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Application Form for Redemption of EPCG Authorization /Issuance of Post Export EPCG Duty Credit Scrip

DGFT - ANF -5B - ANF- 5B () (Please see the guidelines before filing the application) 1. Applicant Details a. IEC Number Branch Code b. Name c. Address 2. EPCG Authorization No. and Date Duty Saved Amount allowed Duty Saved Amount utilized (including indigenously proc .....

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expiry of initial EOP b. Extended EOP date c. Actual EO completion date 6. Average Export Obligation imposed* EO as per actual duty saved amount In Indian Rs. In Indian Rs. In US$ * In case of fulfilment of EO by alternate product, Average EO of alternate pr .....

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No. Date Direct Exports Third Party Exports Deemed Exports By Group Company Other (R&D Services/Royalty) Total 8. .....

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edge and belief and nothing has been concealed or withheld therefrom. If anything is found incorrect or false it will render me/us liable for any penal action or other consequences as may be prescribed in law or otherwise warranted. 3. None of the Partners(s)/Director(s)/ Trustee/ Karta/ Proprietor of the firm/company has come under the adverse notice of DGFT or is in the caution list of RBI. 4. None of the Partners(s)/Director(s)/ Trustee/ Karta/ Proprietor of the firm/company, as the case may .....

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