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Application Form for Export of goods through courier or foreign post offices using e-Commerce under Merchandise Exports from India Scheme (MEIS)

DGFT - ANF -3D - ANF- 3D (Kindly read Paras 3.03 to 3.06 of FTP and Para 3.01 to 3.03 of HBP and other common procedural features applicable to MEIS before filing application) (Please note that separate applications are required to be filed for separate years (AM15, AM16 etc.) based on Let Export date. Application shall be filed for each foreign post office/Airport separately. Part A 1. Applicant Details: i IEC No. .....

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elect/feed the details of one shipping bill at a time. A maximum of 50 shipping bills can be filed in one application 3. Details of Export : Shipping Bill Details and Other details Sl. No Shipping Bill/Airway Bill Number Date of Shipping Bill/Airway Bill Port Code Let export date ITC (HS) code Product Description as per Sipping Bill Country Name and Relevant Sl No. of Appendix 3B( Part 1) .....

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(8) (9) (10) (11) (12) Exchange Rate FOB in Rs.ie 10x13 FOB value for rewards ie FOB value as in colmn no14 or ₹ 25000 whichever is less Rate of Entitlement as per Appendix 3B (Part 2) (%) Entitlement Amount (in Rs.) Late Cut % if any Late cut Amount(in Rs.) Entitlement after Late Cut (in Rs.) (13) (14) 1 .....

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(21) (22) 4. Number of Split Certificates required (in multiples of ₹ 5 lakhs each): 5. Port of Registration for the purpose of imports.(The port of registration shall be the port from which export has taken place) 6. DECLARATION / UNDERTAKING 1 I/We hereby certify that : E. the entity .....

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f Smuggling Activities Act, 1974 F. 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; G. neither the Registered Office of the company / Head Office of the firm / nor any of its Branch Office(s)/ Unit(s)/ Division(s) has b .....

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ication are true and correct and nothing has been concealed or held therefrom. I/We fully understand that any information furnished in the application 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. 4 I hereby certify that I am authorized to verify and sign this declaration as per Paragraph 9.06 of the Foreign Trade Policy. 5 I hereby declare .....

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ara 3.17 of FTP, this application does not contain any exports in contravention to this provision. 7 I hereby declare that the Exported Product/goods and markets are covered under Appendix 3B and the exports, for which this application is being filed, are made on or after the respective admissible date of export, as indicated in relevant Appendix. I further declare that the Shipment documents contains declaration of intent of claiming rewards under MEIS specified in p .....

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s without any delay on my part. In case I am not able to provide such documentary evidence, I undertake to refund the amount of scrip in cash with interest at the rate prescribed under section 28AA of Customs Act, 1962, from the date of such scrip as prescribed in FTP and HBP and shall also be liable for penal action as per FTDR act. Tick the box as acceptance of declaration/ undertaking and fill in the details below .....

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Telephone No. Country Code __ Area Code _____ Phone number_______ - - Fax No. - - .....

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llip;…… having IEC Number in respect of their claim for Export of goods through courier or foreign post offices using e-Commerce under Merchandise Exports from India Scheme (MEIS) for the period from -To- for Rs -……………………... and certify that 1. Bills, Invoices, Forward Inward Remittance Certificates (FIRCs), Bank Realization Certificates, Certificate from international credit card companies, and evidence .....

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as listed under Para 3.06 of FTP 2015-20. 4. Neither I, nor any of my / our partners is a partner, director, or an employee of above-named entity, its Group companies or its associated concerns. 5 None of the consignment in respect of which claim is filed in this application is subsequently returned by the customer. 6 None of the consignment in respect of which claim is filed in this application is previously cl .....

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dix 3B( Part 1) Product Sl No. of Appendix 3B (Part 2) Realized FOB value of Exports or FOB value as given in S/B/Airway bill, whichever is less (in free foreign exchange) Date of realization Value Currency Code (1) (2) (3) (4) (5) (6) .....

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15 (16) (17) (18) 19 20 (17) = (15) X(16) 19=17X18 20=17-19 Foreign Post Office /Airport details from where Exported using e-commerce Sr No of category of export in appendix 3C (21) (22) .....

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al Address Flat/Plot/Block No Street/Area/Locality City State PIN Code Telephone No. Country Code __ Area Code _____ Phone number_______ - - .....

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