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Application Form for Export Licence for Restricted Items

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..... Issue 4. Application Fee Details i. Amount (in Rupees) ii. Demand Draft/Bank Receipt/Electronic Fund Transfer No. iii. Date of issue/transfer iv. Name of Bank on which drawn v. Bank Branch on which drawn 5. Details of items applied for export S No Description ITC(HS) Code Quantity in MT FOB Value In Rupees In US$ .....

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..... i. Trade ii. Personal iii. Sample 8. Foreign Buyer Details i. Name ii. Address 9. Shipment Details i. Port of Loading ii. Port of Discharge iii. Country of Export 10. In case of export of samples/ exhibits/ gifts/, please furnish i. Ceiling Limit ii. How much in excess of Ceiling Limit iii. Justification for Excess 11. In case of expo .....

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..... d Orders framed there under, FTP, HBP, Appendices and Aayat Niryat Forms and ITC (HS). 4. I/We hereby certify that: A. the entity for whom the application has been made 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, as amended, and (iv) The Foreign Exchange Management Act, 1999; (v) The Conservation of Foreign Exchange, Prevention of Smuggling Activities Act, 1974 (vi) Weapons of Mass Destruction their Delivery Systems (Prohibition of Unlawful Activities) Act, 2005 B. none of the Directors / Partners / Proprietor / Karta / Trustees of the company /firm /HU .....

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..... r main line of business. In case we have applied to any other council, the application has been made within the purview of the provisions of Para 2.94 of the HBP. 8. I hereby certify that I am authorized to verify and sign this declaration as per Paragraph 9.6 of the Policy. Signature of the Applicant Place Date Name Designation Official Address Telephone Residential Address Email Address GUIDELINES FOR APPLICANTS Please see paragraph 2.72 of HBP 1. Two hard copies of the application (ANF 2 N) must be submitted. 2. In case application is submitted electronically, no hard copy of ANF1 is required to be submitted. Where applications are not submitted electronically, hard copy of ANF1 needs to be s .....

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