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Application Form for Served From India Scheme (SFIS) for Net Foreign Exchange earning in the year 2013 -14

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..... ppendices and Aayat Niryat Forms). 2. The ANF 3B1 as given in annexure to this Public Notice shall be filed for claiming benefit under the Served from India Scheme (SFIS) for the year 2013-14. The existing Aayat Niryat Form 3B (ANF 3B) is required to be filled up for claiming benefits under Served From India Scheme (SFIS) up to the year 2012-13. Effect of Public Notice: ANF3B1 for claiming benefit of Served From India Scheme (SFIS) for foreign exchange earning in the year 2013-14 is being notified. (Pravir Kumar) Director General of Foreign Trade Email: [email protected] (Issued from File No. 01/61/180/60/AM13/PC-3) ANNEXURE TO PUBLIC NOTICE No. 71 dated 30.09.2014 (RE2013)/2009-14 ANF 3 B-1 Application Form for Served From India Scheme .....

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..... 6 Exchange rate of US$ to INR as on 01.04.2014 7 Equivalent Net foreign exchange earned in INR (Net Foreign Exchange earning in US $ X exchange rate) Entitlement = 10% of Net Foreign Exchange earned (Rs) 8 Port of Registration (for purpose of imports): 9 Number of Split Certificates required (in multiples of ₹ 5.00 lakhs each) 10 Application Submission Details (In case of electronically submitted applications) i. ECOM Reference Number ii. Date of Submission on Server iii. Name of Regional Authority to which submitted iv. File Number as generated v. Date on which File Number was generated * Net Foreign Exchange = Gross Earnings of Foreign Exchange minus Total expenses /payment/remittances of Foreign Exchange incl .....

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..... &R) Act, 1992, as amended in 2010, the Rules and Orders framed thereunder, FTP and HBPv1 2009-14. 3. I/We hereby certify that I am / we are authorized to verify and sign this declaration as per Paragraph 9.9 of FTP. Signature of the Applicant Name Designation Official Address Flat/Plot/Block No Street/Area/Locality City State PIN Code Telephone No. Country Code ----- Area Code ------ Phone number -- -- Fax No. -- -- Email Place: Date: Documents to be submitted: I One Copy of ANF 3B -1 with Annexures A to E duly filled up and signed ii CA / ICWA / CS certificate in format given in enclosure to ANF 3B-1with Annexure A to E. iii Documentary evidence of earnings in Indian Rupees which are otherwise considered as hav .....

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..... or in India, (as certified in Annexure A to D) and Total expenses/payment/remittances of Foreign Exchange including those incurred on Capital Goods by the IEC holder, relating to service sector in Financial year, (as certified in Annexure E of this Certificate) for the period …………………….. is as under: Category of Service Provider Sl. No. of Appendix 41 of HBP v1 Gross Foreign Exchange earned (in US$) Total expenses/ payment/remittances of Foreign Exchange* (in US$) Net Foreign Exchange earned* (in US$) 1 2 3(1-2) a. Para 9.53 (i) of FTP As per Total of col. 6 of Annexure A b. Para 9.53 (ii) of FTP As per Total of col. 6 of Annexure B c. Para 9.53 (iii) of FTP As per .....

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..... nsaction to convert in US $ Equivalent in US $ (i.e. 4X5) 1 2 3 4 5 6 Total Annexure-B Calculation of Foreign Exchange Earnings for services covered under Para 9.53(ii) of FTP Sl No. Particulars Date of Transaction Earning in Free foreign Exchange (Amount in Currency of transaction) Exchange rate on the date of transaction to convert in US $ Equivalent in US $ (i.e. 4X5) 1 2 3 4 5 6 Total Annexure-C Calculation of Foreign Exchange Earnings for services covered under Para 9.53(iii) of FTP Sl No. Particulars Date of Transaction Earning in Free foreign Exchange (Amount in Currency of transaction) Exchange rate on the date of transaction to convert in US $ Equivalent in US $ (i.e. 4X5) 1 2 3 4 5 6 Total .....

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