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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)

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..... ne Airport/ Foreign Post Office 2 [ v. For the details in the Serial No. 3 below, Applicant to select/feed the details of one consignment/shipping bills/courier shipping bills/postal bill of export /airway bills at a time. A maximum of 250 such details can be filed in one application. ] vi. For the purpose of this application- Shipping bill may be read as Courier Shipping Bill / Postal Bill of Export/ Airway Bill as the need be. vii. The Applicants are required to submit the Scanned copies of CA Certificate (Enclosure A) and Proof of landing certificate for all exports in the application for exports made before 03.05.2016 (Enclosure B) in the online ANF 3D module at the DGFT portal. viii. This application does not require any application fees, as is required for the MEIS application in the form ANF 3A. ix. For all exports made with effect from the date of Publication of this ANF 3D, the provisions of para 3.15 (a) (i) of the Handbook of Procedures shall apply. However, for all exports made prior to the date of publication of this ANF 3D, the date of export for the purpose of calculating the late cut as per para 3.15 (a) (i) shall be the date of the public .....

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..... Entitlement Amount (in Rs.) Late Cut % if any Late cut Amount (in Rs.) Entitlement after Late Cut (in Rs.) (13) (14) 15 (16) (17) (18) 19 20 (17) = (15) X(16) 19=17X1 8 20=17-19 - - - - - Foreign Post Office /Airport details from where Exported using e commerce (21) Sr No of category of export in appendix 3C (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 : .....

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..... d by the customer. In case it is returned in future I undertake to refund the rewards granted with interest rates as prescribed under section 28AA of Customs Act, 1962. 6 I hereby declare that in terms of Para 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 para 3.14 of HBP . 8 I hereby declare that export product for which the duty credit scrip is being claimed does not contain any product which is listed as ineligible export categories / sectors in per Para 3.06 of FTP and the ineligible items under MEIS as listed in the Appendix 3B, Table 3, Public Notice 44 dated 05.12.2017. 9 I fully understand that RA or any other a .....

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..... d 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 claimed by the applicant. 7. The details of exports contained in the application are certified as under 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) 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 .....

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..... City State PIN Code Telephone No. Country Code __ Area Code _____ Phone number_______ - - Fax No. - - Email Place: Date: Enclosure (B) to ANF 3D Original To be scanned and uploaded Online Landing Certificate To Whom So Ever It May Concern We her .....

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..... Name iii Address iv Telephone No v Email ID Part B 2. Application Details: (i) Export Licensing Year (pl. specify the year in which export has been made, based on Let export date (Para 9.12 of HBP): (ii) Date of filing of Application: (iii) Port of Export for this Application: Note: Applicant to select/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) 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 excha .....

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..... (v) The Conservation of Foreign Exchange, Prevention of Smuggling Activities Act, 1974 E. 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; F. 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; 2 I/We undertake to abide by the provisions of the Foreign Trade (Development and Regulation) Act, 1992, as amended from time to time, the Rules and Orders framed there under, the Foreign Trade Policy, the Handbook of Procedures 3 I/We hereby certify that that particulars and statements made in this application are true and correct and nothing has been concealed or held therefrom. I/We fully understand that any infor .....

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..... ce of declaration/ undertaking and fill in the details below. 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: Enclosure (A) to ANF 3D CERTIFICATE OF CHARTERED ACCOUNTANT (CA) / COST AND WORKS .....

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..... er is less (in free foreign exchange) Date of realization Value Currency Code (1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) Exchange Rate FOB in Rs.ie 10x13 FOB value for rewards ie FOB value as in colmn no. 14 or ₹ 25000 whichever is less Rate of Entitlement as per Appendix 3B (Part 2) (%) Entitlement Amount (in Rs.) Late Cut % Late cut Amount (in Rs.) Entitlement after Late Cut (in Rs.) (13) (14) 15 (16) (17) (18) 19 20 (17) = (15) X(16) 19=17X18 20 .....

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..... goods carrier on the date of issuance of the tracking document. We have verified that this proof of landing goods in relevant notified market is given based on information available in goods carriers backup database and we have issued this document accordingly. This certificate has been issued as per para 3.03(f) of H.B.P 2015-20 For XYZ Pvt. Ltd. Authorized Signatory Name: Designation: Place: .....

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