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Application for Closure of Advance Authorisation

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..... in Authorisation Authorisation Number Export Serial No. SION Serial No. Item(s) to be exported /supplied Quantity UOM Total FOB / FOR Value (INR) Total FOB / FOR Value (in USD) Export FCC in Authorisation Total FOB / FOR value (in export FCC) ITC (HS) Code Export item technical characteristics / Description As per Shipping Bills/GST Invoice/Bill of Exports Authorisation Number Shipping Bill Number / Bill of Exports number / GST Invoice Number Shipping Bill / Bill of Exports / GST Invoice Date Invoice Number Invoice Date Invoice Serial Number Quantity .....

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..... Export Serial No. Inputs as per Input Item Serial No. Input Description Input Item technical features/ Descript ion ITC (HS) Code Total Quantity Required Quantity Invalidated UOM Total CIF Value (INR) Export FCC in Authorisation Total CIF Value (in Foreign Currency) Total CIF Value (in USD) Input as per Bill of Entries/GST Invoices Authorisation Number BOE / GST Invoice Number BOE / GST Invoice Date Invoice Serial Number Input Item Descript ion in invoice ITC (HS) Code Quantity UOM Total CIF Value .....

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..... Claim under reduced benefits of Appendix 4D Serial Number from Appendix 4D Remarks Authorisation Number Item(s) declared do not fall under Appendix 4J Serial Number from Appendix 4J Remarks Free of Cost as endorsed in Authorisation Input Serial No Export Serial No. Item name Authorisation Number Item Description Source Country Destination Country Quantity UOM CIF value of Free of Cost Item (INR) CIF value of Free of Cost Item (in foreign currency) CIF value of Free of Cost Item (in USD) FCC as per Authorisation CIF value of Free of Cost Item (in Applicable FCC) ITC (HS) Code .....

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..... Of Export Items Of Input Items Redemption Details Export Item Name Quantity UOM Input Name Quantity UOM Regularization Details Export Item Name Quantity UOM Input Name Quantity UOM Bond Waiver Details Export Item Name Quantity UOM Input Name .....

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..... tions of Export-Import Items and that the item(s) exported / proposed to be exported does not fall within this list and that I/ We agree to abide by the provisions of the Policy for export of SCOMET items contained in the Foreign Trade Policy, Schedule 2 of ITC (HS) and the HBP v1, irrespective of the scheme under which the item is exported / proposed to be exported (the underlined portion will be deleted in case an application for export license for SCOMET item is being filed). 6. I / We hereby declare that no export proceeds are outstanding beyond the prescribed period as laid down by RBI or such extended period for which RBI permission has been obtained. 7. I hereby certify that I am authorised to verify and sign this declaration as per Paragraph 11.06 of the FTP. Tick the box as acceptance of declaration/ undertaking and fill in the details below. Place Date Name Designation Email Mobile Office Address Reside .....

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..... whether within the same factory or outside (by a supporting manufacturer) even after completion of export obligation, for which the authorization holder shall produce a certificate from either the jurisdictional Central Excise authority /Customs authority or Independent Chartered Accountant or Cost Accountant, at the option of the exporter. b. For deemed exports: i. A copy of the invoice or a statement of invoices duly signed by the unit receiving the material certifying the item of supply, its quantity, value and date of such supply. However in case of supply of items which are non excisable or supply of excisable items to a unit producing non excisable product(s), a project authority certificate (PAC) certifying quantity, value and date of supply would be acceptable in lieu of excise/GST certification. However, in respect of supplies to EOU/EHTP/ STP/ BTP, procedure prescribed in Circular No. 14/14/2017-GST dated 6th November, 2017 issued by GST Policy Wing, Central Board of Excise and Customs, Department of Revenue shall be followed. Accordingly, copy of Form A along with the copy of Tax invoice duly endorsed by recipient shall be considered as proof of deemed export .....

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