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Application Form for End User Certificate

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..... C Name Branch Code where the items to be imported are proposed to be used Address of the factory/premises where the items to be imported are proposed to be used Application Number RA File Number Foreign Supplier Details Name Designation Address Country Phone Number .....

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..... Activities Act,1974 B. None of the Directors / Partners / Proprietor / Karta / Trustees of the company /firm /HUF/Trust, (as the case may be), is/are a director(s) / Partner(s) / Proprietor / Karta /Trustee in any other Company/ firm /entity which is on the Denied Entity List (DEL) of DGFT or is in the caution list of RBI. C. Neither the Registered Office of the company / Head Office of the firm / nor any of its Branch Office(s)/Unit(s)/ Division(s) has been declared a defaulter and has otherwise been made ineligible for undertaking import / export under any of the provisions of the Policy. D. We have neither obtained nor applied for issuance of an Importer Exporter Code Number in the name of our Registered / He .....

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..... s exported / proposed to be exported. 7. I / We solemnly declare that I / We have applied for / obtained a RCMC to the EPC which pertains to our 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 2.80 of the HBP. 8. I, a Government entity/Government controlled entity/ private sector entity hereby undertake: i. To import the item into India and not to redirect it or any part of it, to another destination before its arrival in India. ii. To provide, if asked, verification that possession of item was taken. iii. Not to re-export the item without any written approval of Certificate Issuing Authority .....

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