Application Form for Epcg Authorisation Issue

ANF 5A

APPLICATION FORM FOR EPCG AUTHORISATION ISSUE

{Please see guidelines (given at theend) before filing the application}

I.IECNumber

2.ApplicantDetails

i. Name

ii.Address

3.RCMCDetails
i.RCMCNumber
ii.DateofIssueandvalidupto
iii.IssuingAuthority
iv.Productsforwhichregistered
4.TypeofExporter(pleasetick)
i.MerchantExporter
ii.ManufacturerExporter
iii.MerchantcumManufacturer-Exporter
iv.ServiceProvider-Exporter
v.Others(pleasespecify)
5.IndustrialRegistrationDetails
i.SSI/IEM/LOIorIL RegistrationNumber
ii.DateofIssue
iii.IssuingAuthority
iv.Productsforwhichregistered

Col 6 Deleted ( Ref by Public Notice No. 109(RE-2008)/2004-09, dated 17th November, 2008)

7.ServiceTaxRegistrationDetails(IncaseofServiceprovidersregisteredwithServiceTaxauthorities)
i.ServiceTaxRegistrationNumber
ii.IssuingAuthority
iii.Servicesforwhichregistered

8.ExciseDetails(ForthoseregisteredwithCentralExciseAuthority)

i.ExciseRegistrationNimber

ii.DateofIssue/IssuingAuthority

9.StatusHouseDetails
i. EH/ SEH/TH/STH/PTH
ii.CertificateNumber
iii.DateofIssueandvalidupto
iv.IssuingAuthority
10.ApplicationFeeDetails
Amount(Rs)
DemandDraft/BankReceipt/ElectronicFundTransferNo
DateofIssue
Nameof theBankandbranchonwhichdrawn

11.SectorClassificationofCapitalGoodssoughttobeimportedundertheScheme(Pleasetick)
i.Industrialsector
ii.Agriculturalsector
iii.Portsector
iv.Servicesector
v.Retailsector
vi.Others

11A.whetherimportsmadearealsoProjectImportsasperPara5.1BofPolicyYes/No

11B.whetherimportsmadeareunderTechnologicalUpgradationSchemeYes/No
Ifyes,givefollowingdetails:
Sr
No / FOB Authorisation No / FOB Authorisation Date / FOBValue/
dutysaved / FOBfixedinfreely convertiblecurrency / %ageofFOB
fulfilled / ExpirydateofFOBperiod
1 / 2 / 3 / 4 / 5 / 6 / 7
11C.DetailsofFreelyImportableCapitalGoodsappliedforimport
SNo / Descriptionofthe itemsofimport / ITC(HS)Code / NatureofCapitalGoodssought tobeimported+ / PrimaryUseofCapitalGoodssoughttobe imported++
1 / 2 / 3 / 4 / 5
TechnicalSpecifications/ ModelNo.etc / Quantity / CIFValue
6 / 7 / 8
11D.DetailsofRestrictedCapitalGoodsappliedforimport
SNo / Descriptionoftheitemsof import / ITC(HS) Code / NatureofCapital Goodssoughtto beimported+ / PrimaryUseofCapitalGoodssoughttobeimported++
1 / 2 / 3 / 4 / 5
TechnicalSpecifications/ ModelNo.etc / Quantity / CIFValue
6 / 7 / 8

11E.TotalCIFvalueofCGtobeimported:

+-whetherCapitalGoods/Spares/Tools/Jigs/Fixtures/Dies/Moulds/spareRefractories/Catalyst/

++-whetherusedforPreProductionactivity/Productionactivity/PostProductionactivity/ForrenderingServices

(Fromamongstcol.11Cand11Dabovepleasefillupwhicheverisapplicable.Incaseapplicantdesirestoimportboth restrictedandfreelyimportablecapitalgoodsappropriateinformationshouldbegiveninboththecols.)

11F. IncasetheCGproposedtobeimportedisunderrestrictedcategoryfollowinginformationwithregardtothesponsoring authoritymaybefurnished( Tobefurnishedwhereverapplicable)
Ministry/Departmentrecommendingthecase
Recommendationletterno.anddate

11G(a).PortofRegistrationforpurposeofimports

11G(b).AddressoftheFactory/Premises

11G(c).Supportingmanufacturerdetails
IncasetheproposedCGsoughttobeimportedaretobeusedby supportingmanufacture,pleasefurnish
i.NameofSupportingManufacturer:
ii.Addressofsupportingmanufacturer
iii.SSI/LOI/ILRegn.No.DateofSupportingManufacturer
iv.ProductendorsedonSSI/IL/IEM:(ofSupportingManufacturer)
v.ExciseReg.No.andissuingauthority(ifapplicable)(ofsupportingmanufacturer)
12.Detailsofdutysaved
Totaleffective CustomDutyon itemsto beimported/deemed tobeimported(in%)
+++ / Dutytobeleived underthescheme
(in%) / Dutysavedin(%) / CIFvalueofimports
/deemedimportsin
Rs. / DutysavedinRupees
1 / 2 / 3=1-2 / 4 / 5

Note:

i.+++incaseofindigenoussourcingofCG,dutysavedistobecalculatedon notionalcustomdutysavedon

FORValueofCGasperpara5.7AofFTP

ii.IncaseofEPCGAuthorizationforprojectsasperpara5.1BofPolicy,thebasiccustomsdutywouldbe

7.5%. whereverCVDispaidincashandnotsubsequentlycenveted,CVDwouldnotbetakenfor computationofnetdutysaved.

13.WhetheranyexportobligationhasbeenimposedintheLetterofIntent/IndustrialLicence/ForeignCollaborationapproval
Yes/No
I.Ifyes,pleasefurnishdetailsthereofincludingFOBfulfilled,ifany
ii.IncaseofServiceProvider,pleasefurnish
a.SerialNoofAppendix36underwhichclassified
b.WhetherregisteredwithServicetaxauthoritiesYes/No

14.Productstobeexported/Servicestoberendered

15A.Detailsofexportsmadeinpreceding4licensingyearssameandsimilarproducts(includingexportsagainstallpending
EPCGAuthorisations)
Sl.No. / FinancialYear / AmountofExportof same product/ services / ExportAmountfor similarproduct/ services / ExportAmountfor alternate/other product/ services / Total
1 / 2 / 3 / 4 / 5 / 6=3+4+5
1.
2.
3.
4.
Total
15B.ExportChannelDetails
Sl.No. / FinancialYear / DirectExports
Byapplicantfirm itself / ThroughThirdparty
Exports / ThroughGroup company / Total
1 / 2 / 3 / 4 / 5 / 6=3+4+5
1.
2.
3.
4.
Total(1+2+3+4)

15C. DetailsofGroupCompanyExports
1.GroupcompanyName
2.DateofIncorporation
Sl.No. / FinancialYear / Product
Particulars / DirectExports
Value / ValueofGroup CompanyExports throughthirdparty / Total
1 / 2 / 3 / 4 / 5 / 6=4+5
1.
2.
3.
4.
Total
16.EPCGAuthorisationsalreadyobtainedtilldate.
S. No / EPCGAuthorisation No andDate / Productstobe exported/services toberendered / RAwhich issued Authorisation / CIFValue/Duty saved(Rs) / ExpiryDate ofE.O. Period / Redemptio nDate/ Remarks
1 / 2 / 3 / 4 / 5 / 6 / 7
(i) / Redeemedcases duringthelast4years
(year-wise)
Total:
(ii) / Notredeemedcases
Total:
16(Contd.)
Sl. No. / EPCGAuthorization
DetailsDate / AverageEO
(overcompleteEOP) / SpecificEOonCIF/Duty
Saving
(overcompleteEOP) / TotalEO
Fixed / Fulfilled / Fixed / Fulfilled / Fixed / Fulfilled
1 / 2(asin16) / 8 / 9 / 10 / 11 / 12=8+10 / 13=9+11
(i) / RedeemedEPCG Authorization
Total (i)
(ii) / Non-Redeemed
EPCGAuthorization
Total(ii)
GrandTotal(i+ii)
17A. DetailsofExportObligation(AverageandSpecific):
AverageExportObligationto beimposed(Rs)(asshown insr.no.15(A) [Total ofCol
(3+4)ofrow (2+3+4)/3] / Totaldutysaved (Rs.) aspercolumnno.5at sr.no.12. / SpecificExportObligationtobe imposed(asamultipleofduty saved) / TotalExportObligationimposed
(Rs.) / (USD) / (Rs.) / (USD)
Rs. / USD
1 / 2 / 3 / 4 / 5 / 6 / 7

17B.ExportobligationPeriod: (8year/12years):

Note:ForPremierTradingHouses,exercisingoptionofaverageover5years,alltheabovedetailsmustbegivenfor2

moreyears.

DECLARATION/UNDERTAKING

1.I/Weherebydeclarethattheparticularsandthestatementsmadeinthisapplicationaretrueandcorrecttothebest

ofmy/ourknowledgeandbeliefandnothinghasbeenconcealedorheldtherefromandiffoundincorrectorfalsewill renderme/usliableforanypenalactionorotherconsequencesasmaybeprescribedinlaworotherwisewarranted.

2.I/WeundertaketoabidebytheprovisionsoftheForeignTrade(DevelopmentandRegulation)Act,1992,theRules and Orders framed there under, the Foreign Trade Policy, the Handbook of Procedures and the ITC(HS) ClassificationofExportImportItems.

3.I/WeherebycertifythatnoneoftheProprietor/Partner(s)/ Director(s)/Karta/Trusteeofthefirm/company,as thecasemaybe,is/areaProprietor/Partner(s)/Director(s)/Karta/Trusteeinanyotherfirm/Companywhichhas cometotheadversenoticeofDGFT.

4.I/WeherebycertifythatneithertheRegisteredOffice/HeadOfficeofthefirm/companynoranyofitsBranchOffice(s)

/Unit(s)/Division(s)hasbeendeclaredadefaulterandhasotherwisebeenmadeineligibleforundertakingimport/

exportunderanyoftheprovisionsofthePolicy.

5.I / We hereby declare that I/we have perused the list of SCOMET items as contained in the Appendix 3 to the

Schedule2oftheITC(HS)ClassificationsofExport-ImportItems,2004-09andthattheitem(s)exported/proposed

tobeexporteddoesnotfallwithinthislistandthatI/WeagreetoabidebytheprovisionsofthePolicyforexportof

SCOMET items contained in the Foreign Trade Policy, Schedule 2 of ITC (HS) and the Handbook of Procedures

(Vol.1),irrespectiveoftheschemeunderwhichtheitemisexported/proposedtobeexported.

6.I/WedeclarethatnoexportproceedsareoutstandingbeyondtheprescribedperiodaslaiddownbytheRBI,orsuch extendedperiodforwhichRBIpermissionhasbeenobtained.

7.I/Weherebydeclarethatthecapitalgoods/sparessoughtforimportintheapplicationareactuallyrequiredforuseat preproduction/production/postproductionstagesfortheexportproduct(s)orforrenderingservicesforfulfilmentof exportobligation.

8.I/Weherebydeclarethatinrespectofgoodsforwhichnexusisnotestablishedatalaterdate,I/Weshallpaytothe Government Customs duty saved together with 15% interest on such imported goods which are found having no relationwithproductexportedorservicerendered.

9.I/Weherebydeclarethatincaseofimportofrefurbished/reconditionedspares,therefurbished/reconditionedspares havearesiduallifewhichisnotlessthan80%ofthelifeoftheoriginalspares.

10.I/WeherebydeclarethatI/WedonotcomeunderthepurviewofServiceTaxandthereforearenotregisteredwith theServiceTaxCellofthejurisdictionalCentralExciseAuthorities.(incaseofServiceProviderswhoarenotcovered underservicetax)

11.I/WeherebydeclarethatI/WeshallnotexceedtheSSIinvestmentlimitinplantandmachineryaftermakingimports undertheEPCGAuthorisation.(applicableincasesofimportsmadebySSIsector)

12.I/Weherebydeclarethattheimportofcapitalgoodsshallbeusedforbuildingandoperatingshoppingmalls/super marketshavingaminimumcoveredareaof1000sqmeters.(ApplicableincaseofimportsmadebyRetailsector).

13.I / We hereby declare that I/We have not made imports under the Technological Upgradation Scheme previously beforeanyLicensingauthorityandthepresentimports ofCapitalGoodstobemadeunderthisScheme(forwhich thisapplicationismade)aremore than10%ofthemy/ourpresentinvestmentintheplantandmachinery.(applicable

incaseofimportsunderEPCGTechnologicalUpgradation Scheme)

13(a) Self certified copy of IEM/SSI registration number in case of products and a self-certified copy of Service Tax Registration

in case of Service Providers.

(In case of Service Providers, who are not registered with Service Tax Authorities and a declaration in this regard has

been submitted as a part of the application (Declaration No.10), Service Tax Registration is not required to be submitted.

In such cases, RCMC from EPC concerned will suffice).

I/We undertake to submit a self certified copy of ‘Drug Manufacturing Licence’ in case of export of Pharmaceutical

Product(s) within a period of three years from the date of issue of EPCG Authorization failing which the Bank Guarantee

/Legal Undertaking executed/furnished at the time of clearance of Capital Goods with Customs authorities/Regional

Authorities of DGFT, as the case may be, is liable to be forfeited/invoked and I/We would be liable to pay Customs Duty

saved amount together with applicable interest thereon from the date of first import till the date of final payment. (Ref.

DGFT Public Notice No. 109(RE-2008)/2004-09, dated 17th November, 2008)

14.IherebycertifythatIamauthorisedtoverifyandsignthisdeclarationasperParagraph9.9ofthePolicy.

(Note:Strikeouttheclausewhichisnotapplicable.)

SignatureoftheApplicantPlace

NameDate

Designation

OfficialAddress

Telephone ResidentialAddress EmailAddress

GUIDELINES FORAPPLICANTS

1.Twocopiesoftheapplicationmustbesubmittedunlessotherwisementioned.

2.Eachindividualpageoftheapplicationhastobesignedbytheapplicant.

3.IncaseCGsoughttobeimportedisunderrestrictedcategory,acopyofthisapplicationshallbesenttoEFCatDGFT HQRSalso.(Insuchcasesnoseparateapplicationfeeshallberequiredtobesubmittedwhilesendingthecopyofthe application to Hqrs. EFC). Upon clearance by EFC, EPCG authorisation shall be issued by RA and will bear an endorsementthatEFChasapprovedissueof EPCGAuthorisationforrestrictedCG.

4.Applicationmustbeaccompaniedbydocumentsasperdetailsgivenbelow:

(1) Bank Receipt / Demand Draft / EFT details evidencing payment of application fee in terms of Appendix

21B.

(2)Self certified copy of IEM/SSI registration number in case of products and a self-certified copy of Service Tax Registration in case of Service Providers.

(In case of Service Providers, who are not registered with Service Tax Authorities and a declaration in this regard has been submitted as a part of the application (Declaration No.10), Service Tax Registration is not required to be submitted. In such cases, RCMC from EPC concerned will suffice).
(S.No. 2 amended by Public Notice No. 109(RE-2008)/2004-09, dated 17th November, 2008)

(3) CertificatefromaCharteredEngineerintheformatgiveninAppendix32A certifying:

athe end use/nexus of machinery sought for import under EPCG Scheme in the pre production/production/postproductionactivityoftheexportedgoods/services(explainingtheend useofmachineryindetail);and/or

btheessentialityofsparepartssoughtforimportanditsrequiredquantityforexistingmachinery manufacturingthegoodstobeexported/machinerysoughtforimport;and/or

ccompleteusageofequipments/goodssoughtforimportundertheEPCGSchemeforsupplyof service to overseas customers/ service consumers of any other country in India to earn free foreignexchange/supplyofserviceinIndiarelatingtoexportpaidinfreeforeignexchange.

(4) Statement of exports made/services rendered by the applicant firm during the preceding three licensing years duly certified by a Chartered Accountant / Cost and Works Accountant in the format given in Appendix26 asapplicable.

a.Incaseofimportofsparesforexistingplantandmachinery,alistofplant/machineryimported and already installed in the factory/premises of the applicant firm/supporting manufacturer for which the spares are required, duly certified by a Chartered Engineer or jurisdictional Central Exciseauthority

b.IncaseofEPCGapplicationsmadebyEOU/SEZunits,aselfcertifiedcopyofthe`NoObjection Certificate’ from the Development Commissioner concerned showing the details of the capital goods imported/indigenously procured by the applicant firm, its value at the time of import/sourcing and the depreciated value for the purpose of assessment of duty under the Schemeistobesubmitted.

(5) CopyofpreviousEPCGAuthorisation(incaseapplicationismadeunderEPCGTechnologicalUpgradation

Scheme).

(6)IncaseofimportofrestrictedcapitalgoodsunderITC(HS) aselfcertifiedcopyoftherecommendation letterbytheSponsoringauthority.(Tobeenclosedincasethesamehasalreadybeenobtained)

5.Forexample,iftheapplicationisinFinancialYear2008-09,thendetailsmaybegivenfor2004-05andonwards.