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Application Form for Redemption of EPCG Authorization

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..... red CG) 3. Details of installation Certificate BE No. Date of BE * Date of Installation of CG Date of submission of installation certificate to RA/date of uploading installation certificate into DGFT online portal S. No. *In case the applicant is registered with Central excise, installation certificate from Central Excise authority is mandatory for authorizations issued prior to 01.04.2015. For authorizations issued after 1.4.2015, ap .....

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..... S.No. Shipping Bill number/Bill of Export Shipping Bill date ITC(HS) Code of export item Export item description FOB value in USD Direct Export / Third part? (YES/NO) (ii) For SEZ supplies/Deemed Exports / Exports in INR S.No. Invoice number /Shipping Bill number/Bill of Export Date ITC(HS) Code of .....

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..... n(s). 9. Details of Average Export Obligation fulfilled: Are you a Manufacturer/Service provider? (i) For Physical Exports S.No. Shipping Bill number/Bill of Export Shipping Bill date Export item description FOB value in USD Direct Export /Third party? (YES/NO) (ii) For SEZ supplies/Deemed Exports / Exports in INR S.No. Invoice number /Shipping Bill number/B .....

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..... Declaration/Undertaking I/We hereby declare/certify that: 1. I/We have updated my/our profile in ANF-1. 2. The particulars and the statements made in this application are true and correct to the best of my/our knowledge 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 maybe prescribed in law or otherwise warranted. 3. I/we have not exported items on the SCOMET list/items restricted for exports for which permission has not been taken. 4. I/We hereby declare that exports counted towards Specific Export Obligation against this .....

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..... must be accompanied with the following documents: 1. Appendix 5C duly signed by Chartered Accountant/Cost Accountant/Company Secretary along with a statement giving details of the documents submitted by the authorization holder towards evidence of EO fulfillment. 2. Original/Self certified copy of EPCG authorization along with enclosures. As may be applicable 3. Self certified copies of Bill of Entry in respect of import/ invoices in respect of indigenously procured CG. 4. Proof of submission of installation certificate within time limit 5. In respect of Third party exports additional documents as required in terms of Para-5.10(d) of HBP 2023 6. Application has to be filed online. - Forms Tax Management India - taxman .....

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