFT s (HQ s) File No. & Date and exporte which Number Category Description Issuing Regional d exported Authority 4. Shipment Details: i. Port of Loading/Shipment Port of Discharge i to which item to be exported iv. Ultimate Destination 5. Purpose of Export (please tick and give clarification if any): i. Trade Sample i Display/Exhibition 6A. Foreign Buyer Details: i. Name Address 451

Postal i Telep hone No. (1) (2) Area Tel.No. Area Fax No. iv. Fax No. v. Export Order No. and date 6B. Consignee Details: (If same as Foreign Buyer write SAME As in 6A ) i. Name Flat/Plot/Block No. Address i Tele phon e No. (1) (2) Postal Area Tel.No. Area Fax No. iv. Fax No. 6C. End User Details: (If same as Foreign Buyer and/or Consignee write SAME As in 6A and/or 6B as the case may be) i. Name Address Postal 452

Iii Telep one No. (1) Area Tel.No. (2) Area Fax No. iv. Fax No. v. End product for which the item of export will be used by the end user vi. Purpose for which the end product will be utilized v Is end user an entity of Government of destination country? vi Manufacturing/Business/other activity of the end user 7. Details of Banks through which financial transactions relating to this export will be executed: a. In Destination i. Name of the Bank Address of the Bank Postal i SWIFT : iv. I BAN b. In India i. Name of the Bank 453

Add ress of the Ban k State PIN i IFSC 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 Export Licence number and date i Quantity allowed for export iv. Quantity exported on the date of this application 9. Details of Producer/Manufacturer of the item to be exported: i. Name Address State PIN 10. Period during which the item is proposed to be exported from India For Use in DGFT office only (To be filled by the applicant). 11A. Application Submission Details (if submitted electronically): i. ECOM Reference Number Date of Submission on Server 454

i Submitted to which Regional Authority iv. File Number & Date of Issue 11B. Jurisdictional Regional Authority: DECLARATION/UNDERTAKING 1. I / We hereby certify that: (i) the firm / company has not been penalized under Customs Act, Excise Act, FT (D & R) Act 1992 as amended in 2010 and FERA / FEMA. (ii) that none of the Proprietor / Partner(s) / Director(s) / Karta / Trustee of firm / company, as the case may be, is / are a Proprietor / Partner(s) / Director(s) / Karta / Trustee in any other firm / Company which has come to adverse notice of DGFT and are not associated as Proprietor / Partner(s) / Director(s) / Karta / Trustee in any other firm / company which is in the caution list of RBI. (iii) neither the Registered Office / Head Office of the firm/company nor any of its Branch Office(s) / Unit(s) / Division(s) has been declared a defaulter and has otherwise been made ineligible for undertaking import / export under any of the provisions of the Policy. (iv) 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. 2. I / We undertake to abide by the provisions of the FT (D & R) Act, 1992, as amended in 2010, the Rules and Orders framed there under, FTP, HBP v 1 and HBP v2 and ITC (HS) and submit all requisite documents to the o/o DGFT (Export-SCOMET Division), failing which I/We shall be liable to action under FT (D & R) Act, 1992 as amended in 2010 or rules and orders made there under, and the Customs Act, 1962. 3. 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 authorised to verify and sign this declaration as per Paragraph 9.9 of the Policy. Signature of the Applicant Name Designation Flat/Plot/Block No. Official Address Telephone State Area PIN Tel.No. 455

Place: Date: GUIDELINES FOR APPLICANTS (Please also see paragraph 2.49 of HBP v1) 1. IEC must not be in DEL. 2. One original application in the prescribed format ANF 2E and ANF 1 and six copies thereof along with selfcertified copies of the documents as in Para 3 below must be submitted to DGFT (HQ), Udyog Bhavan, 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) (ii) (iii) (iv) (v) Purchase Order from the Foreign Buyer, Consignee and End User in respect of items mentioned in Col.2 of ANF2E End User Certificate(s) (Also see Para 4 below). Technical Specifications (not exceeding one page for each item) for the items to be exported. (a) Bills of Entry(BEs) into the destination country for items exported during the last one year as per information in column No. 3 of the application. In Col. 3 details of exports are to be given for last 3 years. However, BEs for the last 1 year only are to be submitted. (b) BEs as above are to be submitted with the 1 st application of the financial year only. From the 2nd application onwards, the exporter shall make a reference in the forwarding letter that the BEs have been submitted with the 1 st application giving DGFT s File No. of 1 st application. Copy of the forwarding letter of 1 st application to be attached with every subsequent application. If a third party or contractor is involved, details of Contract or Agreement between the Foreign Buyer and End User with third party must be submitted, along with copy of contract or agreement. 4. End User Certificate :- Original End User certificate (in the prescribed format Appendix 36 on Letter Head of the End User) indicating complete details of the export product, end product, end purpose for which the item of export will be used by end user and complete address and telephone No. of end user must be furnished along with original application. End User Certificate from the following must also be submitted: (i) (ii) (iii) (iv) (v) By the Foreign Buyer if it different than the End User. By the Consignee, if it is different than the Foreign Buyer & End User. By any other intermediary, if there is any. End User Certificates from Foreign Buyer, Consignee and End User must reflect the logical flow of items. Each EUC must mention all the items given in the Purchase Orders and in the list in Col. 2 in ANF2E. 456

(vi) EUCs submitted in parts and pieces will not be accepted. 1(one) original End Use-cum-End User Certificate only from each of the customers i.e., Foreign Buyer, Consignee and End User is to be filed. 5. Details given in ANF2E, End User Certificates and Purchase Orders must match completely. 6. While filling ANF2E, care should be taken to ensure the following:- (i) (ii) (iii) (iv) Category of the items proposed to be exported as per Appendix 3 of ITC (HS) Classifications of Export and Import Items should be clearly mentioned. Port of discharge and route must be clearly defined. Route/mode of transport cannot be changed after export licence has been issued. Against column 6A, 6B & 6C, complete address should be given. P.O. Box No. will not be accepted. All columns must be filled correctly and completely. 457