Information to Be Submitted in Cases Where Standard Input Output Norms Are

APPENDIX 34

INFORMATION TO BE SUBMITTED IN CASES WHERE STANDARD INPUT OUTPUT NORMS ARE

NOT FIXED AND APPLICATION IS PREFERRED UNDER PARAGRAPH 4.4.2 OR 4.7 OF HBP (v 1).

1. Details of Items required for manufacture of one Unit of Export Product:

(a) Imported inputs:

S. No. / Required import item / Quantity required per unit of resultant product / Purpose of requirement * / Wastage claimed
(%age) on net content basis. / Recoverable wastage/by product
Description / Technical Character- istics / ITC(HS) Code / Name / Quantity / value

*Purposeofrequirementshouldbeindicatedagainsteachitemwhetherthesameisrequiredasraw

material, components, consumables solvents, catalysts, packing material etc.

(b) Indigenous inputs

S. No. / Required import item / Quantity required per unit of resultant product / Purpose of requirement
* / Wastage claimed
(%age) on net content basis. / Recoverable wastage/
by product
Description / Technical Character- istics / ITC(HS) Code / Name / Quantity / value

2.Productionandconsumptiondataofthemanufacturer/supportingmanufacturer(ofprecedingthreelicensing

years duly certified by the Chartered Accountant/Cost and Works Accountant/Jurisdictional Central Excise

Authority +)

+ Incasethereisnopastproduction,theJurisdictionalCentralExciseAuthorityshallcertifytheproduction andconsumptiondataonthebasisofproductionbatchsheetsandforthispurposethefirmshallmaintain separate record of batch data for inputs consumed in the manufacture of the export product.

Year / Total production of the resultant product / Quantity of different Items consumed / Quantity consumed/unit production
(1) / (2) / (3) / (4)

3.Particulars of the authorisations obtained in the past and ratified by NC (with or without

modification) for the same export product covered under this application.

S. No
. / AuthorisationNo
& Date / Description of export product / Description of import items / Importitem qty per unit of export product (as applied for) / Import item qty per unit of export product (as approved by NC whileratifying licence) / NCmeeting No & Date when approved
(1) / (2) / (3) / (4) / (5) / (6) / (7)

4.PleasefurnishtechnicaldetailsasperAppendix33dependingupontheresultantproduct.Please

confirm.

5.a) FOB value of exports in the preceding licensing years

b) CIF value of Authorisations already obtained under paragraph 4.7

c) Balance entitlement as per paragraph 4.7.1

CHARTERED ENGINEER CERTIFICATE

Ihaveexaminedtheapplicantcompany'simportrequirementsofrawmaterials,componentsetcwithregardtotheir technicaldescription/specificationandthequantityagainsteachitemofimportandhavingregardtopropertechnical normsofconsumptionandaftertechnicalscrutinyofrelevantdesignsanddrawings,Iherebycertifythattheyare correct in all respects and are actually required for the execution of the export/supply contracts for ......

The list of Items covers pages and contains items for a totalvalue of Rs.______(in free foreign exchange )

Place

Date

Signature & Seal of Chartered Engineer

Registration Number Official Address Official Telephone Residential Address

NAme & Address of the Institution with which registered