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Application for issue of Transferable Duty Free Import Authorisation (DFIA) (including for ARO and Invalidation Letter)

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..... rt) Currency of Import) CIF (in Freely Convertible Currency) Freely Convertible Currency Export Details Export Product Group Currency of Imports Freely convertible currency Export Item details as submitted by applicant S.No. Export Serial Number SION Serial No. Export Item Name Export Item Description / Characteristics Quantity UOM Total FOB / FOR Value (in INR) Total FOB / FOR value (in FCC) ITC(HS) Code Shipping Bills Details Bank Realisation wise Shipping Bill details S.No Tagging Flag Shipping Bill Number Shipping Bill Date FOB in INR FOB in Foreign Currency Foreign Currency Port Type (EDI /Non-EDI) Port Code LEO Date Bank Realisation Number Bank Realisation Date FOB realisa .....

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..... Serial No. SION Serial No. Technical Description/ Characteristics Proportionate Quantity Allowed Value Restriction UOM Total Quantity Requested CIF Value (in INR) CIF value (in freely convertible currency) Input Descripti on ITC (HS) Code Input Details (As per Part C- Import Items in Shipping Bill) S.No. Shipping Bill No. Shipping Bill Date Invoice Number Invoice Serial Number Import Serial Number Quantity of Import UOM of Import Cumulative Values Total CIF value of Imports applied for (in INR) Total CIF value of Imports applied for (in US $) Total CIF value of Imports (in Freely Convertible Currency) Additional Input Drawback Claimed S.No. Shipping Bill No. Invoic e No. Invoice Serial .....

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..... r Late cut Fees) Total CIF Value Invalidated Total CIF Value to be Imported Total Value Addition (%) CA/CE Details Sl.No. Application Number CA/CE Membership Number Appendix Type DECLARATION / UNDERTAKING I / We hereby declare that: 1. The particulars and the statements made in this application are true and correct to the best of my/our knowledge and belief and nothing has been concealed or held there from and 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. 2. We would abide by the provisions of the Foreign Trade (Development and Regulation) Act, 1992, the Rules and Orders framed there under, the Foreign trade Policy, the .....

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..... iod for which RBI permission has been obtained. 8. that I/We have updated the IEC profiles in ANF 1 9. We have not been penalized under any of the following Acts (as amended from time to time): (i) The Customs Act, 1962, (ii) The Central Excise Act 1944, (iii) Foreign Trade (Development & Regulation) Act 1992, and (iv) The Foreign Exchange Management Act,1999; (v) The Conservation of Foreign Exchange, Prevention of Smuggling Activities Act, 1974. 10. I am authorised to verify and sign this declaration as per Paragraph 11.06 of the FTP. Place Date Name Designation Email Mobile Office Address Residential Address Amount to be Paid: (In INR). 12. DSC / E-Sign Details S.No. E-sign Type Seril Number Signed Date C .....

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..... etting of export proceeds. For status holders, irrevocable letter of credit would suffice. Further, realisation of export proceeds shall not be insisted, if the Reserve Bank of India (RBI) writes off the requirement of realisation of export proceeds on merits and the exporter also produces a certificate from the Foreign Mission of India about the fact of non recovery of export proceeds from the buyer. However this would not include self write off cases. b. EP copy of the shipping bill(s) containing details of shipment effected or bill of export in case of export to SEZ. c. A statement of exports giving details of shipping bill wise exports indicating the shipping bill number, date, FOB value as per shipping bill and description of expor .....

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