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Application for Issue of Nominated Agency Certificate (NAC) / Renewal of Nominated Agency Certificate

DGFT - ANF -4I - ANF- 4I [Please see guidelines given at the end before filling the application online] Part A 1 IEC No. Branch Code 2 Application for (please tick) Grant of fresh Nominated Agency Certificate Renewal of Nominated Agency Certificate (i) Date of issue of Nominated Agency Certif .....

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Status Certificate : Date: Validity: 5. Nature of concern (please tick mark) i. Merchant Exporter ii Manufacturer Exporter iii Service Provider iv Merchant cum Manufacturer v Others (Please specify) 6 RCMC Number Date .....

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8 Excise Registration Number Address of the jurisdictional Central Excise Authority under whose jurisdiction the factory / premises situated. Address of the factory / premises where the items to be imported are proposed to be used Part B 9. Details of Exports / Deemed Exports / Foreign Exchange earned during preceding licensing years and current year (i.e. year in which application is file .....

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DECLARATION / UNDERTAKING I / We hereby declare that: 1. We 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, and (iv) The Foreign Exchange Management Act,1999; (v) The Conservation of Foreign Exchange, Prevention of Smuggling Activities Act, 1974 B. 2. The particulars and the statements made in this application are true and correct to .....

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s RBI and Customs guidelines, as amended from time to time, as applicable to Nominated Agencies. 4. None of the Proprietor/ Partner(s) / Director(s) / Karta / Trustee of the firm / company, as the case may be, is / are a Proprietor / Partner(s) / Director(s) / Karta / Trustee in any other firm / Company which has come to the adverse notice of DGFT or in the caution list of RBI to the best of my knowledge. 5. that I/we have perused the list of SCOMET items as contained in the Appendix 3 to the Sc .....

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is being filed). 6. no export proceeds are outstanding beyond the prescribed period as laid down by RBI or such extended period for which RBI permission has been obtained. 7. that I/We have updated the IEC profiles in ANF-1 8. I am authorised to verify and sign this declaration as per Paragraph 9.06 of the FTP. Place: Signature of the Applicant Date: Name Designation Official Address .....

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yearly return(s), if applicable, as per the format given in Appendix 4-O for the period April to September / October to March Annexure to ANF 4I CERTIFICATE OF CHARTERED ACCOUNTANT (CA) / COST ACCOUNTANT (ICWA)/ COMPANY SECRETARY (CS) I / We hereby confirm that I / We have examined prescribed registers and also relevant records of M/s ....... .............……………………………………………having .....

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